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<bill bill-stage="Introduced-in-Senate" dms-id="A1" public-private="public" slc-id="S1-TAM21D30-19S-TR-4RF"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
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<dc:title>111 S2519 IS: Repeal Insurance Plans of the Multi-State Program Act</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2021-07-28</dc:date>
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<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">II</distribution-code><congress>117th CONGRESS</congress><session>1st Session</session><legis-num>S. 2519</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20210728">July 28, 2021</action-date><action-desc><sponsor name-id="S345">Mr. Johnson</sponsor> (for himself, <cosponsor name-id="S318">Mr. Wicker</cosponsor>, <cosponsor name-id="S351">Mr. Toomey</cosponsor>, <cosponsor name-id="S346">Mr. Lee</cosponsor>, <cosponsor name-id="S410">Ms. Lummis</cosponsor>, <cosponsor name-id="S397">Mr. Braun</cosponsor>, <cosponsor name-id="S398">Mr. Cramer</cosponsor>, <cosponsor name-id="S317">Mr. Barrasso</cosponsor>, <cosponsor name-id="S378">Mr. Lankford</cosponsor>, <cosponsor name-id="S395">Mrs. Hyde-Smith</cosponsor>, <cosponsor name-id="S236">Mr. Inhofe</cosponsor>, <cosponsor name-id="S396">Mrs. Blackburn</cosponsor>, and <cosponsor name-id="S348">Mr. Paul</cosponsor>) introduced the following bill; which was read twice and referred to the <committee-name committee-id="SSHR00">Committee on Health, Education, Labor, and Pensions</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title>To repeal the multi-State plan program.</official-title></form><legis-body display-enacting-clause="yes-display-enacting-clause"></legis-body><legis-body display-enacting-clause="no-display-enacting-clause"><section section-type="section-one" changed="not-changed" id="id295b771c-a234-4218-93a7-e13f890132c8"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Repeal Insurance Plans of the Multi-State Program Act</short-title></quote> or the <quote><short-title>RIP MSP Act</short-title></quote>.</text></section><section changed="not-changed" id="id28338914-5b67-467e-970a-48be82f042e5"><enum>2.</enum><header>Repeal of multi-State plan program</header><subsection id="id07e8420c-22eb-4247-9650-a7b85ddb275c" changed="not-changed"><enum>(a)</enum><header>Definitions</header><text>In this section, the terms <term>multi-State plan issuer</term> and <term>MSP issuer</term> mean a health insurance issuer or group of health insurance issuers that has a contract with the Office of Personnel Management to offer multi-State plan options pursuant to section 1334 of the Patient Protection and Affordable Care Act (<external-xref legal-doc="public-law" parsable-cite="pl/111/148">Public Law 111–148</external-xref>).</text></subsection><subsection id="id005f577f-b713-4e33-bacb-9e40f81002b8" changed="not-changed"><enum>(b)</enum><header>Program Repeal</header><text>Effective January 1, 2022, section 1334 of the Patient Protection and Affordable Care Act (<external-xref legal-doc="public-law" parsable-cite="pl/111/148">Public Law 111–148</external-xref>) shall have no force or effect.</text></subsection><subsection id="idA533FAEF618B4E5D9D7D21E4FCC910FC" changed="not-changed"><enum>(c)</enum><header>Termination of external review</header><text>The administration of external review pursuant to section 1334 of the Patient Protection and Affordable Care Act shall conclude upon the issuance by the Director of the Office of Personnel Management (referred to in this section as <quote>OPM</quote>) of all final decisions for enrollees enrolled in a multi-State plan during or before the 2021 plan year.</text></subsection><subsection id="iddf578dba-92ab-463d-9c0f-697e1a8995c0" changed="not-changed"><enum>(d)</enum><header>Required reporting</header><text>Not later than 60 days after the date of enactment of this Act, the Director of OPM shall provide the Committee on Homeland Security and Governmental Affairs and the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Oversight and Reform and the Committee on Energy and Commerce of the House of Representatives a briefing concerning the efforts of the OPM to wind down the multi-State program under section 1334 of the Patient Protection and Affordable Care Act. Such briefing shall contain such information as may be required, including information regarding—</text><paragraph id="id87062799-08bf-4c28-8ee8-f01e8c196424" changed="not-changed"><enum>(1)</enum><text>the methods of communication OPM and an MSP issuer will use to notify current enrollees that the multi-State plan will not be offered during the next open season, including a timeline of the planned communications;</text></paragraph><paragraph id="id1885a1c8-5755-4c38-a9e5-c1d63d16e6d8" changed="not-changed"><enum>(2)</enum><text>a description of how the Director of OPM will work with the Secretary of Health and Human Services to ensure that no plans previously offered pursuant to such section 1334 are offered on State or Federal Exchanges; and</text></paragraph><paragraph id="id7cba8e43-9f78-4d16-bf83-553b333ed0ed" changed="not-changed"><enum>(3)</enum><text>a timeline detailing how OPM will close down the information technology portal that MSP issuers utilize.</text></paragraph></subsection><subsection id="idD5966ACDBF5B4AC0955314D0F47F2FE4" changed="not-changed"><enum>(e)</enum><header>Conforming amendments</header><paragraph id="idDBA3AB34776E4FD995F53CBEEAFBBFD8" changed="not-changed"><enum>(1)</enum><header>In general</header><text>Title I of the Patient Protection and Affordable Care Act is amended—</text><subparagraph id="id24A34002DB324567B3C9F3DD466A94B5" changed="not-changed"><enum>(A)</enum><text>in section 1301(a) (<external-xref legal-doc="usc" parsable-cite="usc/42/18021">42 U.S.C. 18021(a)</external-xref>)—</text><clause id="id2DEB4D7893E04300A0E1C667996AB8F9" changed="not-changed"><enum>(i)</enum><text>in paragraph (2)—</text><subclause id="id919F03F233BB47ABBA8D68DE8572EF72" changed="not-changed"><enum>(I)</enum><text>in the heading, by striking <quote><header-in-text level="paragraph" style="OLC">and multi-State qualified health plans</header-in-text></quote>; and</text></subclause><subclause id="idF7393C7A9C454B8FAF24775286991CAC" changed="not-changed"><enum>(II)</enum><text>by striking <quote>and a multi-State plan under section 1334,</quote>; and</text></subclause></clause><clause id="id0852BEAC6A594DA891AF202E0355E2B1" changed="not-changed"><enum>(ii)</enum><text>in paragraph (4), by striking <quote>, including a multi-State qualified health plan,</quote>; and</text></clause></subparagraph><subparagraph id="idDA85994F5E174090B33C454027FE2975" changed="not-changed"><enum>(B)</enum><text>in section 1324(a) (<external-xref legal-doc="usc" parsable-cite="usc/42/18044">42 U.S.C. 18044(a)</external-xref>), by striking <quote>, or a multi-State qualified health plan under section 1334,</quote>.</text></subparagraph></paragraph><paragraph id="idC1792957C1C14A8285F1B6FC8B4A7FB9" changed="not-changed"><enum>(2)</enum><header>Effective date</header><text>The amendments made by paragraph (1) shall take effect on January 1, 2022.</text></paragraph></subsection></section></legis-body></bill> 

