/  H.R. 1628—American Health Care Act of 2017

H.R. 1628 - American Health Care Act of 2017

Bill Text

  • Text of H.R. 1628 PDF XML

    American Health Care Act of 2017 (as reported)

            ::  Amendment #32 offered by the Hon. Gary Palmer (AL) and David Schweikert (AZ)    PDF
              The amendment creates a $15 billion risk sharing program to help states lower premiums for health coverage offered in the individual market. 
              Section-by-Section Summary   PDF
            ::  Amendment #33 offered by the Hon. Thomas MacArthur (NJ)    PDF
              The amendment allows states to waive essential health benefits, age rating, and community rating. Health insurers would not be allowed to [deny coverage,] discriminate based on gender or [limit access based on] preexisting conditions. States must explain how the waiver will reduce average premiums for patients, increase enrollment for residents, stabilize the state's health insurance market, stabilize premiums for individuals living with preexisting conditions, or increase patients' health care plan options.
              Section-by-Section Summary   PDF
            ::  Amendment #34 offered by the Hon. Fred Upton    PDF
              The amendment increases the Patient and State Stability Fund by $8 billion from 2018 to 2023 to States with an approved community rating waiver, as established by the MacArthur Amendment, for providing assistance to reduce premiums or other out-of-pocket costs to individuals who may who may be subject to an increase in their monthly premium rates as a result of the States waiver. The amendment also resolves two minor technical drafting amendments, including the correction of an inaccurate cross-reference and to ensure proper labeling of subsections.
              Section-by-Section Summary   PDF

          ::  Amendment #4 offered by the Hon. Greg Walden (OR) and Kevin Brady (TX)  [Manager's AmendmentTechnical Changes]  PDF
              — This amendment makes technical changes to conform with reconciliation instructions and address other drafting issues. 
              — Section-by-Section Summary   PDF
              — Amendment #24 (2nd Degree) offered by the Hon. Greg Walden (OR) and Kevin Brady (TX): makes technical changes to address drafting issues  PDF
               — Section-by-Section of Amendment #24   PDF

            ::  Amendment #5 offered by the Hon. Greg Walden (OR) and Kevin Brady (TX)  [Manager's AmendmentPolicy Changes]  PDF
                — This amendment provides for the inclusion of additional policies affecting both Medicaid and the tax code.
             — Section-by-Section Summary    PDF
             — Amendment #25 (2nd Degree) offered by the Hon. Greg Walden (OR): makes technical changes to address drafting issues  PDF
               — Section-by-Section of Amendment #25   PDF 

           ::  Amendment #31 (2nd Degree) offered by the Hon. Greg Walden (OR) and Kevin Brady (TX): delays the repeal of the additional .9 percent Medicare tax on high-income earners, require states to establish their own essential health benefits standards for purposes of the premium tax credit, and provide additional funding for the Patient and State Stability Fund for mental health and substance use disorders and maternity care.  PDF
             — Section-by-Section of Amendment #31   PDF

  • H. Rept. 115-52 PDF

    Report from the Committee on the Budget 

Rule Information

COMMITTEE ACTION:
REPORTED BY RECORD VOTE of 8-3 on Wednesday, May 03, 2017.

FLOOR ACTION ON H. RES. 308: 
Agreed to by record vote of 235-192, after agreeing to the previous question by record vote of 235-193, on Thursday, May 4, 2017.

MANAGERS: Collins/McGovern

1. Closed rule for H.R. 2192.

2. Provides one hour of debate equally divided and controlled by the chair and ranking minority member of the Committee on Energy and Commerce.

3. Waives all points of order against consideration of the bill.

4. Provides that the bill shall be considered as read.

5. Waives all points of order against provisions in the bill.

6. Provides one motion to recommit.

7. Section 2 provides for further consideration of H.R. 1628, the American Health Care Act of 2017.

8. Provides that the further amendments printed in the Rules Committee Report shall be considered as adopted.

 

COMMITTEE ACTION:
REPORTED BY RECORD VOTE of 9-3 on Friday, March 24, 2017.

FLOOR ACTION ON H. RES. 228: 
Agreed to by record vote of 230-194, after agreeing to the previous question by record vote of 236-186, on Friday March 24, 2017.

