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    <number>782</number>
    <updateDate>2023-01-11T13:20:33Z</updateDate>
    <updateDateIncludingText>2023-01-11T13:20:33Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <originChamberCode>H</originChamberCode>
    <type>HR</type>
    <introducedDate>2011-02-17</introducedDate>
    <congress>112</congress>
    <constitutionalAuthorityStatementText><![CDATA[<pre>From the Congressional Record Online through the Government Publishing Office [<a href='http://www.gpo.gov'>www.gpo.gov</a>]By Mr. McCOTTER:H.R. 782.Congress has the power to enact this legislation pursuantto the following:Article I, Section 8, Clause 3: The Congress shall havePower To regulate Commerce with foreign Nations, and amongthe several States, and with the Indian Tribes.Further, this legislation would enable the States toexercise the rights granted to them by the Tenth Amendment tothe Constitution.Amendment X: The powers not delegated to the United Statesby the Constitution, nor prohibited by it to the States, arereserved to the States respectively, or to the people.[Page H1179]</pre>]]></constitutionalAuthorityStatementText>
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        <title>Medicaid Flexibility for States Act</title>
        <congress>112</congress>
        <number>3326</number>
        <type>HR</type>
        <latestAction>
          <actionDate>2011-11-04</actionDate>
          <text>Referred to the Subcommittee on Health.</text>
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          </item>
        </relationshipDetails>
      </item>
      <item>
        <title>State Health Care Choice Act</title>
        <congress>112</congress>
        <number>244</number>
        <type>S</type>
        <latestAction>
          <actionDate>2011-02-07</actionDate>
          <text>Sponsor introductory remarks on measure. (CR S608)</text>
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        <actionDate>2011-02-17</actionDate>
        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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 Committee on Ways and Means, 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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    <sponsors>
      <item>
        <bioguideId>M001147</bioguideId>
        <fullName>Rep. McCotter, Thaddeus G. [R-MI-11]</fullName>
        <firstName>Thaddeus</firstName>
        <lastName>McCotter</lastName>
        <party>R</party>
        <state>MI</state>
        <middleName>G.</middleName>
        <district>11</district>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>B001250</bioguideId>
        <fullName>Rep. Bishop, Rob [R-UT-1]</fullName>
        <firstName>Rob</firstName>
        <lastName>Bishop</lastName>
        <party>R</party>
        <state>UT</state>
        <district>1</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001262</bioguideId>
        <fullName>Rep. Broun, Paul C. [R-GA-10]</fullName>
        <firstName>Paul</firstName>
        <lastName>Broun</lastName>
        <party>R</party>
        <state>GA</state>
        <middleName>C.</middleName>
        <district>10</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000470</bioguideId>
        <fullName>Rep. Tipton, Scott  R. [R-CO-3]</fullName>
        <firstName>Scott</firstName>
        <lastName>Tipton</lastName>
        <party>R</party>
        <state>CO</state>
        <middleName>R.</middleName>
        <district>3</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000558</bioguideId>
        <fullName>Rep. Guthrie, Brett [R-KY-2]</fullName>
        <firstName>Brett</firstName>
        <lastName>Guthrie</lastName>
        <party>R</party>
        <state>KY</state>
        <district>2</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000462</bioguideId>
        <fullName>Rep. Tiberi, Patrick J. [R-OH-12]</fullName>
        <firstName>PATRICK</firstName>
        <lastName>TIBERI</lastName>
        <party>R</party>
        <state>OH</state>
        <middleName>J.</middleName>
        <district>12</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000583</bioguideId>
        <fullName>Rep. Paul, Ron [R-TX-14]</fullName>
        <firstName>RON</firstName>
        <lastName>PAUL</lastName>
        <party>R</party>
        <state>TX</state>
        <district>14</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>F000444</bioguideId>
        <fullName>Rep. Flake, Jeff [R-AZ-6]</fullName>
        <firstName>JEFF</firstName>
        <lastName>FLAKE</lastName>
        <party>R</party>
        <state>AZ</state>
        <district>6</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001144</bioguideId>
        <fullName>Rep. Miller, Jeff [R-FL-1]</fullName>
        <firstName>Jeff</firstName>
        <lastName>Miller</lastName>
        <party>R</party>
        <state>FL</state>
        <district>1</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000576</bioguideId>
        <fullName>Rep. Long, Billy [R-MO-7]</fullName>
        <firstName>Billy</firstName>
        <lastName>Long</lastName>
        <party>R</party>
        <state>MO</state>
        <district>7</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>Y000033</bioguideId>
        <fullName>Rep. Young, Don [R-AK-At Large]</fullName>
        <firstName>DON</firstName>
        <lastName>YOUNG</lastName>
        <party>R</party>
        <state>AK</state>
        <middleName>E.</middleName>
