summary
Introduced
02/15/2017
02/15/2017
In Committee
02/17/2017
02/17/2017
Crossed Over
Passed
Dead
12/31/2018
12/31/2018
Introduced Session
115th Congress
Bill Summary
Obamacare Replacement Act This bill amends the Internal Revenue Code, the Public Health Service Act, the Employee Retirement Income Security Act of 1974 (ERISA), and the Social Security Act to repeal certain provisions regarding health insurance, including: the requirement for individuals to maintain minimum essential coverage, limitations on insurers varying premiums by age or health status, requirements for health insurance to cover preexisting conditions, and the prohibition on lifetime or annual limits on benefits. The bill allows a refundable tax credit for a percentage of health insurance premiums and a tax credit for health savings account (HSA) contributions. The bill eliminates HSA contribution limits and allows all individuals to make contributions to HSAs. HSAs may be used to pay for over-the-counter medications and health insurance. HSA distributions for abortion are subject to income tax. The tax deduction for medical care is expanded to include exercise equipment and services, nutritional supplements, and certain primary care fees. Physicians may deduct uncompensated and charity care. The bill provides for the establishment and governance of: (1) independent health pools, which offer health insurance coverage to their members; and (2) association health plans, which are group health plans sponsored by business associations. Individual health insurance coverage is governed by the laws of a state designated by the health insurance issuer. The Centers for Medicare and Medicaid Services must (currently, may) waive Medicaid requirements to enable states to carry out experimental, pilot, or demonstration projects. Stop-loss insurance obtained by certain health plans or plan sponsors is exempt from requirements for health insurance. The bill amends the McCarran-Ferguson Act to declare that nothing in that Act affects antitrust laws regarding health insurance.
AI Summary
This bill, the Obamacare Replacement Act, makes the following key changes:
It repeals the individual and employer mandates from the Affordable Care Act (ACA), as well as numerous provisions from the Public Health Service Act and the Patient Protection and Affordable Care Act. It allows a refundable tax credit for health insurance premiums and contributions to health savings accounts (HSAs), and removes contribution limits for HSAs. It also expands the types of medical expenses that can be paid for with HSA funds.
The bill establishes new rules for "independent health pools" that offer individual health insurance coverage, and permits the formation of "association health plans" that allow small businesses to band together to offer group health insurance coverage. It also increases state flexibility in administering Medicaid waivers and excludes certain stop-loss insurance from the definition of health insurance coverage. Finally, the bill restores the application of antitrust laws to the health insurance industry.
Committee Categories
Business and Industry, Health and Social Services
Sponsors (8)
Mark Sanford (R)*,
Jeff Duncan (R),
Matt Gaetz (R),
Tom Garrett (R),
Paul Gosar (R),
Thomas Massie (R),
Mark Meadows (R),
Alex Mooney (R),
Last Action
Referred to the Subcommittee on Health. (on 02/17/2017)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.congress.gov/bill/115th-congress/house-bill/1072/all-info |
| BillText | https://www.congress.gov/115/bills/hr1072/BILLS-115hr1072ih.pdf |
| Bill | https://www.congress.gov/115/bills/hr1072/BILLS-115hr1072ih.pdf.pdf |
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