MANAGERS: Sessions/McGovern

1. Closed rule.

2. Provides four hours of debate equally divided and controlled by the chair and ranking minority member of the Committee on the Budget or their respective designees.

3. Waives all points of order against consideration of the bill.

4. Provides that the amendment printed in part A of the Rules Committee report, modified by the amendment printed in part B of the report shall be considered as adopted.

5. Provides that the amendment printed in part C of the Rules Committee report, modified by the amendments printed in part D and part E of the report shall be considered as adopted.

6. Provides that the bill, as amended, shall be considered as read.

7. Waives all points of order against provisions in the bill, as amended.

8. Provides one motion to recommit with or without instructions.

 

COMMITTEE ACTION:
REPORTED BY RECORD VOTE of 9-2 on Thursday, April 06, 2017.

FLOOR ACTION ON H. RES. 254: 

MANAGERS: Sessions/McGovern

1. Provides for further consideration of H.R. 1628, the American Health Care Act of 2017.

2. Provides that the further amendment printed in the Rules Committee Report shall be considered as adopted.

Amendments

#Version #Sponsor(s)PartySummaryStatus
10Version 1Amodei (NV)RepublicanExempts from the 30% coverage lapse surcharge those individuals who reside in counties with one or less insurance provider offering coverage. Submitted
17Version 1Amodei (NV)RepublicanRequires insurance providers to demonstrate direct reduction of cost for health coverage as a result of the tax savings from the repeal of the health insurance tax. Submitted
18Version 1Amodei (NV)RepublicanRequires insurance providers to demonstrate direct premium reductions as a result of the tax deductions made from remuneration paid to certain employees as “ordinary business expenses.” Submitted
11Version 1Babin (TX)RepublicanAllows members of Healthcare Sharing Ministries (HSM) to establish Health Savings Accounts, allows members of HSM's to be eligible for tax credits by including them in the definition of "eligible health insurance," and for purposes of the continuous coverage provision, HSM membership will qualify as health insurance coverage so that the HSM members are not subject to a penalty. Submitted
12Version 1Babin (TX)RepublicanCaps the expansion enrollment numbers at current enrollees as of December 31, 2017 and permits no additional higher match enrollees.Submitted
13Version 1Babin (TX)RepublicanRepeals the 5% bonus payment (Section 116) for Medicaid Expansion states.Submitted
14Version 1Babin (TX)RepublicanChanges Section 2710A (Encouraging Continuous Health Insurance Coverage) from a mandatory penalty imposed by the federal government to a risk-based assessment determined and issued by the health insurance provider.Submitted
7Version 1Barton (TX)RepublicanSECOND DEGREE Requires Medicaid expansion enrollees to be enrolled in Medicaid prior to December 31, 2017 in order to receive "grandfathered status." Additionally, it would end the enhanced federal matching rate for the Medicaid expansion population on January 1, 2023.Submitted
35Version 1Biggs (AZ)RepublicanAllows states to opt out of all requirements of the ACA and AHCASubmitted
36Version 1Biggs (AZ)RepublicanAuthorizes cross-state purchase of health insurance.Submitted
1Version 2Brooks (AL)RepublicanSUBSTITUTE Revised Repeals the Affordable Care Act and all regulations promulgated in conjuncture with the law effective December 31, 2018.Submitted
6Version 2DeSantis (FL)RepublicanRevised Prohibits Members of Congress from receiving FEHB employer contributions to their health insurance plans. Submitted
20Version 1Fitzpatrick (PA)RepublicanStrikes provision repealing the Remuneration for Certain Insurers, a $500,000 limit expense deduction for insurance executive compensation.Submitted
21Version 1Fitzpatrick (PA)RepublicanAmends the Sunset of Essential Health Benefits Requirement to keep mental health and substance use disorder services, including behavioral health treatment benefits. Submitted
22Version 1Fitzpatrick (PA)RepublicanStrikes Change in Permissible Age Variation in Health Insurance Premium Rates, the change from 3:1 to 5:1 ratio unless states adopt different ratios.Submitted
29Version 1Gibbs (OH)RepublicanEnsures the 30% continuous coverage penalty does not apply to healthcare sharing ministry members.Submitted
