[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1385 Reported in House (RH)]
<DOC>
Union Calendar No. 27
116th CONGRESS
1st Session
H. R. 1385
[Report No. 116-49]
To amend the Patient Protection and Affordable Care Act to preserve the
option of States to implement health care marketplaces, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
February 27, 2019
Mr. Kim (for himself and Mr. Fitzpatrick) introduced the following
bill; which was referred to the Committee on Energy and Commerce
May 3, 2019
Additional sponsors: Ms. Schakowsky, Mrs. Watson Coleman, Ms. Blunt
Rochester, Mr. Pallone, Mr. Rush, Mrs. Dingell, Mr. Ruiz, Ms. Eshoo,
Mr. Kennedy, Ms. Matsui, Mr. Van Drew, Ms. Clarke of New York, Ms.
Houlahan, Ms. Scanlon, Ms. McCollum, and Ms. Mucarsel-Powell
May 3, 2019
Reported with an amendment, committed to the Committee of the Whole
House on the State of the Union, and ordered to be printed
[Strike out all after the enacting clause and insert the part printed
in italic]
[For text of introduced bill, see copy of bill as introduced on
February 27, 2019]
_______________________________________________________________________
A BILL
To amend the Patient Protection and Affordable Care Act to preserve the
option of States to implement health care marketplaces, and for other
purposes.
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 Allowance for a Variety of
Exchanges Act'' or the ``SAVE Act''.
SEC. 2. PRESERVING STATE OPTION TO IMPLEMENT HEALTH CARE MARKETPLACES.
(a) In General.--Section 1311 of the Patient Protection and
Affordable Care Act (42 U.S.C. 18031) is amended--
(1) in subsection (a)--
(A) in paragraph (4)(B), by striking ``under this
subsection'' and inserting ``under this paragraph or
paragraph (1)''; and
(B) by adding at the end the following new
paragraph:
``(6) Additional planning and establishment grants.--
``(A) In general.--There shall be appropriated to
the Secretary, out of any moneys in the Treasury not
otherwise appropriated, $200,000,000 to award grants to
eligible States for the uses described in paragraph
(3).
``(B) Duration and renewability.--A grant awarded
under subparagraph (A) shall be for a period of two
years and may not be renewed.
``(C) Limitation.--A grant may not be awarded under
subparagraph (A) after December 31, 2022.
``(D) Eligible state defined.--For purposes of this
paragraph, the term `eligible State' means a State
that, as of the date of the enactment of this
paragraph, is not operating an Exchange (other than an
Exchange described in section 155.200(f) of title 45,
Code of Federal Regulations).''; and
(2) in subsection (d)(5)(A)--
(A) by striking ``operations.--In establishing an
Exchange under this section'' and inserting
``operations.--
``(i) In general.--In establishing an
Exchange under this section (other than in
establishing an Exchange pursuant to a grant
awarded under subsection (a)(6))''; and
(B) by adding at the end the following:
``(ii) Additional planning and
establishment grants.--In establishing an
Exchange pursuant to a grant awarded under
subsection (a)(6), the State shall ensure that
such Exchange is self-sustaining beginning on
January 1, 2024, including allowing the
Exchange to charge assessments or user fees to
participating health insurance issuers, or to
otherwise generate funding, to support its
operations.''.
(b) Clarification Regarding Failure To Establish Exchange or
Implement Requirements.--Section 1321(c) of the Patient Protection and
Affordable Care Act (42 U.S.C. 18041(c)) is amended--
(1) in paragraph (1), by striking ``If'' and inserting
``Subject to paragraph (3), if''; and
(2) by adding at the end the following new paragraph:
``(3) Clarification.--This subsection shall not apply in
the case of a State that elects to apply the requirements
described in subsection (a) and satisfies the requirement
described in subsection (b) on or after January 1, 2014.''.
Union Calendar No. 27
116th CONGRESS
1st Session
H. R. 1385
[Report No. 116-49]
_______________________________________________________________________
A BILL
To amend the Patient Protection and Affordable Care Act to preserve the
option of States to implement health care marketplaces, and for other
purposes.
_______________________________________________________________________
May 3, 2019
Reported with an amendment, committed to the Committee of the Whole
House on the State of the Union, and ordered to be printed