[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
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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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