A member may request the summary and their own claim detail
Making further consolidated appropriations for the fiscal year ending September 30, 2026, and for other purposes, section 6701, Sec. 6701.
Written by .
A member may request the summary and their own claim detail
The document says “shall”Who acts: group health plansHow: statuteSec. 6701 in the PDF
What the document says
“upon request of a participant or beneficiary, shall provide to such participant or beneficiary--
``(1) the summary document described in subsection (b)(2)(B)(ii); and”
On request, a group health plan must give a participant or beneficiary the member summary document, and the difference between what the plan paid the manager and what the pharmacy was paid, for a claim made by or on behalf of that person.
What the document actually says
“upon request of a participant or beneficiary, shall provide to such participant or beneficiary--
``(1) the summary document described in subsection (b)(2)(B)(ii); and”
That sentence, in plain words
If a member asks, the plan must hand over the short document.
What this is about
The member may also ask about their own claim. What they get is the gap between what the plan paid and what the pharmacy got.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
Consolidated Appropriations Act, 2026, Public Law 119-75, sec. 6701, 140 Stat. 703 (2026). https://www.govinfo.gov/content/pkg/PLAW-119publ75/html/PLAW-119publ75.htm
This page
“A member may request the summary and their own claim detail,” Consolidated Appropriations Act, 2026, section 6701, Sec. 6701. Read the Mandate, https://readthemandate.org/consolidated-appropriations-act-2026/proposal/sec6701-information-to-members/ (retrieved October 10, 2026).
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