119th Congress · introduced in the House · Jun 20, 2025
RAMP Act
Official title from Congress.gov
Latest action (Jun 20, 2025): Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
View on Congress.govPolicy area: Health
Congressional Research Service summary, version: Introduced in House (Jun 20, 2025)
Repair Abuses of MSP Payments Act or the RAMP Act
This bill restricts the private right of action against insurance plans that do not provide appropriate primary payment in cases in which Medicare is a secondary payer.
Current law allows for a private right of action against primary plans that do not provide appropriate primary payment in cases in which Medicare is a secondary payer; this provision applies to group health plans, workers' compensation plans, automobile or liability insurance plans, and no-fault insurance plans. The bill limits this provision to group health plans.
Includes amendment, cloture, and procedural votes. Each is labeled with its exact question; only a passage question is a vote to pass the bill.
No recorded roll calls on this bill in coverage.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced in House
Introduced in House
Actions from Congress.gov, newest first.
LD-2 reports whose issue descriptions explicitly cite this bill (bill type and number validated against Congress.gov records). A citation does not establish the client's position or any contact with a member.
Loading lobbying reportsCoverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 24, 2026.
12 citations.
AMERICAN PROPERTY CASUALTY INSURANCE ASSOCIATION · lobbying firm or registrant: AMERICAN PROPERTY CASUALTY INSURANCE ASSOCIATION FKA PROPERTY CASUALTY INSURERS ASSOC. OF AMERICA
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$1,600,000
Spent on own lobbying
**Issues lobbied without specific bill number: Medicare Secondary Payer Statutes H.R. 4056 Medicare Secondary Payer
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ALLSTATE INSURANCE COMPANY · lobbying firm or registrant: ALLSTATE INSURANCE COMPANY
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$790,000
Spent on own lobbying
H.R. 4056 The Repair Abuses of MSP Payments (RAMP) Act to simplify Medicare claims settlement
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
MARC COALITION · lobbying firm or registrant: KING & SPALDING LLP
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
Advocacy for Medicare Secondary Payer Issues; RAMP Act, H.R. 4056 (119th Cong.), S. 3816 (119th Cong.).
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN PROPERTY CASUALTY INSURANCE ASSOCIATION · lobbying firm or registrant: AMERICAN PROPERTY CASUALTY INSURANCE ASSOCIATION FKA PROPERTY CASUALTY INSURERS ASSOC. OF AMERICA
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 22, 2026 · issue area: Medicare/Medicaid
$2,140,000
Spent on own lobbying
**Issues lobbied without specific bill number: Medicare Secondary Payer Statutes H.R. 4056 Medicare Secondary Payer
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ALLSTATE INSURANCE COMPANY · lobbying firm or registrant: ALLSTATE INSURANCE COMPANY
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$380,000
Spent on own lobbying
H.R. 4056 The Repair Abuses of MSP Payments (RAMP) Act to simplify Medicare claims settlement
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
MARC COALITION · lobbying firm or registrant: KING & SPALDING LLP
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 19, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
Advocacy for Medicare Secondary Payer Issues; RAMP Act, H.R. 4056, S. 3816 (119th Cong.).
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
MARC COALITION · lobbying firm or registrant: KING & SPALDING LLP
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 21, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
Advocacy for Medicare Secondary Payer Issues; RAMP Act, H.R. 4056, S. 3816 (119th Cong.).
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ALLSTATE INSURANCE COMPANY · lobbying firm or registrant: ALLSTATE INSURANCE COMPANY
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Medicare/Medicaid
$1,550,000
Spent on own lobbying
H.R. 4056 The Repair Abuses of MSP Payments (RAMP) Act to simplify Medicare claims settlement
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ALLSTATE INSURANCE COMPANY · lobbying firm or registrant: ALLSTATE INSURANCE COMPANY
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Medicare/Medicaid
$670,000
Spent on own lobbying
H.R. 4056 The Repair Abuses of MSP Payments (RAMP) Act to simplify Medicare claims settlement
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
MARC COALITION · lobbying firm or registrant: KING & SPALDING LLP
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 19, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
Advocacy for Medicare Secondary Payer Issues; RAMP Act, H.R. 4056 (119th Cong.).
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ALLSTATE INSURANCE COMPANY · lobbying firm or registrant: ALLSTATE INSURANCE COMPANY
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 20, 2025 · issue area: Medicare/Medicaid
$590,000
Spent on own lobbying
H.R. 4056 The Repair Abuses of MSP Payments (RAMP) Act to simplify Medicare claims settlement
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
MARC COALITION · lobbying firm or registrant: KING & SPALDING LLP
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 20, 2025 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
Advocacy for Medicare Secondary Payer Issues; RAMP Act, H.R. 4056 (119th Cong.).
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing