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    <number>397</number>
    <updateDate>2023-01-11T13:20:56Z</updateDate>
    <updateDateIncludingText>2023-01-11T13:20:56Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <originChamberCode>H</originChamberCode>
    <type>HR</type>
    <introducedDate>2011-01-24</introducedDate>
    <congress>112</congress>
    <constitutionalAuthorityStatementText><![CDATA[<pre>[Pages H434-H435]From the Congressional Record Online through the Government Publishing Office [<a href='http://www.gpo.gov'>www.gpo.gov</a>]By Mr. HERGER:H.R. 397.Congress has the power to enact this legislation pursuantto the following:Section 2 of the ``Reform Americans Can Afford Act''repeals the Patient Protection[[Page H435]]and Affordable Care Act and the Health Care and EducationReconciliation Act, which include several specific provisionsthat exceed the powers granted to Congress by theConstitution. The general repeal of these laws is consistentwith the Tenth Amendment, which reserves to the States and tothe people those powers that are not delegated to the UnitedStates by the Constitution.Division A (Sections 101 and 111), Title IV of Division B,and Division F are enacted pursuant to Article I, Section 8,Clause 1 of the Constitution, which grants Congress the powerto collect taxes to pay debts and provide for the commondefense and general welfare of the United States.Division A (except Sections 101 and 111), Division B(except Title IV), Division C, Division E, and Division G areenacted pursuant to Article I, Section 8, Clause 3 of theConstitution, which grants Congress the power to regulateinterstate commerce.Division D removes the federal government from the doctor-patient relationship consistent with the rights and powersreserved to the states and the people under the Ninth andTenth Amendments.Division F (Section 602) protects the right of the peopleto free exercise of religion under the First Amendment, andthe right of the people to the equal protection of the lawsunder the Fourteenth Amendment.</pre>]]></constitutionalAuthorityStatementText>
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        <title>Small Business Health Fairness Act of 2011</title>
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        <number>1050</number>
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        <congress>112</congress>
        <number>5652</number>
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          <actionDate>2012-05-15</actionDate>
          <text>Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 398.</text>
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        <title>To repeal the Federally subsidized loan program for non-profit health insurance, to provide for association health plans, and for other purposes.</title>
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        <number>6299</number>
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          <actionDate>2012-08-03</actionDate>
          <text>Referred to the Subcommittee on Health.</text>
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            <identifiedBy>CRS</identifiedBy>
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      <item>
        <title>Hyde Amendment Codification Act</title>
        <congress>112</congress>
        <number>1488</number>
        <type>S</type>
        <latestAction>
          <actionDate>2011-08-02</actionDate>
          <text>Read twice and referred to the Committee on Health, Education, Labor, and Pensions.</text>
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        <text>Referred to the Subcommittee Indian and Alaska Native Affairs.</text>
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        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and the Workforce, the Judiciary, House Administration, Natural Resources, Appropriations, and Rules, 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.</text>
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        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and the Workforce, the Judiciary, House Administration, Natural Resources, Appropriations, and Rules, 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.</text>
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        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and the Workforce, the Judiciary, House Administration, Natural Resources, Appropriations, and Rules, 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.</text>
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        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and the Workforce, the Judiciary, House Administration, Natural Resources, Appropriations, and Rules, 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.</text>
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        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and the Workforce, the Judiciary, House Administration, Natural Resources, Appropriations, and Rules, 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.</text>
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        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and the Workforce, the Judiciary, House Administration, Natural Resources, Appropriations, and Rules, 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.</text>
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        <actionDate>2011-01-24</actionDate>
        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and the Workforce, the Judiciary, House Administration, Natural Resources, Appropriations, and Rules, 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.</text>
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        <actionDate>2011-01-24</actionDate>
        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and the Workforce, the Judiciary, House Administration, Natural Resources, Appropriations, and Rules, 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.</text>
