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H.R. 10177

U.S. House•In House Committee

Summary

H.R. 10177, the Competition in State Healthcare Markets Act, was introduced in the House on Aug 27, 2026 by Rep. Victoria Spartz (R). It was referred to Energy And Commerce, and last saw action on Aug 27, 2026: Referred to the House Committee on Energy and Commerce.

Record

Text

H.R. 10177 has no co-sponsors and has not gone to a roll call.

hb10177/introduced.txt
I
  119TH CONGRESS
  2D SESSION
  H. R. 10177
  To direct the Assistant Secretary for Planning and Evaluation of the Depart-
  ment of Health and Human Services to conduct an annual study on
  health care competition and consolidation at the State level.
  IN THE HOUSE OF REPRESENTATIVES
  AUGUST 27, 2026
  Mrs. SPARTZ introduced the following bill; which was referred to the
  Committee on Energy and Commerce
  A BILL
  To direct the Assistant Secretary for Planning and Evalua-
  tion of the Department of Health and Human Services
  to conduct an annual study on health care competition
  and consolidation at the State level.
Be it enacted by the Senate and House of Representa-
  2 tives of the United States of America in Congress assembled,
   SECTION 1. SHORT TITLE.
This Act may be cited as the ‘‘Competition in State
  5 Healthcare Markets Act’’.
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   SEC. 2. ANNUAL STUDY ON HEALTH CARE COMPETITION
AND CONSOLIDATION AT STATE LEVEL.
(a) IN GENERAL.—Over each of the 10 years fol-
  4 lowing the date of enactment of this Act, the Assistant
  5 Secretary for Planning and Evaluation of the Department
  6 of Health and Human Services (in this section referred
  7 to as the ‘‘Assistant Secretary’’) shall conduct a study on
  8 health care competition and consolidation at the State
  9 level.
(b) CONSULTATION.—In conducting the study under
  11 this section, the Assistant Secretary shall consult with the
  12 Chair of the Federal Trade Commission and the Assistant
  13 Attorney General in charge of the Antitrust Division of
  14 the Department of Justice.
(c) OBTAINING DATA.—The Assistant Secretary may
  16 secure from the Federal Trade Commission information
  17 necessary to enable the Assistant Secretary to carry out
  18 subsection (d)(2). Upon request of the Assistant Sec-
  19 retary, the Chair of the Federal Trade Commission shall
  20 furnish that information to the Assistant Secretary.
(d) METRICS.—The study under this section shall in-
  22 clude data collection on each of the following:
(1) Licensing requirements for doctors, nurses,
and other health care practitioners, including re-
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quirements with respect to—
(A) initial licensure;
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(B) ongoing maintenance of licensure;
(C) specific training and postgraduate and
continuing medical education;
(D) residency supervisory requirements;
and
(E) board certification.
(2) Mergers and acquisitions (both vertical and
horizontal), involving—
(A) hospitals;
(B) ambulatory or outpatient practices;
(C) ambulatory surgical centers;
(D) health insurance providers;
(E) habilitative service providers (such as
providers of physical therapy or occupational
therapy); and
(F) telehealth.
(3) The number of—
(A) State laws establishing a legal mecha-
nism by which a State approves mergers be-
tween or among two or more hospitals (com-
monly referred to as ‘‘certificates of public ad-
vantage’’); and
(B) State laws establishing a legal mecha-
nism for regulating the growth of construction
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of new health care facilities (commonly referred
to as ‘‘certificates of need’’).
(4) The availability of alternative forms of
health insurance coverage, including—
(A) short-term limited duration insurance
(as defined for purposes of section 2791(b)(5)
of the Public Health Service Act (42 U.S.C.
300gg–91(b)(5)); and
(B) association health plans (including
plans offered through the American Farm Bu-
reau Federation).
(5) The number of each of the following in op-
eration at the start and the end of each year covered
by the 10-year study period:
(A) Hospitals.
(B) Medical practices.
(C) Ambulatory or outpatient practices.
(D) Ambulatory surgical centers.
(E) Health insurance providers.
(F) Habilitative service providers.
(6) The Herfindahl–Hirschman Index, within
geographic areas defined by the Assistant Secretary
in consultation with the Bureau of Competition of
the Federal Trade Commission, for the following
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health care services:
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(A) General acute care hospital services.
(B) Ambulatory or outpatient medical
services, disaggregated by medical specialty.
(C) Habilitative services.
(e) ANNUAL REPORTS.—
(1) IN GENERAL.—Not later than the end of
each of the 10 years referred to in subsection (a),
the Assistant Secretary shall submit to the Com-
mittee on Energy and Commerce and the Committee
on Ways and Means of the House of Representatives
and the Committee on Finance and the Committee
on Health, Education, Labor, and Pensions of the
Senate a report on the status and results of the
study under this section.
(2)        PUBLICATION;  PUBLICLY  ACCESSIBLE
DATASETS.—Not later than the end of each of the
10 years referred to in subsection (a), the Assistant
Secretary shall—
(A) publish on the website of the Office of
the Assistant Secretary the report submitted
under paragraph (1) for the respective year;
and
(B) make the data collected through the
study under this section available to the public
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on such website in a manner that is publicly ac-
cessible and interactive.
  Æ
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Tracker

