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  <version>3.0.0</version>
  <bill>
    <number>191</number>
    <updateDate>2023-01-11T13:35:22Z</updateDate>
    <updateDateIncludingText>2023-01-11T13:35:22Z</updateDateIncludingText>
    <originChamber>Senate</originChamber>
    <type>S</type>
    <introducedDate>2017-01-23</introducedDate>
    <congress>115</congress>
    <committees>
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        <systemCode>ssfi00</systemCode>
        <name>Finance Committee</name>
        <chamber>Senate</chamber>
        <type>Standing</type>
        <activities>
          <item>
            <name>Referred to</name>
            <date>2017-01-23T22:45:49Z</date>
          </item>
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    <actions>
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        <actionDate>2017-01-23</actionDate>
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            <systemCode>ssfi00</systemCode>
            <name>Finance Committee</name>
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        <sourceSystem>
          <name>Senate</name>
        </sourceSystem>
        <text>Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S400-402)</text>
        <type>IntroReferral</type>
      </item>
      <item>
        <actionDate>2017-01-23</actionDate>
        <text>Introduced in Senate</text>
        <type>IntroReferral</type>
        <actionCode>10000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
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    </actions>
    <sponsors>
      <item>
        <bioguideId>C001075</bioguideId>
        <fullName>Sen. Cassidy, Bill [R-LA]</fullName>
        <firstName>Bill</firstName>
        <lastName>Cassidy</lastName>
        <party>R</party>
        <state>LA</state>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>C001035</bioguideId>
        <fullName>Sen. Collins, Susan M. [R-ME]</fullName>
        <firstName>Susan</firstName>
        <lastName>Collins</lastName>
        <party>R</party>
        <state>ME</state>
        <middleName>M.</middleName>
        <sponsorshipDate>2017-01-23</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001047</bioguideId>
        <fullName>Sen. Capito, Shelley Moore [R-WV]</fullName>
        <firstName>Shelley</firstName>
        <lastName>Capito</lastName>
        <party>R</party>
        <state>WV</state>
        <middleName>Moore</middleName>
        <sponsorshipDate>2017-01-23</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>I000055</bioguideId>
        <fullName>Sen. Isakson, Johnny [R-GA]</fullName>
        <firstName>Johnny</firstName>
        <lastName>Isakson</lastName>
        <party>R</party>
        <state>GA</state>
        <sponsorshipDate>2017-01-23</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000359</bioguideId>
        <fullName>Sen. Graham, Lindsey [R-SC]</fullName>
        <firstName>Lindsey</firstName>
        <lastName>Graham</lastName>
        <party>R</party>
        <state>SC</state>
        <sponsorshipDate>2017-01-30</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000605</bioguideId>
        <fullName>Sen. Rounds, Mike [R-SD]</fullName>
        <firstName>Mike</firstName>
        <lastName>Rounds</lastName>
        <party>R</party>
        <state>SD</state>
        <sponsorshipDate>2017-02-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Bank accounts, deposits, capital</name>
        </item>
        <item>
          <name>Cardiovascular and respiratory health</name>
        </item>
        <item>
          <name>Child health</name>
        </item>
        <item>
          <name>Coal</name>
        </item>
        <item>
          <name>Disability and health-based discrimination</name>
        </item>
        <item>
          <name>Emergency medical services and trauma care</name>
        </item>
        <item>
          <name>Health care costs and insurance</name>
        </item>
        <item>
          <name>Health care coverage and access</name>
        </item>
        <item>
          <name>Health promotion and preventive care</name>
        </item>
        <item>
          <name>Hospital care</name>
        </item>
        <item>
          <name>Income tax credits</name>
        </item>
        <item>
          <name>Income tax exclusion</name>
        </item>
        <item>
          <name>Inflation and prices</name>
        </item>
        <item>
          <name>Medicaid</name>
        </item>
        <item>
          <name>Mental health</name>
        </item>
        <item>
          <name>Sales and excise taxes</name>
        </item>
        <item>
          <name>State and local government operations</name>
        </item>
        <item>
          <name>Worker safety and health</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2017-01-23</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2017-07-31T19:51:35Z</updateDate>
        <text><![CDATA[ <p><b>Patient Freedom Act of 2017</b></p> <p>This bill provides states with three options regarding title I (provisions on health insurance reform, exchanges, and subsidies) of the Patient Protection and Affordable Care Act (PPACA): (1) continue implementing PPACA, with a limit on total premium and cost sharing subsidies provided in the state; (2) waive the requirements of title I of PPACA, with specified exceptions; or (3) the second option plus implementation of a Roth health savings account (HSA) deposit system. Only residents of states continuing to implement PPACA are eligible for PPACA premium subsidies.</p> <p>The bill amends the Internal Revenue Code to set forth provisions regarding Roth HSAs, which have annual contribution limits and are not subject to taxes. Contributions to Roth HSAs are not tax deductible.</p> <p>In states implementing a Roth HSA deposit system, residents who are enrolled in health insurance coverage that meets state standards receive monthly deposits in their Roth HSAs. States that administer deposits are entitled to payments from the Department of Health and Human Services for population health initiatives.</p> <p>States with a Roth HSA deposit system must penalize residents who have a break in health coverage and may enroll residents in a default high deductible health plan that is continually available for enrollment.</p> <p>Contributions may no longer be made to non-Roth HSAs.</p> <p>HSAs and Roth HSAs may be used to pay monthly or prepaid amounts for physician services. These services are not considered to be health insurance.</p> <p>This bill amends SSAct title XVIII (Medicare) to require participating hospitals to limit costs to individuals for uncovered emergency medical care.</p> <p>Persons providing medical care must post prices.</p> <div> <div> </div> <div> </div> <div> </div> <div> </div> <div> </div> <div> </div> <div> </div> <div> </div> <div> </div> <div> </div> </div>]]></text>
      </summary>
    </summaries>
    <title>Patient Freedom Act of 2017</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Patient Freedom Act of 2017</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>A bill to improve patient choice by allowing States to adopt market-based alternatives to the Affordable Care Act that increase access to affordable health insurance and reduce costs while ensuring important consumer protections and improving patient care.</title>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Patient Freedom Act of 2017</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in Senate</type>
        <date>2017-01-23T05:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-115s191is/xml/BILLS-115s191is.xml</url>
          </item>
        </formats>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2017-01-23</actionDate>
      <text>Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S400-402)</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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