US HR1425

Bill

US HR1425

Patient Protection and Affordable Care Enhancement Act

Introduced
02/28/2019

In Committee
04/04/2019

Crossed Over
06/30/2020

Passed

Dead
12/31/2020

Introduced Session

116th Congress

Bill Summary

Patient Protection and Affordable Care Enhancement Act Patient Protection and Affordable Care Enhancement Act This bill establishes and provides funding for the Improve Health Insurance Affordability Fund. States must use allocated funds to (1) issue reinsurance payments to health insurers (i.e., reimbursements to protect insurers against exceedingly high claims) for individual health insurance coverage, or (2) provide other assistance to reduce out-of-pocket costs (e.g., copayments, coinsurance, and deductibles) for qualified health plans offered in the individual market through an exchange. Reinsurance payments using such funds may not be applied to (1) grandfathered health plans in place on March 23, 2010, (2) non-grandfathered transitional plans meeting specified requirements identified by the Centers for Medicare & Medicaid Services (CMS), or (3) student health insurance plans provided by institutions of higher education. The bill appropriates $10 billion per year for the fund, which the CMS must distribute to states in accordance with a specified methodology based on the estimated amount of reinsurance payments for individuals in a state during the given year, subject to specified deductions. Additionally, states must submit applications explaining how they will use such funds. In the event that a state does not submit an application, the bill directs the CMS to allocate the calculated funding amount to reinsurance programs in that state.

AI Summary

This bill establishes and provides funding for the Improve Health Insurance Affordability Fund. States must use allocated funds to provide reinsurance payments to health insurers or other assistance to reduce out-of-pocket costs for individual health insurance plans sold through an Exchange. The bill appropriates $10 billion per year for this fund, which the Centers for Medicare & Medicaid Services must distribute to states based on estimated reinsurance payments, subject to certain requirements. States must submit applications explaining how they will use the funds, and if a state does not apply, the funds will be allocated to reinsurance programs in that state.

Committee Categories

Business and Industry, Health and Social Services

Sponsors (62)

Angie Craig (D)*, Colin Allred (D), Nanette Barragán (D), Ami Bera (D), Lisa Blunt Rochester (D), Anthony Brindisi (D), Julia Brownley (D), Cheri Bustos (D), Salud Carbajal (D), Tony Cárdenas (D), Ed Case (D), Gil Cisneros (D), Yvette Clarke (D), Gerry Connolly (D), Jim Costa (D), Sharice Davids (D), Debbie Dingell (D), Anna Eshoo (D), Abby Finkenauer (D), Jeff Fortenberry (R), Denny Heck (D), Katie Hill (D), Jim Himes (D), Robin Kelly (D), Joseph Kennedy (D), Derek Kilmer (D), Ann Kirkpatrick (D), Ann Kuster (D), Rick Larsen (D), Susie Lee (D), Daniel Lipinski (D), Zoe Lofgren (D), Ben Ray Luján (D), Elaine Luria (D), Doris Matsui (D), Ben McAdams (D), Betty McCollum (D), Gwen Moore (D), Debbie Mucarsel-Powell (D), Joe Neguse (D), Frank Pallone (D), Scott Peters (D), Dean Phillips (D), Jamie Raskin (D), Kathleen Rice (D), Max Rose (D), Harley Rouda (D), Raul Ruiz (D), Bobby Rush (D), Jan Schakowsky (D), Adam Schiff (D), Kurt Schrader (D), Kim Schrier (D), Abigail Spanberger (D), Jackie Speier (D), Haley Stevens (D), Paul Tonko (D), David Trone (D), Lauren Underwood (D), Jeff Van Drew (R), Peter Welch (D), Jennifer Wexton (D),

Last Action

Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 523. (on 09/08/2020)

Official Document

https://www.congress.gov/bill/116th-congress/house-bill/1425/all-info

(22 Companion Bills)

Version:

Document Type	Source Location
State Bill Page	https://www.congress.gov/bill/116th-congress/house-bill/1425/all-info
BillText	https://www.congress.gov/116/bills/hr1425/BILLS-116hr1425pcs.pdf
Bill	https://www.congress.gov/116/bills/hr1425/BILLS-116hr1425pcs.pdf.pdf
BillText	https://www.congress.gov/116/bills/hr1425/BILLS-116hr1425eh.pdf
Bill	https://www.congress.gov/116/bills/hr1425/BILLS-116hr1425eh.pdf.pdf
BillText	https://www.congress.gov/116/bills/hr1425/BILLS-116hr1425rh.pdf
Bill	https://www.congress.gov/116/bills/hr1425/BILLS-116hr1425rh.pdf.pdf
BillText	https://www.congress.gov/116/bills/hr1425/BILLS-116hr1425ih.pdf
Bill	https://www.congress.gov/116/bills/hr1425/BILLS-116hr1425ih.pdf.pdf

Bill	Bill Name	Last Action	Type
HR1385	SAVE Act State Allowance for a Variety of Exchanges Act	Placed on the Union Calendar, Calendar No. 27.	Related
HR1386	ENROLL Act of 2019 Expand Navigators’ Resources for Outreach, Learning, and Longevity Act of 2019	Placed on the Union Calendar, Calendar No. 28.	Related
HR1870	Family Health Care Affordability Act of 2019	Referred to the House Committee on Ways and Means.	Related
HR1879	Stabilize Medicaid and CHIP Coverage Act	Referred to the Subcommittee on Health.	Related
HR1884	Protecting Pre-Existing Conditions and Making Health Care More Affordable Act of 2019	Referred to the Subcommittee on Health.	Related
HR4821	Covering our FAS Allies Act	Referred to the Subcommittee on Health.	Related
HR5291	Fair Indexing for Health Care Affordability Act	Referred to the Subcommittee on Health.	Related
HR584	Incentivizing Medicaid Expansion Act of 2019	Referred to the Subcommittee on Health.	Related
HR6130	Improving Awareness of Health Coverage Options Act	Referred to the House Committee on Education and Labor.	Related
HR6135	No More Narrow Networks Act of 2020	Referred to the House Committee on Energy and Commerce.	Related
HR6136	Protecting Consumers from Unreasonable Rates Act of 2020	Referred to the House Committee on Energy and Commerce.	Related
HR6149	Medicaid REACH Act Medicaid Report on Expansion of Access to Coverage for Health Act	Referred to the House Committee on Energy and Commerce.	Related
HR6151	CARING for Kids Act Comprehensive Access to Robust Insurance Now Guaranteed for Kids Act	Referred to the House Committee on Energy and Commerce.	Related
HR986	Protecting Americans with Preexisting Conditions Act of 2019	Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 90.	Related
HR987	Strengthening Health Care and Lowering Prescription Drug Costs Act	Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.	Related
HRes1017	Providing for consideration of the bill (H.B. 51) to provide for the admission of the State of Washington, D.C. into the Union; providing for consideration of the bill (H.B. 1425) to amend the Patient Protection and Affordable Care Act to provide for a Improve Health Insurance Affordability Fund to provide for certain reinsurance payments to lower premiums in the individual health insurance market; providing for consideration of the bill (H.B. 5332) to amend the Fair Credit Reporting Act to ensu	Motion to reconsider laid on the table Agreed to without objection.	Related
S1400	SAVE Act State Allowance for a Variety of Exchanges Act	Read twice and referred to the Committee on Health, Education, Labor, and Pensions.	Related
S1905	ENROLL Act of 2019 Expand Navigators’ Resources for Outreach, Learning, and Longevity Act of 2019	Read twice and referred to the Committee on Health, Education, Labor, and Pensions.	Similar To
S2218	Covering our FAS Allies Act	Read twice and referred to the Committee on Finance.	Related
S4521	Health Care Improvement Act of 2020	Read twice and referred to the Committee on Finance.	Related
S455	MORE Health Education Act Marketing and Outreach Restoration to Empower Health Education Act of 2019	Read twice and referred to the Committee on Health, Education, Labor, and Pensions.	Related
S585	SAME Act of 2019 States Achieve Medicaid Expansion Act of 2019	Read twice and referred to the Committee on Finance.	Related

Bill > HR1425

summary

Introduced Session

Bill Summary

AI Summary

Committee Categories

Sponsors (62)

Last Action

Official Document

bill text

bill summary

bill summary

bill summary