II 110th CONGRESS 1st Session S. 1886 IN THE SENATE OF THE UNITED STATES July 26, 2007 Mr. Burr (for himself, Mr. Corker, Mr. Coburn, Mr. Martinez, and Mrs. Dole) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To provide a refundable and advanceable credit for health insurance through the Internal Revenue Code of 1986, to provide for improved private health insurance access and affordability, and for other purposes.

1.

Short title; table of contents

(a)

Short title

This Act may be cited as the Every American Insured Health Act. (b)

Table of contents

The table of contents of this Act is as follows: Sec. 1. Short title; table of contents. TITLE I—Refundable and advanceable credit for certain health insurance coverage Sec. 100. Reference. Sec. 101. Refundable and advanceable credit for certain health insurance coverage. Sec. 102. Changes to existing tax preferences for medical coverage, etc., for individuals eligible for qualified health insurance credit or standard deduction. TITLE II—Improving private health insurance access and affordability Sec. 201. Improving private health insurance access and affordability. Sec. 202. Expansion of medicaid health opportunity accounts to all States.

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202.

Expansion of medicaid health opportunity accounts to all States

Section 1938 of the Social Security Act (42 U.S.C. 1396u–8) is amended— (1)in subsection (a)— (A)by striking paragraph (1) and inserting the following: (1)

In general

Notwithstanding any other provision of this title, the Secretary shall establish a program under which States may provide under their State plans under this title (including such a plan operating under a statewide waiver under section 1115) in accordance with this section for the provision of alternative benefits consistent with subsection (c) for eligible population groups in one or more geographic areas of the State specified by the State. An amendment under the previous sentence is referred to in this section as a State health opportunity accounts program. ; and (B)in paragraph (2)— (i)by striking the paragraph heading and inserting Implementation.—; (ii)by striking subparagraph (A) and inserting the following: (A)

In general

The program established under this section shall begin on January 1, 2008. ; and (iii)in subparagraph (B)— (I)by striking clause (i) and inserting the following: (i)

In general

Not later than March 31, 2013, the Comptroller General of the United States shall submit a report to Congress evaluating the programs conducted under this section. ; and (II)in clause (ii), by striking 2010 and inserting 2013; and (C)in paragraph (3)(E), by inserting that include plan comparison information in language that is easily understood before the period; (2)in subsection (b)— (A)in paragraph (1), by striking consistent with paragraphs (2) and (3); (B)by striking paragraphs (2) through (4) and inserting the following: (2)

Limitation on enrollees in medicaid managed care organizations

Insofar as the State provides for eligibility of individuals who are enrolled in Medicaid managed care organizations, such individuals may participate in the State health opportunity account program only if the State provides assurances satisfactory to the Secretary that the following conditions are met with respect to any such organization: (A)In no case may the number of such individuals enrolled in the organization who participate in the program exceed 5 percent of the total number of individuals enrolled in such organization. (B)The proportion of enrollees in the organization who so participate is not significantly disproportionate to the proportion of such enrollees in other such organizations who participate. (C)The State has provided for an appropriate adjustment in the per capita payments to the organization to account for such participation, taking into account differences in the likely use of health services between enrollees who so participate and enrollees who do not so participate. ; and (C)by redesignating paragraphs (5) and (6) as paragraphs (3) and (4), respectively; (3)in subsection (d)— (A)in paragraph (2)(C)(i)— (i)in subclause (II), by striking and at the end; (ii)in subclause (III), by striking the period at the end and inserting ; and; and (iii)by adding at the end the following: (IV)shall provide contributions into such an account on a sliding-scale based on income. ; and (B)in paragraph (3)(B)(ii)— (i)in subclause (I), by striking and at the end; (ii)by redesignating subclause (II) as subclause (III); and (iii)by inserting after subclause (I), the following: (II)may be transferred into a health savings account established under section 223 of the Internal Revenue Code of 1986 and such transfer shall be treated as a rollover contribution described in section 223(f) of the Internal Revenue Code of 1986; and ; and (4)by striking State demonstration program each place it appears and inserting State health opportunity accounts program.