2Version 2Grothman (WI)RepublicanWithdrawn Changes the dependent age for extension of dependent care from 26 to 23. Withdrawn
19Version 1Grothman (WI)RepublicanEliminates the enhanced federal match rate for able-bodied adults without dependents beginning in 2019.Submitted
23Version 1Herrera-Beutler (WA), Costello (PA)RepublicanAmends the Medicaid cap for kids, puts all Medicaid kids in a single category, and exempts kids from block granting in states that choose to block grant their Medicaid program.Submitted
15Version 1King, Steve (IA)RepublicanSUBSTITUTE Repeal ObamaCare in its entirety, effective 1 year after the enactment of the American Health Care Act. Submitted
16Version 1King, Steve (IA)RepublicanEnables an eligible to individual to choose the full deductibility of health insurance premiums, as an alternative to the tax credits described under the American Health Care Act. Submitted
3Version 1Lipinski (IL)DemocratStrikes provision pertaining to health insurers' tax deductions for executive pay.Submitted
33Version 1MacArthur (NJ)RepublicanAllows states to waive essential health benefits, age rating, and community rating. Health insurers would not be allowed to deny coverage, discriminate based on gender or limit access based on preexisting conditions. States must explain how the waiver will reduce average premiums for patients, increase enrollment for residents, stabilize the state's health insurance market, stabilize premiums for individuals living with preexisting conditions, or increase patients' health care plan options.Considered as Adopted
27Version 3Palmer (AL)RepublicanRevised Establishes a federal invisible high risk pool to cover individuals with pre-existing conditions.Submitted
32Version 1Palmer (AL), Schweikert (AZ)RepublicanCreates a $15 billion risk sharing program to help states lower premiums for health coverage offered in the individual market. Considered as Adopted
26Version 1Perlmutter (CO)DemocratWithdrawn Requires healthcare providers to disclose their lowest price accepted as payment in full.Withdrawn
28Version 1Radewagen, Aumua Amata Coleman (AS), Gonz?lez-Col?n (PR)RepublicanMakes certain changes to how the territories are funded for Medicaid.Submitted
8Version 1Shea-Porter (NH)DemocratWithdrawn Ensures military parents can keep children up to age 26 on their Tricare plan. Withdrawn
9Version 1Shea-Porter (NH)DemocratWithdrawn Clarifies the determination of affordability of employer-sponsored minimum essential coverage for the purposes of advance premium tax credit eligibility.Withdrawn
34Version 1Upton (MI), Long (MO), Young, David (IA), Valadao (CA), Knight (CA), Denham (CA), McMorris Rodgers (WA), McSally (AZ)RepublicanIncreases the Patient and State Stability Fund by $8 billion from 2018 to 2023 to States with an approved community rating waiver, as established by the MacArthur Amendment, for providing assistance to reduce premiums or other out-of-pocket costs to individuals who may who may be subject to an increase in their monthly premium rates as a result of the States waiver. The amendment also resolves two minor technical drafting amendments, including the correction of an inaccurate cross-reference and to ensure proper labeling of subsections.Considered as Adopted
4Version 1Walden (OR), Brady, Kevin (TX)RepublicanMANAGER’S AMENDMENT Makes technical changes to conform with reconciliation instructions and address other drafting issues. Considered as Adopted
5Version 1Walden (OR), Brady, Kevin (TX)RepublicanMANAGER’S AMENDMENT Provides for the inclusion of additional policies affecting both Medicaid and the tax code. Considered as Adopted
24Version 1Walden (OR), Brady, Kevin (TX)RepublicanSECOND DEGREE Makes technical changes to amendment #4 to address drafting issues.Considered as Adopted
25Version 1Walden (OR)RepublicanSECOND DEGREE Makes technical corrections to amendment #5 to address drafting issues.Considered as Adopted
31Version 1Walden (OR), Brady, Kevin (TX)RepublicanSECOND DEGREE Delays the repeal of the additional .9 percent Medicare tax on high-income earners, require states to establish their own essential health benefits standards for purposes of the premium tax credit, and provide additional funding for the Patient and State Stability Fund for mental health and substance use disorders and maternity care.Considered as Adopted
30Version 1Webster (FL)RepublicanExempts Medicaid nursing home beds from Medicaid per capita spending caps created by the bill.Submitted