1.Short title; table of
contents
(a)This Act may be cited
as the Small Business Health Relief
Act of 2011
.
(b)The table of contents for this Act is as follows:
Sec. 1. Short title; table of contents.
TITLE I—Making coverage affordable for small
businesses
Sec. 101. Protecting American jobs and wages.
Sec. 102. Increasing flexibility for small
businesses.
Sec. 103. Increasing choices for Americans.
Sec. 104. Protecting patients from higher premiums.
Sec. 105. Ensuring affordable coverage.
TITLE II—Increasing consumer control
Sec. 201. Repeal of the restriction on over-the-counter
medicines.
Sec. 202. Repeal of the annual cap.
TITLE III—Allowing individuals to keep coverage they
like
Sec. 301. Allowing individuals to keep the coverage they have
if they like it.
<enum>I</enum><header>Making coverage
affordable for small businesses</header>
<section id="H25BE27C156234C3AA24441A3325F6BA2" section-type="subsequent-section"><enum>101.</enum><header>Protecting American
jobs and wages</header><text display-inline="no-display-inline">Sections 1513
and 1514 and subsections (e), (f), and (g) of section 10106 of the Patient
Protection and Affordable Care Act (Public Law 111–148) and the amendments made
by such sections and subsections are repealed and the Internal Revenue Code of
1986 shall be applied and administered as if such provisions and amendments had
never been enacted.</text>
</section><section id="HE517C5A8A925430A99B46AF2FFA191C3" section-type="subsequent-section"><enum>102.</enum><header>Increasing
flexibility for small businesses</header><text display-inline="no-display-inline">Section 1302(c)(2) of the Patient Protection
and Affordable Care Act (Public Law 111–148) is repealed.</text>
</section><section id="H6AFD8FAB41964D878EEF77B07BF2E589" section-type="subsequent-section"><enum>103.</enum><header>Increasing choices
for Americans</header>
<subsection id="H2689161D21144D9BA83656E26FCAC27C"><enum>(a)</enum><header>Qualified health
plan coverage satisfied by high deductible health plan with health savings
account</header><text display-inline="yes-display-inline">Section 1302(e) of
the Patient Protection and Affordable Care Act (42 U.S.C. 18022(e)) is amended
to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="H5011038ED04A4F4695064778968AC59D" style="OLC">
<subsection id="H88E4A5C32A0F4BBD9A71B10C939CF6C4"><enum>(e)</enum><header>High deductible
health plan with health savings account</header><text display-inline="yes-display-inline">A health plan not providing a bronze,
silver, gold, or platinum level of coverage shall be treated as meeting the
requirements of subsection (d) with respect to any plan year for any enrollee
if the plan meets the requirements for a high deductible health plan under
section 223(c)(2) of the Internal Revenue Code of 1986 and such enrollee has
established a health savings account (as defined in section 223(d)(1) of such
Code) in relation to such
plan.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H510BD2941E5C436FA684FC931E626329"><enum>(b)</enum><header>Conforming
amendments</header>
<paragraph id="HE9DEA6FE87354F28B6CD798D74E5ACD2"><enum>(1)</enum><text>Subparagraph (C)
of section 1312(d)(3) of the Patient Protection and Affordable Care Act (42
U.S.C. 18032(d)(3)) is amended by striking <quote>, except</quote> and all that
follows through <quote>1302(e)(2)</quote>.</text>
</paragraph><paragraph id="H799B9A15218A44DFBF0052DB40FE5C34"><enum>(2)</enum><text>Subparagraph (A)
of section 36B(c)(3) of the Internal Revenue Code of 1986, as added by section
1401(a) of the Patient Protection and Affordable Care Act (Public Law 111–148),
is amended by striking <quote>, except</quote> and all that follows through
<quote>such Act</quote>.</text>
</paragraph><paragraph id="HF44FB0A472DE4FA1A9BA37CBD6CE0884"><enum>(3)</enum><text>Subparagraph (B)
of section 1334(c)(1) of the Patient Protection and Affordable Care Act (42
U.S.C. 18054(c)(1)) is amended by striking <quote>and catastrophic
coverage</quote>.</text>
</paragraph></subsection></section><section id="H735D205457B5480C89F2C51770B9EA49" section-type="subsequent-section"><enum>104.</enum><header>Protecting patients
from higher premiums</header><text display-inline="no-display-inline">Section
9010 of the Patient Protection and Affordable Care Act (Public Law 111–148), as
amended by section 10905 of such Act, is repealed.</text>
</section><section id="H9AA7EF4870F740179F1D1853372A13A5"><enum>105.</enum><header>Ensuring
affordable coverage</header><text display-inline="no-display-inline">Section
2701(a)(1)(A)(iii) of the Public Health Service Act (42 U.S.C.
