HR 10599 — 119th Congress

No Surprise Bills for Seniors Act

Introduced Sep 24, 2026 Open for voting
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Regulatory or Legal Changes Top 1

Medicare Part D Nonpayment Termination Flexibility

Allows the federal government to create rules that treat losing Medicare prescription drug coverage for not paying premiums as involuntary in certain cases, potentially protecting seniors' ability to re-enroll without penalty.

  • Population Scope Medium Directly affects Medicare Part D enrollees who lose coverage due to premium nonpayment — a meaningful but bounded subset of the roughly 50 million Part D enrollees, well under 25% of the U.S. population.
  • Budgetary Magnitude Low No funds are authorized, appropriated, or obligated by this provision.
  • Legal / Regulatory Depth Medium Creates new procedural authority for the Secretary of Health and Human Services (HHS) to reclassify termination events through rulemaking, constraining existing administrative discretion without establishing a new substantive statutory mandate or enforceable entitlement.
  • Degree of Discretion Granted High The permissive 'may specify through rulemaking' language grants HHS broad, unconstrained authority to define which nonpayment circumstances qualify as involuntary, with no statutory criteria or limiting conditions.
  • Implementation & Enforcement Burden Low No new enforcement mechanisms, penalties, or compliance obligations are created; any burden materializes only if and when HHS exercises its rulemaking authority.
  • Temporal Commitment High The statutory amendment persists indefinitely until Congress acts to repeal it.
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Summary

This bill changes how Medicare handles seniors who lose their prescription drug (Part D) plan coverage because they did not pay their premiums. Right now, that loss of coverage is treated as voluntary. This bill lets the Secretary of Health and Human Services (HHS) create rules to treat certain cases of nonpayment-related termination as involuntary, which could help seniors re-enroll or avoid penalties.

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Version Event Date User support Your vote Roll calls
Original
Initial publication
Sep 24, 2026
Sep 24, 2026 No votes yet — —

Regulatory or Legal Changes Top 1

Medicare Part D Nonpayment Termination Flexibility

Allows the federal government to create rules that treat losing Medicare prescription drug coverage for not paying premiums as involuntary in certain cases, potentially protecting seniors' ability to re-enroll without penalty.

  • Population Scope Medium Directly affects Medicare Part D enrollees who lose coverage due to premium nonpayment — a meaningful but bounded subset of the roughly 50 million Part D enrollees, well under 25% of the U.S. population.
  • Budgetary Magnitude Low No funds are authorized, appropriated, or obligated by this provision.
  • Legal / Regulatory Depth Medium Creates new procedural authority for the Secretary of Health and Human Services (HHS) to reclassify termination events through rulemaking, constraining existing administrative discretion without establishing a new substantive statutory mandate or enforceable entitlement.
  • Degree of Discretion Granted High The permissive 'may specify through rulemaking' language grants HHS broad, unconstrained authority to define which nonpayment circumstances qualify as involuntary, with no statutory criteria or limiting conditions.
  • Implementation & Enforcement Burden Low No new enforcement mechanisms, penalties, or compliance obligations are created; any burden materializes only if and when HHS exercises its rulemaking authority.
  • Temporal Commitment High The statutory amendment persists indefinitely until Congress acts to repeal it.
No signal yet

Regulatory or Legal Changes

Medicare Part D Nonpayment Termination Flexibility