[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3762 Enrolled Bill (ENR)]

        H.R.3762

                     One Hundred Fourteenth Congress

                                 of the

                        United States of America


                          AT THE SECOND SESSION

           Begun and held at the City of Washington on Monday,
           the fourth day of January, two thousand and sixteen


                                 An Act


 
To provide for reconciliation pursuant to section 2002 of the concurrent 
             resolution on the budget for fiscal year 2016.

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

            TITLE I--HEALTH, EDUCATION, LABOR, AND PENSIONS

    SEC. 101. THE PREVENTION AND PUBLIC HEALTH FUND.
    (a) In General.--Subsection (b) of section 4002 of the Patient 
Protection and Affordable Care Act (42 U.S.C. 300u-11) is amended--
        (1) in paragraph (2), by striking ``2017'' and inserting 
    ``2015''; and
        (2) by striking paragraphs (3) through (5).
    (b) Rescission of Unobligated Funds.--Of the funds made available 
by such section 4002, the unobligated balance is rescinded.
    SEC. 102. COMMUNITY HEALTH CENTER PROGRAM.
    Effective as if included in the enactment of the Medicare Access 
and CHIP Reauthorization Act of 2015 (Public Law 114-10, 129 Stat. 87), 
paragraph (1) of section 221(a) of such Act is amended by inserting 
after ``Section 10503(b)(1)(E) of the Patient Protection and Affordable 
Care Act (42 U.S.C. 254b-2(b)(1)(E)) is amended'' the following: ``by 
striking `$3,600,000,000' and inserting `$3,835,000,000' and''.
    SEC. 103. TERRITORIES.
    Section 1323(c) of the Patient Protection and Affordable Care Act 
(42 U.S.C. 18043(c)) is amended by adding at the end the following:
        ``(3) No force and effect.--Effective January 1, 2018, this 
    subsection shall have no force or effect.''.
    SEC. 104. REINSURANCE, RISK CORRIDOR, AND RISK ADJUSTMENT PROGRAMS.
    (a) Transitional Reinsurance Program for Individual Market.--
Section 1341 of the Patient Protection and Affordable Care Act (42 
U.S.C. 18061) is amended by adding at the end the following:
    ``(e) No Force and Effect.--Effective January 1, 2016, the 
Secretary shall not collect fees and shall not make payments under this 
section.''.
    SEC. 105. SUPPORT FOR STATE RESPONSE TO SUBSTANCE ABUSE PUBLIC 
      HEALTH CRISIS AND URGENT MENTAL HEALTH NEEDS.
    (a) In General.--There are authorized to be appropriated, and are 
appropriated, out of monies in the Treasury not otherwise obligated, 
$750,000,000 for each of fiscal years 2016 and 2017, to the Secretary 
of Health and Human Services (referred to in this section as the 
``Secretary'') to award grants to States to address the substance abuse 
public health crisis or to respond to urgent mental health needs within 
the State. In awarding grants under this section, the Secretary may 
give preference to States with an incidence or prevalence of substance 
use disorders that is substantial relative to other States or to States 
that identify mental health needs within their communities that are 
urgent relative to such needs of other States. Funds appropriated under 
this subsection shall remain available until expended.
    (b) Use of Funds.--Grants awarded to a State under subsection (a) 
shall be used for one or more of the following public health-related 
activities:
        (1) Improving State prescription drug monitoring programs.
        (2) Implementing prevention activities, and evaluating such 
    activities to identify effective strategies to prevent substance 
    abuse.
        (3) Training for health care practitioners, such as best 
    practices for prescribing opioids, pain management, recognizing 
    potential cases of substance abuse, referral of patients to 
    treatment programs, and overdose prevention.
        (4) Supporting access to health care services provided by 
    federally certified opioid treatment programs or other appropriate 
    health care providers to treat substance use disorders or mental 
    health needs.
        (5) Other public health-related activities, as the State 
    determines appropriate, related to addressing the substance abuse 
    public health crisis or responding to urgent mental health needs 
    within the State.

