3.0.0 3352 2023-01-11T13:30:20Z 2023-01-11T13:30:20Z House HR 2015-07-29 114 [Congressional Record Volume 161, Number 121 (Wednesday, July 29, 2015)]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. HULTGREN:H.R. 3352.Congress has the power to enact this legislation pursuantto the following:Article 1, Section 8, Clause 1, giving Congress theauthority to lay and collect taxes, as misinterpreted by theUnited States Supreme Court in National Federation ofIndependent Business v. Sebelius, which resulted in dubiousCourt precedent.Article 1, Section 8, Clause 3, which gives Congress theauthority to regulate commerce among the states.Article 1, Section 8, Clause 18, which gives Congress theauthority to make all laws that are necessary and proper forcarrying out the powers given it by the Constitution. Theauthority in this bill is necessary and proper for states toregain control over their respective health insurance marketsand offer their residents real options at a reduced costrelative to plans allowed by the Patient Protection andAffordable Care Act.[Page H5772]]]> hswm00 Ways and Means Committee House Standing hswm02 Health Subcommittee Referred to 2015-08-12T18:50:35Z Referred to 2015-07-29T14:02:45Z hsif00 Energy and Commerce Committee House Standing hsif14 Health Subcommittee Referred to 2015-07-31T20:56:39Z Referred to 2015-07-29T14:02:40Z 2015-08-12 hswm02 Health Subcommittee 1 House committee actions Referred to the Subcommittee on Health. Committee 2015-07-31 hsif14 Health Subcommittee 1 House committee actions Referred to the Subcommittee on Health. Committee 2015-07-29 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. IntroReferral H11100 2 House floor actions hswm00 Ways and Means Committee 2015-07-29 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. IntroReferral H11100-A 9 Library of Congress 2015-07-29 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. IntroReferral H11100 2 House floor actions hsif00 Energy and Commerce Committee 2015-07-29 Introduced in House IntroReferral Intro-H 9 Library of Congress 2015-07-29 Introduced in House IntroReferral 1000 9 Library of Congress H001059 Rep. Hultgren, Randy [R-IL-14] Randy Hultgren R IL 14 N Health Health care costs and insurance Health care coverage and access Income tax credits State and local government operations Health 00 2015-07-29 Introduced in House 2016-03-25T20:46:05Z State Health Care Options Act of 2015

This bill amends the Patient Protection and Affordable Care Act (PPACA) and the Internal Revenue Code to modify the process for state innovation waivers.

(Under current law, the Department of Health and Human Services [HHS] and the Department of the Treasury may approve a state's request to waive specific provisions of PPACA if the state proposal provides health care access that is comparable to what would exist without a waiver and does not increase the federal deficit.)

The bill expedites the approval process for:

  • a health-flex waiver from requirements for qualified health plans and essential health benefits; and
  • an exchange waiver to assume responsibility for certain functions of the exchanges, including the certification of permissible health plans.

If a state submits to HHS a notice of its intent to implement one or both of the waivers, the waivers shall be deemed to be approved and effective. The notice must include the years for which the waiver shall be effective (which may be indefinite), an assurance the state will comply with reporting requirements, and other specified details.

A state may not waive PPACA requirements related to coverage for preexisting conditions and the extension of coverage for adult children.

States with exchange waivers may certify permissible health plans that residents may purchase outside of an exchange, if the plans meet specified requirements regarding benefits, levels of coverage, transparency of premium justifications, and information.

Taxpayers in waiver states that are living at or below 300% of the federal poverty level (400% under current law) may receive health insurance subsidies under PPACA.

]]> State Health Care Options Act of 2015 Display Title State Health Care Options Act of 2015 Official Title as Introduced To amend the Patient Protection and Affordable Care Act and the Internal Revenue Code of 1986 to provide greater flexibility with respect to waivers granted to States, and for other purposes. Introduced in House IH Short Titles as Introduced State Health Care Options Act of 2015 Introduced in House 2015-07-29T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-114hr3352ih/xml/BILLS-114hr3352ih.xml 2015-08-12 Referred to the Subcommittee on Health. text/xml EN 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. Congressional Research Service, Library of Congress 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.