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        <bioguideId>H000528</bioguideId>
        <fullName>Rep. Herger, Wally [R-CA-2]</fullName>
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        <party>R</party>
        <state>CA</state>
        <district>2</district>
        <isByRequest>N</isByRequest>
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        <bioguideId>J000174</bioguideId>
        <fullName>Rep. Johnson, Sam [R-TX-3]</fullName>
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        <party>R</party>
        <state>TX</state>
        <district>3</district>
        <sponsorshipDate>2011-01-24</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <fullName>Rep. Tiberi, Patrick J. [R-OH-12]</fullName>
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        <party>R</party>
        <state>OH</state>
        <middleName>J.</middleName>
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        <fullName>Rep. Reichert, David G. [R-WA-8]</fullName>
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        <lastName>Reichert</lastName>
        <party>R</party>
        <state>WA</state>
        <middleName>G.</middleName>
        <district>8</district>
        <sponsorshipDate>2011-01-24</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <fullName>Rep. Gerlach, Jim [R-PA-6]</fullName>
        <firstName>Jim</firstName>
        <lastName>Gerlach</lastName>
        <party>R</party>
        <state>PA</state>
        <district>6</district>
        <sponsorshipDate>2011-01-24</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
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        <fullName>Rep. Bachus, Spencer [R-AL-6]</fullName>
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        <party>R</party>
        <state>AL</state>
        <district>6</district>
        <sponsorshipDate>2011-01-24</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
        <bioguideId>B001243</bioguideId>
        <fullName>Rep. Blackburn, Marsha [R-TN-7]</fullName>
        <firstName>Marsha</firstName>
        <lastName>Blackburn</lastName>
        <party>R</party>
        <state>TN</state>
        <district>7</district>
        <sponsorshipDate>2011-01-24</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
        <bioguideId>D000604</bioguideId>
        <fullName>Rep. Dent, Charles W. [R-PA-15]</fullName>
        <firstName>Charles</firstName>
        <lastName>Dent</lastName>
        <party>R</party>
        <state>PA</state>
        <middleName>W.</middleName>
        <district>15</district>
        <sponsorshipDate>2011-01-24</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>H001045</bioguideId>
        <fullName>Rep. Harper, Gregg [R-MS-3]</fullName>
        <firstName>Gregg</firstName>
        <lastName>Harper</lastName>
        <party>R</party>
        <state>MS</state>
        <district>3</district>
        <sponsorshipDate>2011-01-24</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>M001157</bioguideId>
        <fullName>Rep. McCaul, Michael T. [R-TX-10]</fullName>
        <firstName>Michael</firstName>
        <lastName>McCaul</lastName>
        <party>R</party>
        <state>TX</state>
        <middleName>T.</middleName>
        <district>10</district>
        <sponsorshipDate>2011-01-24</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <fullName>Rep. McMorris Rodgers, Cathy [R-WA-5]</fullName>
        <firstName>Cathy</firstName>
        <lastName>McMorris Rodgers</lastName>
        <party>R</party>
        <state>WA</state>
        <district>5</district>
        <sponsorshipDate>2011-01-24</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <fullName>Rep. Miller, Gary G. [R-CA-42]</fullName>
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        <party>R</party>
        <state>CA</state>
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        <sponsorshipDate>2011-01-24</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <fullName>Rep. Sessions, Pete [R-TX-32]</fullName>
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        <party>R</party>
        <state>TX</state>
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        <sponsorshipDate>2011-01-24</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>S001179</bioguideId>
        <fullName>Rep. Schock, Aaron [R-IL-18]</fullName>
        <firstName>Aaron</firstName>
        <lastName>Schock</lastName>
        <party>R</party>
        <state>IL</state>
        <district>18</district>
        <sponsorshipDate>2011-01-26</sponsorshipDate>
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        <bioguideId>G000289</bioguideId>
        <fullName>Rep. Goodlatte, Bob [R-VA-6]</fullName>
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        <party>R</party>
        <state>VA</state>
        <middleName>W.</middleName>
        <district>6</district>
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        <bioguideId>P000594</bioguideId>
        <fullName>Rep. Paulsen, Erik [R-MN-3]</fullName>
        <firstName>Erik</firstName>
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        <party>R</party>
        <state>MN</state>
        <district>3</district>
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        <fullName>Rep. Foxx, Virginia [R-NC-5]</fullName>
        <firstName>Virginia</firstName>
        <lastName>Foxx</lastName>
        <party>R</party>
        <state>NC</state>
        <district>5</district>
        <sponsorshipDate>2011-03-02</sponsorshipDate>
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        <bioguideId>F000451</bioguideId>
        <fullName>Rep. Fitzpatrick, Michael G. [R-PA-8]</fullName>
        <firstName>Michael</firstName>
        <lastName>Fitzpatrick</lastName>
        <party>R</party>
