A bill to amend title XVIII of the Social Security Act to permit a private cause of action for damages in the case of a group health plan which fails to provide for primary payment or appropriate reimbursement.

Sponsor: Tim Scott (Republican-SC)February 10, 2026

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Introduced

In Committee

Passed One Chamber

Passed Both Chambers

Signed into Law

Read twice and referred to the Committee on Finance.

Lets people sue group health plans that don't pay medical bills correctly.

Lets people sue group health plans that don't pay medical bills correctly. This bill would allow individuals to take legal action for damages if their group health plan fails to make primary payments or appropriate reimbursements. It changes existing law to specifically name "group health plans" as responsible parties.

What Would Change

Today, people can sue a "primary plan" if it fails to pay medical bills correctly. This bill would change the law to specifically allow lawsuits against a "group health plan" for these same failures. This means the types of plans that can be sued for not paying their share would be more clearly defined.

Key Provisions

Lets individuals bring lawsuits against group health plans that fail to make primary payments or appropriate reimbursements.

View on Congress.gov

S 3816 · 119th Congress · February 10, 2026 · AI Summary by gemini-2.5-flash · 10/10

Lobbying Activity

2 filings mentioned this bill

Top Lobbying Clients

MARC COALITION

$120K

2 filings

Top Lobbying Firms

1.KING & SPALDING LLP2 filings

Amounts reflect total quarterly lobbying spend reported to the Senate, not bill-specific spending. Source: Senate LDA filings.