{"data":{"id":"us/42-u.s.c.-18115","jurisdiction":"us","citation":"42 U.S.C. § 18115","heading":"Freedom not to participate in Federal health insurance programs","body":"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.","path":["Title 42—THE PUBLIC HEALTH AND WELFARE","CHAPTER 157—QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS"],"source_url":"https://uscode.house.gov/download/releasepoints/us/pl/119/103/xml_usc42@119-103.zip","current_through":"Public Law 119-103 (09/02/2026)","vintage":"","retrieved_at":"2026-09-10T06:00:34Z","sha256":"2850ba7d3d3037ab5d523e34b36784338ea7e2b0a571b0f2f0288f9a6af07a9b","source_id":"us","stale":true,"prev":"us/42-u.s.c.-18114","next":"us/42-u.s.c.-18116"},"notice":"GroundRules: Original legal text. Not legal advice."}