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Competition and Openness in Markets to Promote Efficiency, Transparency, and Enhanced affordability Act

S. 3418 · 119th Congress · Dec 10, 2025 · Lineage

A BILL

To ensure competition in health insurance markets.

Section 1 Short title

This Act may be cited as the “Competition and Openness in Markets to Promote Efficiency, Transparency, and Enhanced affordability Act” or the “COMPETE Act”.

Sec. 2 Short-term limited duration insurance

Section 2791(b) of the Public Health Service Act (42 U.S.C. 300gg–91(b)) is amended by adding at the end the following:

“(6) Short-term limited duration insurance—The term short-term limited duration insurance means a plan providing health insurance coverage pursuant to a contract with a health insurance issuer—

“(A) that has an expiration date specified in the contract that is not more than 12 months after the original effective date of the contract; and

“(B) which may include a renewal guarantee that permits a policyholder to elect to purchase, for periods of time following expiration of the initial contract, another policy or policies at some future date, at a premium that would not reflect any additional underwriting.”