                           TITLE II--FINANCE

    SEC. 201. RECAPTURE EXCESS ADVANCE PAYMENTS OF PREMIUM TAX CREDITS.
    Subparagraph (B) of section 36B(f)(2) of the Internal Revenue Code 
of 1986 is amended by adding at the end the following new clause:
                ``(iii) Nonapplicability of limitation.--This 
            subparagraph shall not apply to taxable years ending after 
            December 31, 2015, and before January 1, 2018.''.
    SEC. 202. PREMIUM TAX CREDIT AND COST-SHARING SUBSIDIES.
    (a) Repeal of Premium Tax Credit.--Subpart C of part IV of 
subchapter A of chapter 1 of the Internal Revenue Code of 1986 is 
amended by striking section 36B.
    (b) Repeal of Cost-Sharing Subsidy.--Section 1402 of the Patient 
Protection and Affordable Care Act is repealed.
    (c) Repeal of Eligibility Determinations.--The following sections 
of the Patient Protection and Affordable Care Act are repealed:
        (1) Section 1411 (other than subsection (i), the last sentence 
    of subsection (e)(4)(A)(ii), and such provisions of such section 
    solely to the extent related to the application of the last 
    sentence of subsection (e)(4)(A)(ii)).
        (2) Section 1412.
    (d) Protecting Americans by Repeal of Disclosure Authority To Carry 
Out Eligibility Requirements for Certain Programs.--
        (1) In general.--Paragraph (21) of section 6103(l) of the 
    Internal Revenue Code of 1986 is amended by adding at the end the 
    following new subparagraph:
            ``(D) Termination.--No disclosure may be made under this 
        paragraph after December 31, 2017.''.
    (e) Effective Dates.--
        (1) Premium tax credit.--The amendment made by subsection (a) 
    shall apply to taxable years beginning after December 31, 2017.
        (2) Cost sharing-subsidies and eligibility determinations.--The 
    repeals in subsection (b) and (c) shall take effect on December 31, 
    2017.
        (3) Protecting americans by rescinding disclosure authority.--
    The amendments made by subsection (d) shall take effect on December 
    31, 2017.
    SEC. 203. SMALL BUSINESS TAX CREDIT.
    (a) In General.--Section 45R of the Internal Revenue Code of 1986 
is amended by adding at the end the following new subsection:
    ``(j) Shall Not Apply.--This section shall not apply with respect 
to amounts paid or incurred in taxable years beginning after December 
31, 2017.''.
    (b) Effective Date.--The amendment made by this section shall apply 
to amounts paid or incurred in taxable years beginning after December 
31, 2017.
    SEC. 204. INDIVIDUAL MANDATE.
    (a) In General.--Section 5000A(c) of the Internal Revenue Code of 
1986 is amended--
        (1) in paragraph (2)(B) by striking clauses (ii) and (iii) and 
    inserting the following:
                ``(ii) Zero percent for taxable years beginning after 
            2014.'', and
        (2) in paragraph (3)--
            (A) by striking ``$695'' in subparagraph (A) and inserting 
        ``$0'',
            (B) by striking ``and $325 for 2015'' in subparagraph (B), 
        and
            (C) by striking subparagraph (D).
    (b) Effective Date.--The amendments made by this section shall 
apply to months beginning after December 31, 2014.
    SEC. 205. EMPLOYER MANDATE.
    (a) In General.--
        (1) Paragraph (1) of section 4980H(c) of the Internal Revenue 
    Code of 1986 is amended by inserting ``($0 in the case of months 
    beginning after December 31, 2014)'' after ``$2,000''.
        (2) Paragraph (1) of section 4980H(b) of the Internal Revenue 
    Code of 1986 is amended by inserting ``($0 in the case of months 
    beginning after December 31, 2014)'' after ``$3,000''.
    (b) Effective Date.--The amendments made by this section shall 
apply to months beginning after December 31, 2014.
    SEC. 206. FEDERAL PAYMENTS TO STATES.
    (a) In General.--Notwithstanding section 504(a), 1902(a)(23), 
1903(a), 2002, 2005(a)(4), 2102(a)(7), or 2105(a)(1) of the Social 
Security Act (42 U.S.C. 704(a), 1396a(a)(23), 1396b(a), 1397a, 
1397d(a)(4), 1397bb(a)(7), 1397ee(a)(1)), or the terms of any Medicaid 
waiver in effect on the date of enactment of this Act that is approved 
under section 1115 or 1915 of the Social Security Act (42 U.S.C. 1315, 
1396n), for the 1-year period beginning on the date of enactment of 
this Act, no Federal funds provided from a program referred to in this 
subsection that is considered direct spending for any year may be made 
available to a State for payments to a prohibited entity, whether made 
directly to the prohibited entity or through a managed care 
organization under contract with the State.
    (b) Definitions.--In this section:
        (1) Prohibited entity.--The term ``prohibited entity'' means an 
    entity, including its affiliates, subsidiaries, successors, and 
    clinics--
            (A) that, as of the date of enactment of this Act--
                (i) is an organization described in section 501(c)(3) 
            of the Internal Revenue Code of 1986 and exempt from tax 
            under section 501(a) of such Code;
                (ii) is an essential community provider described in 
            section 156.235 of title 45, Code of Federal Regulations 
            (as in effect on the date of enactment of this Act), that 
            is primarily engaged in family planning services, 
            reproductive health, and related medical care; and
                (iii) provides for abortions, other than an abortion--

