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RS 219

“Para ordenar a las Comisiones de Hacienda, Presupuesto y PROMESA; y de Salud del Senado de Puerto Rico, realizar una investigación sobre las negociaciones que lleva a cabo la Administración de Seguros de Salud (ASES) con las aseguradoras que ofrecen servicios al Plan Vital para determinar los costos de las primas para el nuevo año fiscal; y para otros fines relacionados.”

2025-2028 Session

Directs Senate committees to investigate ASES’s negotiations with Plan Vital insurers to determine upcoming premium costs.

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Bill Summary · RS 219

RS 219 — Summary

Overview

RS 219 is a Senate resolution introduced on June 2, 2025. The bill would instruct the Senate’s Committees on Hacienda, Presupuesto y PROMESA and on Salud to conduct an investigation into the negotiations carried out by the Administración de Seguros de Salud (ASES) with the insurers that provide services to Plan Vital, with a focus on determining the premium costs for the upcoming fiscal year. As a resolution, it directs oversight and does not by itself create or amend law.

What the bill would do (Key provisions)

  • Directs two sets of Senate committees—the Hacienda, Presupuesto y PROMESA committee and the Salud committee—to carry out an investigative inquiry.
  • The scope of the investigation is specifically the negotiations between ASES and insurers offering services to Plan Vital.
  • The objective is to determine the costs of premiums for the new fiscal year, assessing how premium rates are set and what factors influence them.
  • The resolution potentially encompasses related purposes, which could include gathering information from ASES, insurers, and other stakeholders, and producing findings or a report for the Legislature.

Who and what would be affected

  • ASES (Administración de Seguros de Salud): The agency whose negotiations with insurers would be scrutinized.
  • Insurers serving Plan Vital: Entities involved in providing coverage to Plan Vital beneficiaries; their pricing and negotiation practices may be reviewed.
  • Plan Vital enrollees: Beneficiaries whose premium costs are under consideration.
  • Senate committees named in the bill: Charged with conducting the investigation and reporting back.

Procedural status and timeline

  • Introduced and radicado on June 2, 2025.
  • On the same day, it appeared in the Senate’s first reading and was referred to the relevant committees.
  • As a resolution, it does not create binding law or authorize funding; it authorizes a legislative oversight investigation. The timeline for completion depends on the committees’ schedules and processes.

Potential implications

  • Increases transparency around how Plan Vital premiums are negotiated and set.
  • Could influence public discussion and policymaking regarding healthcare costs, insurer negotiation practices, and plan design.
  • May lead to a committee-produced report, recommendations, or recommendations for legislative action, though no specific legislative changes are enacted by the resolution itself.

Compiled from official sources — confirm details with the bill’s official record.

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