H.R. 3799 - CHOICE Arrangement Act

Bill Text

    Rules Committee Print 118-9 PDF XML

    Showing the texts of H.R. 3799 and H.R. 3798, as reported, and H.R. 2868 and H.R. 2813, as ordered reported.

    H.R. 3799 - CHOICE Arrangement Act (as reported) PDF XML

    H. Rept. 118-107 - Report from the Committee on Ways and Means to accompany H.R. 3799 PDF

    Comparative Print showing the difference between H.R. 3799 (as reported) and Rules Committee Print 118-9 PDF

    H.R. 3798 - Small Business Flexibility Act (as reported) PDF XML

    H. Rept. 118-106 - Report from the Committee on Ways and Means to accompany H.R. 3798 PDF

    Comparative Print showing the difference between H.R. 3798 (as reported) and Rules Committee Print 118-9 PDF

    H.R. 2868 - Association Health Plans Act (as reported) PDF XML

    H. Rept. 118-112 - Report from the Committee on Education and the Workforce to accompany H.R. 2868 PDF

    Comparative Print showing the difference between H.R. 2868 (as ordered reported) and Rules Committee Print 118-9 PDF

    H.R. 2813 - Self-Insurance Protection Act (as reported) PDF XML

    H. Rept. 118-114, Part I - Report from the Committee on Education and the Workforce to accompany H.R. 2813 PDF

    Comparative Print showing the difference between H.R. 2813 (as ordered reported) and Rules Committee Print 118-9 PDF

Rule Information

COMMITTEE ACTION:
REPORTED BY A RECORD VOTE of 9-4 on Tuesday, June 20, 2023.

FLOOR ACTION ON H. RES. 524:
Agreed to by a record vote of 215-211, after agreeing to the previous question by a record vote of 215-207, on June 21, 2023.

MANAGERS: Burgess/McGovern

1.

Structured rule for H.R. 3564.

2.

Waives all points of order against consideration of the bill.

3.

Provides one hour of general debate equally divided and controlled by the chair and ranking minority member of the Committee on Financial Services or their respective designees.

4.

Provides that an amendment in the nature of a substitute consisting of the text of Rules Committee Print 118-8 as modified by the amendment printed in part A of the Rules Committee report, shall be considered as adopted and the bill, as amended, shall be considered as read.

5.

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

6.

Further makes in order only those amendments printed in part B of the Rules Committee report. Each amendment made in order may be offered only in the order printed in the report, may be offered only by a Member designated in the report, shall be considered as read, shall be debatable for the time specified in the report equally divided and controlled by the proponent and an opponent, shall not be subject to amendment, and shall not be subject to a demand for division of the question in the House or in the Committee of the Whole.

7.

Waives all points of order against the amendments printed in part B of the report.

8.

Provides one motion to recommit.

9.

Structured rule for H.R. 3799.

10.

Waives all points of order against consideration of the bill.

11.

Provides eighty minutes of general debate equally divided and controlled by the chair and ranking minority member of the Committees on Education and the Workforce or their respective designees and Ways and Means or their respective designees.

12.

Provides that an amendment in the nature of a substitute consisting of the text of Rules Committee Print 118-9 as modified by the amendment printed in part C of the Rules Committee report, shall be considered as adopted and the bill, as amended, shall be considered as read.

13.

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

14.

Further makes in order only those amendments printed in part D of the Rules Committee report. Each amendment made in order may be offered only in the order printed in the report, may be offered only by a Member designated in the report, shall be considered as read, shall be debatable for the time specified in the report equally divided and controlled by the proponent and an opponent, shall not be subject to amendment, and shall not be subject to a demand for division of the question in the House or in the Committee of the Whole.

15.

Waives all points of order against the amendments printed in part D of the report.

16.

Provides one motion to recommit.

17.

Closed rule for H. Res. 461.

18.

Provides that upon adoption of this resolution it shall be in order without intervention of any point of order to consider H. Res. 461.

19.

Provides that the amendments to the resolution and the preamble recommended by the Committee on Education and the Workforce now printed in the bill shall be considered as adopted and the resolution, as amended, shall be considered as read.

20.

Provides one hour of general debate equally divided and controlled by the chair and ranking minority member of the Committee on Education and the Workforce or their respective designees.

Amendments (click headers to sort)