                    (I) if the pregnancy is the result of an act of 
                rape or incest; or
                    (II) in the case where a woman suffers from a 
                physical disorder, physical injury, or physical illness 
                that would, as certified by a physician, place the 
                woman in danger of death unless an abortion is 
                performed, including a life-endangering physical 
                condition caused by or arising from the pregnancy 
                itself; and

            (B) for which the total amount of Federal and State 
        expenditures under the Medicaid program under title XIX of the 
        Social Security Act in fiscal year 2014 made directly to the 
        entity and to any affiliates, subsidiaries, successors, or 
        clinics of the entity, or made to the entity and to any 
        affiliates, subsidiaries, successors, or clinics of the entity 
        as part of a nationwide health care provider network, exceeded 
        $350,000,000.
        (2) Direct spending.--The term ``direct spending'' has the 
    meaning given that term under section 250(c) of the Balanced Budget 
    and Emergency Deficit Control Act of 1985 (2 U.S.C. 900(c)).
    SEC. 207. MEDICAID.
    The Social Security Act (42 U.S.C. 301 et seq.) is amended--
        (1) in section 1108(g)(5), by striking ``2019'' and inserting 
    ``2017'';
        (2) in section 1902--
            (A) in subsection (a)(10)(A), in each of clauses (i)(VIII) 
        and (ii)(XX), by inserting ``and ending December 31, 2017,'' 
        after ``January 1, 2014,'';
            (B) in subsection (a)(47)(B), by inserting ``and provided 
        that any such election shall cease to be effective on January 
        1, 2018, and no such election shall be made after that date'' 
        before the semicolon at the end; and
            (C) in subsection (l)(2)(C), by inserting ``and ending 
        December 31, 2017,'' after ``January 1, 2014,'';
        (3) in each of sections 1902(gg)(2) and 2105(d)(3)(A), by 
    striking ``September 30, 2019'' and inserting ``September 30, 
    2017'';
        (4) in section 1905--
            (A) in the first sentence of subsection (b), by inserting 
        ``(50 percent on or after January 1, 2018)'' after ``55 
        percent'';
            (B) in subsection (y)(1), by striking the semicolon at the 
        end of subparagraph (B) and all that follows through 
        ``thereafter''; and
            (C) in subsection (z)(2)--
                (i) in subparagraph (A), by striking ``each year 
            thereafter'' and inserting ``through 2017''; and
                (ii) in subparagraph (B)(ii), by striking the semicolon 
            at the end of subclause (IV) and all that follows through 
            ``100 percent'';
        (5) in section 1915(k)(2), by striking ``during the period 
    described in paragraph (1)'' and inserting ``on or after the date 
    referred to in paragraph (1) and before January 1, 2018'';
        (6) in section 1920(e), by adding at the end the following: 
    ``This subsection shall not apply after December 31, 2017.'';
        (7) in section 1937(b)(5), by adding at the end the following: 
    ``This paragraph shall not apply after December 31, 2017.''; and
        (8) in section 1943(a), by inserting ``and before January 1, 
    2018,'' after ``January 1, 2014,''.
    SEC. 208. REPEAL OF DSH ALLOTMENT REDUCTIONS.
    Section 1923(f) of the Social Security Act (42 U.S.C. 1396r-4(f)) 
is amended by striking paragraphs (7) and (8).
    SEC. 209. REPEAL OF THE TAX ON EMPLOYEE HEALTH INSURANCE PREMIUMS 
