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The groups estimate sticking with the current rules will increase the number of uninsured people by 50%.

The company told analysts that the claim dispute process now accounts for more than 1% of plan spending.

The Promise Act would start "the process of preserving promised benefits," according to Sen. Bill Cassidy.

HCA Healthcare on Tuesday reduced its full-year earnings outlook, citing increased numbers of patients who lost coverage because of changes to the Affordable Care Act.

"Trust is a foundational element of health care today. To truly transform the system, we need to continue to deepen the provider-payer relationship," said Steve Nelson, Aetna's executive vice president and president.

In a lawsuit filed in September 2024, the FTC alleged that CVS Caremark, along with Express Scripts and OptumRx, used rebate systems that favored higher-cost drugs, driving up list prices and out-of-pocket costs for patients.