The purpose of this legislation, known as the Care Over Profits Act of 2026, is to improve healthcare affordability and integrity by making changes to how health insurance companies operate and by addressing fraudulent practices in health plan enrollment. One of the main objectives is to increase the medical loss ratio for health insurance coverage in small group and individual markets. This means that insurance companies will be required to spend at least 85% of premium dollars on medical care and health services, up from the previous requirement of 80%.