      AND HEALTH PLAN BENEFITS.
    (a) In General.--Chapter 43 of the Internal Revenue Code of 1986 is 
amended by striking section 4980I.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply to taxable years beginning after December 31, 2017.
    SEC. 210. REPEAL OF TAX ON OVER-THE-COUNTER MEDICATIONS.
    (a) HSAs.--Subparagraph (A) of section 223(d)(2) of the Internal 
Revenue Code of 1986 is amended by striking ``Such term'' and all that 
follows through the period.
    (b) Archer MSAs.--Subparagraph (A) of section 220(d)(2) of the 
Internal Revenue Code of 1986 is amended by striking ``Such term'' and 
all that follows through the period.
    (c) Health Flexible Spending Arrangements and Health Reimbursement 
Arrangements.--Section 106 of the Internal Revenue Code of 1986 is 
amended by striking subsection (f).
    (d) Effective Dates.--
        (1) Distributions from savings accounts.--The amendments made 
    by subsections (a) and (b) shall apply to amounts paid with respect 
    to taxable years beginning after December 31, 2015.
        (2) Reimbursements.--The amendment made by subsection (c) shall 
    apply to expenses incurred with respect to taxable years beginning 
    after December 31, 2015.
    SEC. 211. REPEAL OF TAX ON HEALTH SAVINGS ACCOUNTS.
    (a) HSAs.--Section 223(f)(4)(A) of the Internal Revenue Code of 
1986 is amended by striking ``20 percent'' and inserting ``10 
percent''.
    (b) Archer MSAs.--Section 220(f)(4)(A) of the Internal Revenue Code 
of 1986 is amended by striking ``20 percent'' and inserting ``15 
percent''.
    (c) Effective Date.--The amendments made by this section shall 
apply to distributions made after December 31, 2015.
    SEC. 212. REPEAL OF LIMITATIONS ON CONTRIBUTIONS TO FLEXIBLE 
      SPENDING ACCOUNTS.
    (a) In General.--Section 125 of the Internal Revenue Code of 1986 
is amended by striking subsection (i).
    (b) Effective Date.--The amendment made by this section shall apply 
to taxable years beginning after December 31, 2015.
    SEC. 213. REPEAL OF TAX ON PRESCRIPTION MEDICATIONS.
    Subsection (j) of section 9008 of the Patient Protection and 
Affordable Care Act is amended to read as follows:
    ``(j) Repeal.--This section shall apply to calendar years beginning 
after December 31, 2010, and ending before January 1, 2016.''.
    SEC. 214. REPEAL OF MEDICAL DEVICE EXCISE TAX.
    (a) In General.--Chapter 32 of the Internal Revenue Code of 1986 is 
amended by striking subchapter E.
    (b) Effective Date.--The amendment made by this section shall apply 
to sales in calendar quarters beginning after December 31, 2015.
    SEC. 215. REPEAL OF HEALTH INSURANCE TAX.
    Subsection (j) of section 9010 of the Patient Protection and 
Affordable Care Act is amended to read as follows:
    ``(j) Repeal.--This section shall apply to calendar years beginning 
after December 31, 2013, and ending before January 1, 2016.''.
    SEC. 216. REPEAL OF ELIMINATION OF DEDUCTION FOR EXPENSES ALLOCABLE 
      TO MEDICARE PART D SUBSIDY.
    (a) In General.--Section 139A of the Internal Revenue Code of 1986 
is amended by adding at the end the following new sentence: ``This 
section shall not be taken into account for purposes of determining 
whether any deduction is allowable with respect to any cost taken into 
account in determining such payment.''.
    (b) Effective Date.--The amendment made by this section shall apply 
to taxable years beginning after December 31, 2015.
    SEC. 217. REPEAL OF CHRONIC CARE TAX.
    (a) In General.--Subsection (a) of section 213 of the Internal 