        <district>0</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000378</bioguideId>
        <fullName>Rep. Kinzinger, Adam [R-IL-11]</fullName>
        <firstName>Adam</firstName>
        <lastName>Kinzinger</lastName>
        <party>R</party>
        <state>IL</state>
        <district>11</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>F000448</bioguideId>
        <fullName>Rep. Franks, Trent [R-AZ-2]</fullName>
        <firstName>Trent</firstName>
        <lastName>Franks</lastName>
        <party>R</party>
        <state>AZ</state>
        <district>2</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000798</bioguideId>
        <fullName>Rep. Walberg, Tim [R-MI-7]</fullName>
        <firstName>Tim</firstName>
        <lastName>Walberg</lastName>
        <party>R</party>
        <state>MI</state>
        <district>7</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>F000456</bioguideId>
        <fullName>Rep. Fleming, John [R-LA-4]</fullName>
        <firstName>John</firstName>
        <lastName>Fleming</lastName>
        <party>R</party>
        <state>LA</state>
        <district>4</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000550</bioguideId>
        <fullName>Rep. Gingrey, Phil [R-GA-11]</fullName>
        <firstName>Phil</firstName>
        <lastName>Gingrey</lastName>
        <party>R</party>
        <state>GA</state>
        <district>11</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000599</bioguideId>
        <fullName>Rep. Posey, Bill [R-FL-15]</fullName>
        <firstName>Bill</firstName>
        <lastName>Posey</lastName>
        <party>R</party>
        <state>FL</state>
        <district>15</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000587</bioguideId>
        <fullName>Rep. Pence, Mike [R-IN-6]</fullName>
        <firstName>MIKE</firstName>
        <lastName>PENCE</lastName>
        <party>R</party>
        <state>IN</state>
        <district>6</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001155</bioguideId>
        <fullName>Rep. Sullivan, John [R-OK-1]</fullName>
        <firstName>John</firstName>
        <lastName>Sullivan</lastName>
        <party>R</party>
        <state>OK</state>
        <district>1</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000583</bioguideId>
        <fullName>Rep. Rooney, Thomas J. [R-FL-16]</fullName>
        <firstName>Thomas</firstName>
        <lastName>Rooney</lastName>
        <party>R</party>
        <state>FL</state>
        <middleName>J.</middleName>
        <district>16</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>Y000063</bioguideId>
        <fullName>Rep. Yoder, Kevin [R-KS-3]</fullName>
        <firstName>Kevin</firstName>
        <lastName>Yoder</lastName>
        <party>R</party>
        <state>KS</state>
        <district>3</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B000461</bioguideId>
        <fullName>Rep. Bilbray, Brian P. [R-CA-50]</fullName>
        <firstName>BRIAN</firstName>
        <lastName>BILBRAY</lastName>
        <party>R</party>
        <state>CA</state>
        <middleName>P.</middleName>
        <district>50</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000564</bioguideId>
        <fullName>Rep. Lamborn, Doug [R-CO-5]</fullName>
        <firstName>Doug</firstName>
        <lastName>Lamborn</lastName>
        <party>R</party>
        <state>CO</state>
        <district>5</district>
        <sponsorshipDate>2011-02-17</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001086</bioguideId>
        <fullName>Rep. Cravaack, Chip [R-MN-8]</fullName>
        <firstName>Chip</firstName>
        <lastName>Cravaack</lastName>
        <party>R</party>
        <state>MN</state>
        <district>8</district>
        <sponsorshipDate>2011-02-18</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000593</bioguideId>
        <fullName>Rep. Ross, Dennis A. [R-FL-12]</fullName>
        <firstName>Dennis</firstName>
        <lastName>Ross</lastName>
        <party>R</party>
        <state>FL</state>
        <middleName>A.</middleName>
        <district>12</district>
        <sponsorshipDate>2011-02-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001057</bioguideId>
        <fullName>Rep. Huelskamp, Tim [R-KS-1]</fullName>
        <firstName>Tim</firstName>
        <lastName>Huelskamp</lastName>
        <party>R</party>
        <state>KS</state>
        <district>1</district>
        <sponsorshipDate>2011-02-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000566</bioguideId>
        <fullName>Rep. Gowdy, Trey [R-SC-4]</fullName>
        <firstName>Trey</firstName>
        <lastName>Gowdy</lastName>
        <party>R</party>
        <state>SC</state>
        <district>4</district>
        <sponsorshipDate>2011-02-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000533</bioguideId>
        <fullName>Rep. Duncan, John J., Jr. [R-TN-2]</fullName>
        <firstName>JOHN</firstName>
        <lastName>DUNCAN</lastName>
        <party>R</party>
        <state>TN</state>
        <middleName>J.</middleName>
        <district>2</district>
        <sponsorshipDate>2011-03-02</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001180</bioguideId>
        <fullName>Rep. McKinley, David B. [R-WV-1]</fullName>
        <firstName>David</firstName>
        <lastName>McKinley</lastName>
        <party>R</party>
        <state>WV</state>
        <middleName>B.</middleName>
        <district>1</district>
