3.0.0 2183 2022-11-01T19:32:21Z 2022-11-01T19:32:21Z House HR 2019-04-09 116 [Congressional Record Volume 165, Number 61 (Tuesday, April 9, 2019)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. MARSHALL:H.R. 2183.Congress has the power to enact this legislation pursuantto the following:Article 1 , Section 8[Page H3219]]]> hsif00 Energy and Commerce Committee House Standing hsif14 Health Subcommittee Referred to 2019-04-10T19:06:17Z Referred to 2019-04-09T14:04:05Z hswm00 Ways and Means Committee House Standing hswm02 Health Subcommittee Referred to 2019-04-09T20:38:13Z Referred to 2019-04-09T14:04:10Z 2019-04-10 hsif14 Health Subcommittee 1 House committee actions Referred to the Subcommittee on Health. Committee 2019-04-09 hswm02 Health Subcommittee 1 House committee actions Referred to the Subcommittee on Health. Committee 2019-04-09 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 2019-04-09 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 2019-04-09 Introduced in House IntroReferral Intro-H 9 Library of Congress 2019-04-09 Introduced in House IntroReferral 1000 9 Library of Congress M001198 Rep. Marshall, Roger [R-KS-1] Roger Marshall R KS 1 N Health Administrative law and regulatory procedures Health care costs and insurance Health care coverage and access State and local finance State and local government operations Health 00 2019-04-09 Introduced in House 2021-01-04T20:17:48Z State Flexibility and Patient Choice Act of 2019

This bill revises the procedures for states to waive certain federal health insurance requirements and implement state-administered health insurance programs. Specifically, the bill revises the affordability requirement to allow states to provide coverage of comparable affordability to what is available through the federal health insurance exchange.

Further, the reviewing agencies may consider the budgetary impact of a state waiver program on other federal programs (e.g., Medicaid) when determining whether the waiver application would increase the federal deficit. Additionally, the bill applies the budget-neutrality requirement over the term of the waiver period.

States may certify that a governor has the authority to apply for a waiver under current state law, as an alternative to referencing a specific state statute. The bill also provides expedited review and approval of state applications that are substantially similar to a waiver program that already has been approved.

]]> State Flexibility and Patient Choice Act of 2019 Display Title State Flexibility and Patient Choice Act of 2019 Official Title as Introduced To amend the Patient Protection and Affordable Care Act to streamline the State innovation waiver process, and for other purposes. Introduced in House IH Short Title(s) as Introduced State Flexibility and Patient Choice Act of 2019 Introduced in House IH Introduced in House 2019-04-09T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-116hr2183ih/xml/BILLS-116hr2183ih.xml 2019-04-10 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.