The tracker indicates the progress of this legislation as it moves through the legislative process.

  1. Introduced2026-08-27
  2. Passed House
  3. Passed Senate
  4. Conference
  5. To President
  6. Became Law

To direct the Assistant Secretary for Planning and Evaluation of the Department of Health and Human Services to conduct an annual study on health care competition and consolidation at the State level.

Sponsors

Rep. Victoria Spartz (R) sponsors H.R. 10177 alone.

Committees

H.R. 10177 went before 1 committee: Energy and Commerce.

Energy and Commerce
Energy and Commerce
Referred To · Aug 27, 2026 · 1,636 Bills

Actions

H.R. 10177 has taken 2 actions since Aug 27, 2026.

ChamberAction
Aug 27, 2026
House
Introduced in House
Aug 27, 2026
House
Referred to the House Committee on Energy and Commerce.Energy and Commerce Committee

Votes

H.R. 10177 has not gone to a roll call.

Titles

H.R. 10177 goes by 3 titles, 1 of them short titles.

  • Competition in State Healthcare Markets Act — Display Title
  • Competition in State Healthcare Markets Act — Short Title(s) as Introduced
  • To direct the Assistant Secretary for Planning and Evaluation of the Department of Health and Human Services to conduct an annual study on health care competition and consolidation at the State level. — Official Title as Introduced

Classification

The Congressional Research Service files H.R. 10177 under Health, one of its 31 policy areas.

CRS Subjects

CRS assigns every bill one policy area from its 31; H.R. 10177’s is Health.

hr10177/policy-areas.txt
HealthAgriculture and FoodAnimalsArmed Forces and National SecurityArts, Culture, ReligionCivil Rights and Liberties, Minority IssuesCommerceCongressCrime and Law EnforcementEconomics and Public FinanceEducationEmergency ManagementEnergyEnvironmental ProtectionFamiliesFinance and Financial SectorForeign Trade and International FinanceGovernment Operations and PoliticsHousing and Community DevelopmentImmigrationInternational AffairsLabor and EmploymentLawNative AmericansPublic Lands and Natural ResourcesScience, Technology, CommunicationsSocial WelfareSports and RecreationTaxationTransportation and Public WorksWater Resources Development

Constitutional authority

The clause the sponsor cites as Congress’s power to enact H.R. 10177, as entered in the Congressional Record.

[Congressional Record Volume 172, Number 136 (Thursday, August 27, 2026)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mrs. SPARTZ:H.R. 10177.Congress has the power to enact this legislation pursuantto the following:Article 1 Section 8 Powers enumerated[Page H5258]

Source: congress.gov · legiscan.com