        <state>PA</state>
        <middleName>G.</middleName>
        <district>8</district>
        <sponsorshipDate>2011-07-21</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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        <item>
          <name>Health promotion and preventive care</name>
        </item>
        <item>
          <name>Higher education</name>
        </item>
        <item>
          <name>Income tax credits</name>
        </item>
        <item>
          <name>Intellectual property</name>
        </item>
        <item>
          <name>Judicial procedure and administration</name>
        </item>
        <item>
          <name>Licensing and registrations</name>
        </item>
        <item>
          <name>Medicaid</name>
        </item>
        <item>
          <name>Medical research</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
        <item>
          <name>Small business</name>
        </item>
        <item>
          <name>State and local government operations</name>
        </item>
        <item>
          <name>State and local taxation</name>
        </item>
        <item>
          <name>Student aid and college costs</name>
        </item>
        <item>
          <name>User charges and fees</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2011-01-24</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2011-02-09T20:10:28Z</updateDate>
        <text><![CDATA[ <p>Reform Americans Can Afford Act of 2011 - Repeals the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, effective as of their enactment. Restores provisions of law amended by such Acts.</p> <p>Requires each state to mitigate the cost of high risk individuals in the state through: (1) a state reinsurance program; or (2) a state high risk pool.</p> <p>Prohibits a health insurance issuer from applying an annual or lifetime aggregate spending cap on any health insurance coverage or plan offered by such issuer, except if the imposition of such a cap would result in a significant decrease in access to benefits or a significant increase in premiums under the plan.</p> <p> Requires the Secretary of Health and Human Services (HHS) to pay awards to states for reducing the premiums in the small group market or the individual market or reducing the percentage of uninsured, nonelderly residents in a state.</p> <p>Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for establishment and governance of association health plans, which are group health plans whose sponsors are trade, industry, professional, chamber of commerce, or similar business associations and which meet certain ERISA certification requirements. </p> <p>Amends ERISA, the Public Health Service Act, and the Internal Revenue Code to require group health plans that provide dependent coverage of children to continue to treat an individual as a dependent until at least 25 years of age. </p> <p>Prohibits a state from establishing a law that prevents an employer from instituting auto-enrollment for coverage under a group health plan, so long as the participant or beneficiary has the option of declining such coverage.</p> <p>Directs that the laws of the state designated by a health insurance issuer (primary state) shall apply to individual health insurance coverage offered by that issuer in the primary state and in any other state (secondary state), but only if the coverage and issuer comply with conditions of this Act.</p> <p>Revises provisions related to health savings accounts (HSAs), including to allow the payment of premiums for high deductible health plans from HSA accounts.</p> <p>Sets conditions for lawsuits arising from health care liability claims regarding health care goods or services or any medical product affecting interstate commerce. Establishes a statute of limitations and limits noneconomic and punitive damages.</p> <p>Declares that nothing in this Act shall be construed to interfere with the doctor-patient relationship or the practice of medicine.</p> <p>Repeals provisions establishing the Federal Coordinating Council for Comparative Effectiveness Research.</p> <p>Permits a group health plan to vary premiums and cost-sharing by up to 50% of the benefits based on participation (or lack of participation) in a wellness program.</p> <p>Prohibits funds authorized or appropriated by federal law and funds in any trust fund to which funds are authorized or appropriated by federal law from being expended for any abortion.</p> <p>Allows a person to submit an application for licensure of a biological product based on its similarity to a licensed biological product (the reference product).</p>]]></text>
      </summary>
    </summaries>
    <title>Reform Americans Can Afford Act of 2011</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Reform Americans Can Afford Act of 2011</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 and to take meaningful steps to lower health care costs and increase access to health insurance coverage without raising taxes, cutting Medicare benefits for seniors, adding to the national deficit, intervening in the doctor-patient relationship, or instituting a government takeover of health care.</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Reform Americans Can Afford Act of 2011</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in House</type>
        <date>2011-01-24T05:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-112hr397ih/xml/BILLS-112hr397ih.xml</url>
          </item>
        </formats>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2011-02-09</actionDate>
      <text>Referred to the Subcommittee on Health.</text>
    </latestAction>
  </bill>
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    <dc:language>EN</dc:language>
    <dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.</dc:description>
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