U.S. Congress legislation · 119th Congress
SB4583: Legalizing Premium Health Care Act of 2026
Status: In committee, May 20, 2026
A bill to amend title XVIII of the Social Security Act to establish a Medicare payment option for patients and eligible professionals to freely contract, without penalty, for Medicare fee-for-service items and services, while allowing Medicare beneficiaries to use their Medicare benefits.
What the bill says
To amend title XVIII of the Social Security Act to establish a Medicare payment option for patients and eligible professionals to freely contract, without penalty, for Medicare fee-for-service items and services, while allowing Medicare beneficiaries to use their Medicare benefits.
From the introduced text, May 20, 2026:
A BILL To amend title XVIII of the Social Security Act to establish a Medicare payment option for patients and eligible professionals to freely contract, without penalty, for Medicare fee-for-service items and services, while allowing Medicare beneficiaries to use their Medicare benefits. SECTION 1. Short title This Act may be cited as the Legalizing Premium Health Care Act of 2026 . SECTION 2. Guaranteeing freedom of choice and contracting for patients under Medicare (a) In general Section 1802 of the Social Security Act ( 42 U.S.C. 1395a ) is amended to read as follows: SECTION 1802. Freedom of Choice and Contracting by Patient Guaranteed (a) Basic freedom of choice Any individual entitled to insurance benefits under this title may obtain health services from any institution, agency, or person qualified to participate under this title if such institution, agency, or person undertakes to provide that individual such services. (b) Freedom To contract by Medicare beneficiaries (1) In general Subject to the provisions of this subsection, nothing in this title shall prohibit a Medicare beneficiary from entering into a contract with an eligible professional (whether or not the professional is a participating or non-participating physician or practitioner) for any item or service covered under this title. (2) Submission of claims Any Medicare beneficiary that enters into a contract under this section with …
Sponsors
- Paul, Rand (R) · primary sponsor
- Murkowski, Lisa (R)
Latest actions
- : Read twice and referred to the Committee on Finance.
- : Introduced in Senate
Subjects: Health
Common questions
- What is SB4583?
- SB4583 is a bill in Congress (119th Congress): Legalizing Premium Health Care Act of 2026.
- What does SB4583 do?
- In its own words: To amend title XVIII of the Social Security Act to establish a Medicare payment option for patients and eligible professionals to freely contract, without penalty, for Medicare fee-for-service items and services, while allowing Medicare beneficiaries to use their Medicare benefits.
- What is the status of SB4583?
- In committee as of May 20, 2026. Latest action: Read twice and referred to the Committee on Finance. (May 20, 2026).
- Who sponsored SB4583?
- Paul, Rand (R), with 1 co-sponsor.
- Where is the official record for SB4583?
- On the Congress website: https://www.congress.gov/bill/119th-congress/senate-bill/4583
Source: official Congress record. Tracked by Delilah, AI for legislation across all 50 states and Congress.