Revenue Code of 1986 is amended by striking ``10 percent'' and 
inserting ``7.5 percent''.
    (b) Effective Date.--The amendment made by this section shall apply 
to taxable years beginning after December 31, 2015.
    SEC. 218. REPEAL OF MEDICARE TAX INCREASE.
    (a) In General.--Subsection (b) of section 3101 of the Internal 
Revenue Code of 1986 is amended to read as follows:
    ``(b) Hospital Insurance.--In addition to the tax imposed by the 
preceding subsection, there is hereby imposed on the income of every 
individual a tax equal to 1.45 percent of the wages (as defined in 
section 3121(a)) received by such individual with respect to employment 
(as defined in section 3121(b).''.
    (b) SECA.--Subsection (b) of section 1401 of the Internal Revenue 
Code of 1986 is amended to read as follows:
    ``(b) Hospital Insurance.--In addition to the tax imposed by the 
preceding subsection, there shall be imposed for each taxable year, on 
the self-employment income of every individual, a tax equal to 2.9 
percent of the amount of the self-employment income for such taxable 
year.''.
    (c) Effective Date.--The amendments made by this section shall 
apply with respect to remuneration received after, and taxable years 
beginning after, December 31, 2015.
    SEC. 219. REPEAL OF TANNING TAX.
    (a) In General.--The Internal Revenue Code of 1986 is amended by 
striking chapter 49.
    (b) Effective Date.--The amendment made by this section shall apply 
to services performed on or after December 31, 2015.
    SEC. 220. REPEAL OF NET INVESTMENT TAX.
    (a) In General.--Subtitle A of the Internal Revenue Code of 1986 is 
amended by striking chapter 2A.
    (b) Effective Date.--The amendment made by this section shall apply 
to taxable years beginning after December 31, 2015.
    SEC. 221. REMUNERATION.
    Paragraph (6) of section 162(m) of the Internal Revenue Code of 
1986 is amended by adding at the end the following new subparagraph:
            ``(I) Termination.--This paragraph shall not apply to 
        taxable years beginning after December 31, 2015.''.
    SEC. 222. ECONOMIC SUBSTANCE DOCTRINE.
    (a) In General.--Subsection (o) of section 7701 of the Internal 
Revenue Code of 1986 is repealed.
    (b) Penalty for Underpayments.--Paragraph (6) of section 6662(b) of 
the Internal Revenue Code of 1986 is repealed.
    (c) Increased Penalty for Nondisclosed Transactions.--Subsection 
(i) of section 6662 of the Internal Revenue Code of 1986 is repealed.
    (d) Reasonable Cause Exception for Underpayments.--Paragraph (2) of 
section 6664(c) of the Internal Revenue Code of 1986 is repealed.
    (e) Reasonable Cause Exception for Nondisclosed Transactions.--
Paragraph (2) of section 6664(d) of the Internal Revenue Code of 1986 
is repealed.
    (f) Erroneous Claim for Refund or Credit.--Subsection (c) of 
section 6676 of the Internal Revenue Code of 1986 is repealed.
    (g) Effective Date.--The repeals made by this section shall apply 
to transactions entered into, and to underpayments, understatements, or 
refunds and credits attributable to transactions entered into, after 
December 31, 2015.
    SEC. 223. BUDGETARY SAVINGS FOR EXTENDING MEDICARE SOLVENCY.
    As a result of policies contained in this Act, the Secretary of the 
Treasury shall transfer to the Federal Hospital Insurance Trust Fund 
under section 1817 of the Social Security Act (42 U.S.C. 1395i) 
$379,300,000,000 (which represents the full amount of on-budget savings 
during the period of fiscal years 2016 through 2025) for extending 
Medicare solvency, to remain available until expended.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.