#Version #Sponsor(s)PartySummaryStatus
1Version 1Rose (TN), Carter (GA), Harshbarger (TN)RepublicanAdds to the findings section that pharmacy benefit managers are mostly bad actors who utilize predatory direct and indirect remuneration (DIR) fees in a blatant attempt to put community pharmacies out of business.Submitted
2Version 1Norcross (NJ)DemocratRequires association health plans to cover mental health and substance use disorder services, including behavioral health treatment.Submitted
3Version 1Landsman (OH)DemocratInserts the text of the "Making Insulin Affordable for All Children Act", capping insulin costs at $35 per month for individuals under 26 years of age.Submitted
4Version 1Doggett (TX)DemocratTo clarify coverage purchased with Individual Coverage Health Reimbursement Arrangements must meet the coverage requirements, including for pre-existing conditions, of the Public Health Service Act. The amendment would also prohibit employers from discriminating against any class of employees in offers of such arrangements.Submitted
5Version 1Jayapal (WA)DemocratRequires that Association Health Plans cover maternity and newborn care.Submitted
6Version 1Hayes (CT)DemocratDelays implementation of bill until Secretary of Labor certifies that legislation would not result in higher premium rates for older workers.Made in Order
7Version 1Courtney (CT)DemocratStrikes the provision of Title III – the Self-Insurance Protection Act that prohibits states from regulating stop loss insurance.Submitted
8Version 1Smith (MO)RepublicanMANAGER’S AMENDMENT Rescinds $245 million from the Prevention and Public Health Fund in fiscal year 2024.Considered as Adopted
9Version 1Turner (OH), Kildee (MI)Bi-PartisanReauthorizes the Health Coverage Tax Credit through 2027.Submitted
10Version 2Frankel (FL)DemocratRevised Requires that Association Health Plans cover abortions.Revised
11Version 1Molinaro (NY)RepublicanEnsures that the Secretary notifies employers of the availability of tax-advantaged flexible health insurance benefits, with an official focus on small businesses, particularly in rural areas.Made in Order
12Version 1McGovern (MA)DemocratPrevents offer of individual coverage Heath Reimbursement Arrangement from excluding an employee from marketplace subsidies.Submitted
13Version 2Roy (TX)RepublicanLate Withdrawn To allow individuals participating in healthcare-sharing ministries to be reimbursed through health reimbursement arrangements.Withdrawn
14Version 2Roy (TX)RepublicanLate Withdrawn Allows individuals who participate in direct medical care models to have direct medical care costs reimbursed through health reimbursement arrangements.Withdrawn
15Version 3Roy (TX)RepublicanLate Revised Expresses the sense of Congress that healthcare freedom is the future of healthcare.Made in Order
16Version 1Cohen (TN)DemocratLate Require any association health plan under the bill to cover essential health benefits.Submitted

Committee Votes

Rules Committee Record Vote No. 66

Motion by Mr. McGovern to amend the rule to make in order amendment #12 to H.R. 3799, offered by Representative McGovern, which prevents offer of individual coverage Heath Reimbursement Arrangement from excluding an employee from marketplace subsidies. Defeated: 4-9

Majority Member
Vote
Mr. Burgess
Nay
Mr. Reschenthaler
Nay
Mrs. Fischbach
Nay
Mr. Massie
Nay
Mr. Norman
Nay
Mr. Roy
Nay
Mrs. Houchin
Nay
Mr. Langworthy
Nay
Mr. Cole, Chairman
Nay
Minority Member
Vote
Mr. McGovern
Yea
Ms. Scanlon
Yea
Mr. Neguse
Yea
Ms. Leger Fernández
Yea
Rules Committee Record Vote No. 67

Motion by Ms. Scanlon to amend the rule to make in order amendment #4 to H.R. 3799, offered by Representative Doggett, which clarifies coverage purchased with Individual Coverage Health Reimbursement Arrangements must meet the coverage requirements, including for pre-existing conditions, of the Public Health Service Act. The amendment would also prohibit employers from discriminating against any class of employees in offers of such arrangements. Defeated: 4–9

Majority Member
Vote
Mr. Burgess
Nay
Mr. Reschenthaler
Nay
Mrs. Fischbach
Nay
Mr. Massie
Nay
Mr. Norman
Nay
Mr. Roy
Nay
Mrs. Houchin
Nay
Mr. Langworthy
Nay
Mr. Cole, Chairman
Nay
Minority Member
Vote
Mr. McGovern
Yea
Ms. Scanlon
Yea
Mr. Neguse
Yea
Ms. Leger Fernández
Yea
Rules Committee Record Vote No. 68

Motion by Ms. Leger Fernández to amend the rule to make in order amendment #5 to H.R. 3799, offered by Representative Jayapal, which requires that Association Health Plans cover maternity and newborn care. Defeated: 4–9

Majority Member
Vote
Mr. Burgess
Nay
Mr. Reschenthaler
Nay
Mrs. Fischbach
Nay
Mr. Massie
Nay
Mr. Norman
Nay
Mr. Roy
Nay
Mrs. Houchin
Nay
Mr. Langworthy
Nay
Mr. Cole, Chairman
Nay
Minority Member
Vote
Mr. McGovern
Yea
Ms. Scanlon
Yea
Mr. Neguse
Yea
Ms. Leger Fernández
Yea
Rules Committee Record Vote No. 69

Motion by Mr. Burgess to report the rule. Adopted: 9–4

Majority Member
Vote
Mr. Burgess
Yea
Mr. Reschenthaler
Yea
Mrs. Fischbach
Yea
Mr. Massie
Yea
Mr. Norman
Yea
Mr. Roy
Yea
Mrs. Houchin
Yea
Mr. Langworthy
Yea
Mr. Cole, Chairman
Yea
Minority Member
Vote
Mr. McGovern
Nay
Ms. Scanlon
Nay
Mr. Neguse
Nay
Ms. Leger Fernández
Nay