300(a)(1)(A)(iii)), as added by section 1201 of the Patient Protection and
Affordable Care Act (Public Law 111–148), is amended by striking <quote>,
except</quote> and all that follows through <quote>2707(c))</quote>.</text>
</section><enum>II</enum><header>Increasing
consumer control</header>
<section id="HC1031EC387CA4DFE977D15ABB0FFDB91" section-type="subsequent-section"><enum>201.</enum><header>Repeal of the
restriction on over-the-counter medicines</header><text display-inline="no-display-inline">Section 9003 of the Patient Protection and
Affordable Care Act (Public Law 111–148) and the amendments made by such
section are repealed and the Internal Revenue Code of 1986 shall be applied as
if such section and amendments had never been enacted.</text>
</section><section commented="no" display-inline="no-display-inline" id="H60A8D1711DBB44689266FF8387AE6ECB" section-type="subsequent-section"><enum>202.</enum><header>Repeal of the annual
cap</header><text display-inline="no-display-inline">Sections 9005 and 10902 of
the Patient Protection and Affordable Care Act (Public Law 111–148) and section
1403 of the Health Care and Education Reconciliation Act of 2010 (Public Law
111–152) and the amendments made by such sections are repealed and the Internal
Revenue Code of 1986 shall be applied as if such sections and amendments had
never been enacted.</text>
</section><enum>III</enum><header>Allowing
individuals to keep coverage they like</header>
<section id="HA3AE3739D8EA41DE96BF764EB0CF9386"><enum>301.</enum><header>Allowing
individuals to keep the coverage they have if they like it</header>
<subsection id="H80AF073821864082975D7858A9533E94"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Section 1251(a)(2) of
the Patient Protection and Affordable Care Act (42 U.S.C. 18011) is
amended—</text>
<paragraph id="H5003A77917A347019069B7DF379F4B38"><enum>(1)</enum><text display-inline="yes-display-inline">by striking <quote>Except as provided in
paragraph (3),</quote> and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="H42F22E4A531245FB9B6EEC722DC86E43" style="OLC">
<subparagraph id="H2EDED387A9CF442AB5FC44627F2AC200"><enum>(A)</enum><header>In
general</header><text>Except as provided in paragraphs (3) and
(4),</text>
</subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph id="H6928411F0FD143D9B5EC82DC8FC3E7A9"><enum>(2)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="H3D247EF43FF342619EE9F5AFB11AD8FC" style="OLC">
<subparagraph id="H19B49BDD55294A17A863598C5600AF5E"><enum>(B)</enum><header>Protecting
employers and consumers with grandfathered coverage</header>
<clause id="HF6C908F3AADF451DBED8284EFD8693B1"><enum>(i)</enum><header>In
general</header><text>A group health plan or health insurance coverage in which
an individual is enrolled on or after March 23, 2010, but before any plan year
beginning not later than 1 year after the date of the enactment of this
subparagraph, and which is deemed to be a grandfathered health plan under this
section, shall continue to be considered a grandfathered health plan with
respect to such individual regardless of any modification to the cost-sharing
levels, employer contribution rates, or covered benefits under such plan or
coverage as otherwise permitted under this Act (and the amendments made by this
Act).</text>
</clause><clause id="H20BAB5C891CC42E99AB74BC2043E332D"><enum>(ii)</enum><header>Regulations</header><text>The
Secretary shall promulgate regulations to clarify the application of clause (i)
to a plan or coverage that continues to be a grandfathered health plan pursuant
to such
clause.</text>
</clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="H26CDD25FEACC433BBBCE12F94085958C"><enum>(b)</enum><header>Effective date;
previously promulgated regulations voided</header>
<paragraph id="HC8A37D09704940C6BB1DD4FDF4B83331"><enum>(1)</enum><header>Effective
date</header><text>The amendments made by this section shall take effect as if
included in the enactment of the Patient Protection and Affordable Care
Act.</text>
</paragraph><paragraph id="HA9792CDB3DA74178BA4BFCE8D00C4209"><enum>(2)</enum><header>Previously
promulgated regulations voided</header><text>Any regulations relating to
section 1251(a)(2) of such Act promulgated before the date of the enactment of
this Act shall have no force or effect.</text>
</paragraph></subsection></section>