[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[S. 2283 Referred in House (RFH)]

  2d Session
                                S. 2283


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           November 16, 2004

            Referred to the Committee on Energy and Commerce

_______________________________________________________________________

                                 AN ACT


 
   To extend Federal funding for operation of State high risk health 
                            insurance pools.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``State High Risk Pool Funding 
Extension Act of 2004''.

SEC. 2. EXTENSION OF FUNDING FOR OPERATION OF STATE HIGH RISK HEALTH 
              INSURANCE POOLS.

    (a) Extension of Seed Grants.--Section 2745 of the Public Health 
Service Act (42 U.S.C. 300gg-45) is amended--
            (1) in subsection (a), in the subsection heading by 
        inserting ``Extension of'' before ``Seed''; and
            (2) in subsection (c)(1), by striking ``$20,000,000'' and 
        all that follows through ``2003'' and inserting ``$15,000,000 
        for the period of fiscal years 2004 and 2005''.
    (b) Funds for Operations.--Section 2745 of the Public Health 
Service Act (42 U.S.C. 300gg-45) is amended--
            (1) in subsection (b)--
                    (A) in the subsection heading by striking 
                ``Matching''; and
                    (B) by striking paragraph (2) and inserting the 
                following:
            ``(2) Allotment.--The amounts appropriated under subsection 
        (c)(2) for a fiscal year shall be made available to the States 
        (or the entities that operate the high risk pool under 
        applicable State law) as follows:
                    ``(A) An amount equal to 50 percent of the 
                appropriated amount for the fiscal year shall be 
                allocated in equal amounts among each eligible State 
                that applies for assistance under this subsection.
                    ``(B) An amount equal to 25 percent of the 
                appropriated amount for the fiscal year shall be 
                allocated among the States so that the amount provided 
                to a State bears the same ratio to such available 
                amount as the number of uninsured individuals in the 
                State bears to the total number of uninsured 
                individuals in all States (as determined by the 
                Secretary).
                    ``(C) An amount equal to 25 percent of the 
                appropriated amount for the fiscal year shall be 
                allocated among the States so that the amount provided 
                to a State bears the same ratio to such available 
                amount as the number of individuals enrolled in health 
                care coverage through the qualified high risk pool of 
                the State bears to the total number of individuals so 
                enrolled through qualified high risk pools in all 
                States (as determined by the Secretary).''; and
            (2) in subsection (c)(2), by striking ``$40,000,000'' and 
        all that follows through the period and inserting ``$75,000,000 
        for each of fiscal years 2005 through 2009 to make allotments 
        under subsection (b)(2).''.
    (c) Definitions.--Section 2745 of the Public Health Service Act (42 
U.S.C. 300gg-45) is amended--
            (1) in subsection (d), by inserting after ``2744(c)(2)'' 
        the following: ``, except that with respect to subparagraph (A) 
        of such section a State may elect to provide for the enrollment 
        of eligible individuals through an acceptable alternative 
        mechanism,''; and
            (2) by adding at the end the following:
    ``(e) Standard Risk Rate.--In subsection (b)(1)(A), the term 
`standard risk rate' means a rate--
            ``(1) determined under the State high risk pool by 
        considering the premium rates charged by other health insurers 
        offering health insurance coverage to individuals in the 
        insurance market served;
            ``(2) that is established using reasonable actuarial 
        techniques; and
            ``(3) that reflects anticipated claims experience and 
        expenses for the coverage involved.''.

            Passed the Senate November 16, 2004.

            Attest:

                                             EMILY J. REYNOLDS,

                                                             Secretary.