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42 U.S.C. 18115: Freedom not to participate in Federal health insurance programsText contains those laws in effect through Public Law 119-120 (October 7, 2026).
From Title 42-THE PUBLIC HEALTH AND WELFARECHAPTER 157-QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS
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§18115. Freedom not to participate in Federal health insurance programs

No individual, company, business, nonprofit entity, or health insurance issuer offering group or individual health insurance coverage shall be required to participate in any Federal health insurance program created under this Act (or any amendments made by this Act), or in any Federal health insurance program expanded by this Act (or any such amendments), and there shall be no penalty or fine imposed upon any such issuer for choosing not to participate in such programs.

( Pub. L. 111–148, title I, § 1555 , Mar. 23, 2010 , 124 Stat. 260 .)

Editorial Notes

References in Text

This Act, referred to in text, is Pub. L. 111–148, Mar. 23, 2010, 124 Stat. 119, known as the Patient Protection and Affordable Care Act. For complete classification of this Act to the Code, see Short Title note set out under section 18001 of this title and Tables.