H.R. 10177 (119th)Bill Overview

Competition in State Healthcare Markets Act

domestic policy
Cosponsors
Support
Republican
Introduced
Aug 27, 2026
Discussions
Bill Text
Current stageCommittee

Referred to the House Committee on Energy and Commerce.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

Requires the HHS Assistant Secretary for Planning and Evaluation to conduct an annual, 10-year study of State-level health care competition and consolidation. The study must consult with FTC and DOJ antitrust, collect data on licensing, mergers, facility counts, alternative insurance forms, certificates of need/advantage, and compute Herfindahl–Hirschman Indexes.

Why people may split

Liberals emphasize study as foundation for antitrust action.

Watch point

Relative to its intended legislative type, this bill is a well-scoped and specifically detailed reporting mandate that clearly assigns responsibility, enumerates metrics, requires interagency consultation, and mandates annual public reporting over a defined 10-year period, but it omits funding authorization and detailed provisions for handling confidential data, data quality, and operational logistics.

Requires the HHS Assistant Secretary for Planning and Evaluation to conduct an annual, 10-year study of State-level health care competition and consolidation.

The study must consult with FTC and DOJ antitrust, collect data on licensing, mergers, facility counts, alternative insurance forms, certificates of need/advantage, and compute Herfindahl–Hirschman Indexes.

Each year HHS must report to specified Congressional committees and publish reports and publicly accessible interactive datasets online.

Passage40/100

Narrow, administrative, and bipartisan-leaning scope increases chances, but lack of funding authorization and competing priorities reduce near-term probability.

CredibilityPartially aligned

Relative to its intended legislative type, this bill is a well-scoped and specifically detailed reporting mandate that clearly assigns responsibility, enumerates metrics, requires interagency consultation, and mandates annual public reporting over a defined 10-year period, but it omits funding authorization and detailed provisions for handling confidential data, data quality, and operational logistics.

Contention50/100

Liberals emphasize study as foundation for antitrust action.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
StatesFederal agencies

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • StatesProvides standardized annual data for policymakers to assess state healthcare market competition.
  • StatesEnables DOJ, FTC, and states to target antitrust enforcement with clearer evidence.
  • StatesInforms state licensing and CON policy reforms that could lower entry barriers.
Likely burdened
  • Federal agenciesFederal data collection may be perceived as encroaching on traditional state regulatory authority.
  • Potential burdenCollecting and sharing data may impose administrative burdens on agencies and some providers.
  • Potential burdenPublication of interactive datasets risks disclosing competitively sensitive or proprietary information.
03 · Why people split

Why the argument around this bill splits.

Liberals emphasize study as foundation for antitrust action.
Progressive80%

Likely supportive because the bill creates systematic, public data to document consolidation and anticompetitive patterns.

They will view it as a necessary evidence base for stronger antitrust enforcement and protections for patients and workers, while noting the bill does not itself mandate remedies.

Leans supportive
Centrist75%

Generally favorable as an evidence-driven, consultative approach to a complex policy area.

Will emphasize careful methodology, funding clarity, and nonpartisan presentation; supportive if the study is adequately resourced and avoids duplicative state-federal conflict.

Leans supportive
Conservative40%

Skeptical of expanded federal involvement in state healthcare markets; accepts factual study in principle but worries about federal overreach, regulatory mission creep, and potential misuse to block mergers.

May appreciate that alternative plans are examined, but cautious overall.

Split reaction
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood40/100

Narrow, administrative, and bipartisan-leaning scope increases chances, but lack of funding authorization and competing priorities reduce near-term probability.

Scope and complexity
52%
Scopemoderate
24%
Complexitylow
Why this could stall
  • Whether appropriations or reprogramming will fund the study
  • Agency capacity and prioritization at HHS/ASPE
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Liberals emphasize study as foundation for antitrust action.

Narrow, administrative, and bipartisan-leaning scope increases chances, but lack of funding authorization and competing priorities reduce n…

Unlocked analysis

Relative to its intended legislative type, this bill is a well-scoped and specifically detailed reporting mandate that clearly assigns responsibility, enumerates metrics, requires interagency consultation, and mandates…

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
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