[House Report 115-88]
[From the U.S. Government Publishing Office]


115th Congress   }                                       {      Report
                        HOUSE OF REPRESENTATIVES
 1st Session     }                                       {      115-88

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PROVIDING FOR FURTHER CONSIDERATION OF THE BILL (H.R. 1628) TO PROVIDE 
FOR RECONCILIATION PURSUANT TO TITLE II OF THE CONCURRENT RESOLUTION ON 
                    THE BUDGET FOR FISCAL YEAR 2017

                                _______
                                

   April 6, 2017.--Referred to the House Calendar and ordered to be 
                                printed

                                _______
                                

              Mr. Sessions, from the Committee on Rules, 
                        submitted the following

                              R E P O R T

                       [To accompany H. Res. 254]

    The Committee on Rules, having had under consideration 
House Resolution 254, by a record vote of 9 to 2, report the 
same to the House with the recommendation that the resolution 
be adopted.

                SUMMARY OF PROVISIONS OF THE RESOLUTION

    The resolution provides for further consideration of H.R. 
1628, the American Health Care Act of 2017. The resolution 
provides that the further amendment printed in this report 
shall be considered as adopted.

                            COMMITTEE VOTES

    The results of each record vote on an amendment or motion 
to report, together with the names of those voting for and 
against, are printed below:

Rules Committee record vote No. 46

    Motion by Mr. Cole to report the rule. Adopted: 9-2

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                Majority Members                      Vote               Minority Members               Vote
----------------------------------------------------------------------------------------------------------------
Mr. Cole........................................          Yea   Ms. Slaughter.....................  ............
Mr. Woodall.....................................          Yea   Mr. McGovern......................          Nay
Mr. Burgess.....................................          Yea   Mr. Hastings of Florida...........          Nay
Mr. Collins.....................................          Yea   Mr. Polis.........................  ............
Mr. Byrne.......................................          Yea
Mr. Newhouse....................................          Yea
Mr. Buck........................................          Yea
Ms. Cheney......................................          Yea
Mr. Sessions, Chairman..........................          Yea
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             SUMMARY OF THE AMENDMENT CONSIDERED AS ADOPTED

    1. Palmer (AL), Schweikert (AZ): Creates a $15 billion risk 
sharing program to help states lower premiums for health 
coverage offered in the individual market.

                TEXT OF AMENDMENT CONSIDERED AS ADOPTED

  In the section 2204(c)(2)(B) proposed to be added to the 
Social Security Act by section 132, strike ``to carry out the 
purpose described in section 2202(2) in such States by 
providing payments to appropriate entities described in such 
section with respect to claims that exceed $1,000,000'' and 
insert ``to carry out the Federal Invisible Risk Sharing 
Program in such States under section 2205''.

  In title XXII of the Social Security Act, as added by section 
132, add at the end the following:

``SEC. 2205. FEDERAL INVISIBLE RISK SHARING PROGRAM.

  ``(a) In General.--There is established within the Patient 
and State Stability Fund a Federal Invisible Risk Sharing 
Program (in this section referred to as the `Program'), to be 
administered by the Secretary of Health and Human Services, 
acting through the Administrator of the Centers for Medicare & 
Medicaid Services (in this section referred to as the 
`Administrator'), to provide payments to health insurance 
issuers with respect to claims for eligible individuals for the 
purpose of lowering premiums for health insurance coverage 
offered in the individual market.
  ``(b) Funding.--
          ``(1) Appropriation.--For the purpose of providing 
        funding for the Program there is appropriated, out of 
        any money in the Treasury not otherwise appropriated, 
        $15,000,000,000 for the period beginning on January 1, 
        2018, and ending on December 31, 2026.
          ``(2) Use of unallocated funds.--Funds provided under 
        section 2204(c)(2)(B) to carry out this section are in 
        addition to the amount appropriated under paragraph 
        (1).
  ``(c) Operation of Program.--
          ``(1) In general.--The Administrator shall establish, 
        after consultation with health care consumers, health 
        insurance issuers, State insurance commissioners, and 
        other stakeholders and after taking into consideration 
        high cost health conditions and other health trends 
        that generate high cost, parameters for the operation 
        of the Program consistent with this section and 
        consistent with the same limitation on payment with 
        respect to health insurance coverage that applies to 
        payment with respect health benefits coverage under 
        section 2105(c)(7).
          ``(2) Deadline for initial operation.--Not later than 
        60 days after the date of the enactment of this title, 
        the Administrator shall establish sufficient parameters 
        to specify how the Program will operate for plan year 
        2018.
          ``(3) State operation of program.--The Administrator 
        shall establish a process for a State to operate the 
        Program in such State beginning with plan year 2020.
  ``(d) Details of Program.--The parameters for the Program 
shall include the following:
          ``(1) Eligible individuals.--A definition for 
        eligible individuals.
          ``(2) Health status statements.--The development and 
        use of health status statements with respect to such 
        individuals.
          ``(3) Standards for qualification.--
                  ``(A) Automatic qualification.--The 
                identification of health conditions that 
                automatically qualify individuals as eligible 
                individuals at the time of application for 
                health insurance coverage.
                  ``(B) Voluntary qualification.--A process 
                under which health insurance issuers may 
                voluntarily qualify individuals, who do not 
                automatically qualify under subparagraph (A), 
                as eligible individuals at the time of 
                application for such coverage.
          ``(4) Percentage of insurance premiums to be 
        applied.--The percentage of the premiums paid, to 
        health insurance issuers for health insurance coverage 
        by eligible individuals, that shall be collected and 
        deposited to the credit (and available for the use) of 
        the Program.
          ``(5) Attachment dollar amount and payment 
        proportion.--The dollar amount of claims for eligible 
        individuals after which the Program will provide 
        payments to health insurance issuers and the proportion 
        of such claims above such dollar amount that the 
        Program will pay.''.

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