        <sponsorshipDate>2011-03-02</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>F000461</bioguideId>
        <fullName>Rep. Flores, Bill [R-TX-17]</fullName>
        <firstName>Bill</firstName>
        <lastName>Flores</lastName>
        <party>R</party>
        <state>TX</state>
        <district>17</district>
        <sponsorshipDate>2011-03-02</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000615</bioguideId>
        <fullName>Rep. Duncan, Jeff [R-SC-3]</fullName>
        <firstName>Jeff</firstName>
        <lastName>Duncan</lastName>
        <party>R</party>
        <state>SC</state>
        <district>3</district>
        <sponsorshipDate>2011-03-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000563</bioguideId>
        <fullName>Rep. Gibbs, Bob [R-OH-18]</fullName>
        <firstName>Bob</firstName>
        <lastName>Gibbs</lastName>
        <party>R</party>
        <state>OH</state>
        <district>18</district>
        <sponsorshipDate>2011-03-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001048</bioguideId>
        <fullName>Rep. Hunter, Duncan D. [R-CA-52]</fullName>
        <firstName>Duncan</firstName>
        <lastName>Hunter</lastName>
        <party>R</party>
        <state>CA</state>
        <middleName>D.</middleName>
        <district>52</district>
        <sponsorshipDate>2011-03-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001139</bioguideId>
        <fullName>Rep. Miller, Gary G. [R-CA-42]</fullName>
        <firstName>GARY</firstName>
        <lastName>MILLER</lastName>
        <party>R</party>
        <state>CA</state>
        <district>42</district>
        <sponsorshipDate>2011-04-04</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001036</bioguideId>
        <fullName>Rep. Hensarling, Jeb [R-TX-5]</fullName>
        <firstName>Jeb</firstName>
        <lastName>Hensarling</lastName>
        <party>R</party>
        <state>TX</state>
        <district>5</district>
        <sponsorshipDate>2011-04-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001047</bioguideId>
        <fullName>Rep. Capito, Shelley Moore [R-WV-2]</fullName>
        <firstName>Shelley</firstName>
        <lastName>Capito</lastName>
        <party>R</party>
        <state>WV</state>
        <middleName>Moore</middleName>
        <district>2</district>
        <sponsorshipDate>2012-01-25</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
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          <name>Comprehensive health care</name>
        </item>
        <item>
          <name>Health care costs and insurance</name>
        </item>
        <item>
          <name>Health care coverage and access</name>
        </item>
        <item>
          <name>State and local government operations</name>
        </item>
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      <policyArea>
        <name>Health</name>
      </policyArea>
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    <summaries>
      <summary>
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        <actionDate>2011-02-17</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2011-08-04T18:34:38Z</updateDate>
        <text><![CDATA[ <p>State Health Care Flexibility Act of 2011 - Authorizes a state to opt out of the application of certain provisions of the Patient Protection and Affordable Care Act (PPACA) with respect to health insurance coverage within the state by: (1) enacting a law that expresses the intent of the state to opt out of any or all of such provisions, lists such provisions, and expresses the intent of the state to continue to administer health care coverage-related laws as in effect in the state on March 22, 2010, or provides for the implementation of related state laws enacted after such date; and (2) notifying the Secretary of Health and Human Services (HHS) and the Secretary of the Treasury that such a state law was enacted.</p> <p> Includes among PPACA provisions that may be made inapplicable within a state provisions related to health coverage, essential health benefits, health insurance exchanges, alternative health plans established by states, individual and employer health coverage requirements, interoperable protocols for enrollment in federal and state health and human service programs, and expansion of Medicaid coverage.</p>]]></text>
      </summary>
    </summaries>
    <title>State Health Care Flexibility Act of 2011</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>State Health Care Flexibility Act of 2011</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To enable States to opt out of certain provisions of the Patient Protection and Affordable Care Act.</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>State Health Care Flexibility Act of 2011</title>
      </item>
    </titles>
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      <item>
        <type>Introduced in House</type>
        <date>2011-02-17T05:00:00Z</date>
        <formats>
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          </item>
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      </item>
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    <latestAction>
      <actionDate>2011-02-28</actionDate>
      <text>Referred to the Subcommittee on Health.</text>
    </latestAction>
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    <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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