H.R. 1628—American Health Care Act of 2017
H.R. 1628 - American Health Care Act of 2017
Hearing Information
Meeting Information
Wednesday, March 22, 2017 - 10:00am H-313, The Capitol View Announcement »
Meeting Information
Thursday, April 6, 2017 - 12:20pm H-313, The Capitol View Announcement »
Meeting Information
Wednesday, May 3, 2017 - 8:30pm H-312, The Capitol View Announcement »
Video
Rules Committee Hearing H.R. 1628
Rules Committee Hearing H.R. 1628 -Part 2
Rules Committee Hearing H.R. 1628 - Friday
Bill Text
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 Amendment—Technical 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 Amendment—Policy 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. 115-52PDF
Report from the Committee on the Budget
Hearing Documents
Rule PDF
H. Rept. 115-58PDF
Rule II PDF
H. Rept. 115-88PDF
Rule III PDF
H. Rept. 115-109PDF
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 (click each header to sort table ▲▼ by that column)
| # | Version # | Sponsor(s) | Party | Summary | Status |
|---|---|---|---|---|---|
| 10 | Version 1 | Amodei (NV) | Republican | Exempts from the 30% coverage lapse surcharge those individuals who reside in counties with one or less insurance provider offering coverage. | Submitted |
| 17 | Version 1 | Amodei (NV) | Republican | Requires 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 |
| 18 | Version 1 | Amodei (NV) | Republican | Requires 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 |
| 11 | Version 1 | Babin (TX) | Republican | Allows 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 |
| 12 | Version 1 | Babin (TX) | Republican | Caps the expansion enrollment numbers at current enrollees as of December 31, 2017 and permits no additional higher match enrollees. | Submitted |
| 13 | Version 1 | Babin (TX) | Republican | Repeals the 5% bonus payment (Section 116) for Medicaid Expansion states. | Submitted |
| 14 | Version 1 | Babin (TX) | Republican | Changes 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 |
| 7 | Version 1 | Barton (TX) | Republican | SECOND 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 |
| 35 | Version 1 | Biggs (AZ) | Republican | Allows states to opt out of all requirements of the ACA and AHCA | Submitted |
| 36 | Version 1 | Biggs (AZ) | Republican | Authorizes cross-state purchase of health insurance. | Submitted |
| 1 | Version 2 | Brooks (AL) | Republican | SUBSTITUTE Revised Repeals the Affordable Care Act and all regulations promulgated in conjuncture with the law effective December 31, 2018. | Submitted |
| 6 | Version 2 | DeSantis (FL) | Republican | Revised Prohibits Members of Congress from receiving FEHB employer contributions to their health insurance plans. | Submitted |
| 20 | Version 1 | Fitzpatrick (PA) | Republican | Strikes provision repealing the Remuneration for Certain Insurers, a $500,000 limit expense deduction for insurance executive compensation. | Submitted |
| 21 | Version 1 | Fitzpatrick (PA) | Republican | Amends the Sunset of Essential Health Benefits Requirement to keep mental health and substance use disorder services, including behavioral health treatment benefits. | Submitted |
| 22 | Version 1 | Fitzpatrick (PA) | Republican | Strikes 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 |
| 29 | Version 1 | Gibbs (OH) | Republican | Ensures the 30% continuous coverage penalty does not apply to healthcare sharing ministry members. | Submitted |
| 2 | Version 2 | Grothman (WI) | Republican | Withdrawn Changes the dependent age for extension of dependent care from 26 to 23. | Withdrawn |
| 19 | Version 1 | Grothman (WI) | Republican | Eliminates the enhanced federal match rate for able-bodied adults without dependents beginning in 2019. | Submitted |
| 23 | Version 1 | Herrera-Beutler (WA), Costello (PA) | Republican | Amends 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 |
| 15 | Version 1 | King, Steve (IA) | Republican | SUBSTITUTE Repeal ObamaCare in its entirety, effective 1 year after the enactment of the American Health Care Act. | Submitted |
| 16 | Version 1 | King, Steve (IA) | Republican | Enables 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 |
| 3 | Version 1 | Lipinski (IL) | Democrat | Strikes provision pertaining to health insurers' tax deductions for executive pay. | Submitted |
| 33 | Version 1 | MacArthur (NJ) | Republican | 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. | Considered as Adopted |
| 27 | Version 3 | Palmer (AL) | Republican | Revised Establishes a federal invisible high risk pool to cover individuals with pre-existing conditions. | Submitted |
| 32 | Version 1 | Palmer (AL), Schweikert (AZ) | Republican | Creates a $15 billion risk sharing program to help states lower premiums for health coverage offered in the individual market. | Considered as Adopted |
| 26 | Version 1 | Perlmutter (CO) | Democrat | Withdrawn Requires healthcare providers to disclose their lowest price accepted as payment in full. | Withdrawn |
| 28 | Version 1 | Radewagen, Aumua Amata Coleman (AS), Gonz?lez-Col?n (PR) | Republican | Makes certain changes to how the territories are funded for Medicaid. | Submitted |
| 8 | Version 1 | Shea-Porter (NH) | Democrat | Withdrawn Ensures military parents can keep children up to age 26 on their Tricare plan. | Withdrawn |
| 9 | Version 1 | Shea-Porter (NH) | Democrat | Withdrawn Clarifies the determination of affordability of employer-sponsored minimum essential coverage for the purposes of advance premium tax credit eligibility. | Withdrawn |
| 34 | Version 1 | Upton (MI), Long (MO), Young, David (IA), Valadao (CA), Knight (CA), Denham (CA), McMorris Rodgers (WA), McSally (AZ) | Republican | 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. | Considered as Adopted |
| 4 | Version 1 | Walden (OR), Brady, Kevin (TX) | Republican | MANAGER’S AMENDMENT Makes technical changes to conform with reconciliation instructions and address other drafting issues. | Considered as Adopted |
| 5 | Version 1 | Walden (OR), Brady, Kevin (TX) | Republican | MANAGER’S AMENDMENT Provides for the inclusion of additional policies affecting both Medicaid and the tax code. | Considered as Adopted |
| 24 | Version 1 | Walden (OR), Brady, Kevin (TX) | Republican | SECOND DEGREE Makes technical changes to amendment #4 to address drafting issues. | Considered as Adopted |
| 25 | Version 1 | Walden (OR) | Republican | SECOND DEGREE Makes technical corrections to amendment #5 to address drafting issues. | Considered as Adopted |
| 31 | Version 1 | Walden (OR), Brady, Kevin (TX) | Republican | SECOND 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 |
| 30 | Version 1 | Webster (FL) | Republican | Exempts Medicaid nursing home beds from Medicaid per capita spending caps created by the bill. | Submitted |
Committee Votes
Rules Committee Record Vote No. 36
Motion by Mr. McGovern to adjourn until the committee recieves a revised CBO estimate. Defeated: 7-2
Rules Committee Record Vote No. 39
Motion by Mr. Polis to report an open rule. Defeated: 3-9
Rules Committee Record Vote No. 40
Motion by Mr. Cole to report the rule. Adopted: 9-3
Rules Committee Record Vote No. 46
Motion by Mr. Cole to reprot the rule. Adopted: 9-2
Rules Committee Record Vote No. 54
Motion by Mr. Hastings to make in order and provide the appropriate waivers for every amendment submitted to H.R. 1628 to the Rules Committee and provide 10 minutes of debate on each amendment. Defeated: 3-8
Rules Committee Record Vote No. 55
Motion by Mr. Cole to report the rule. Adopted: 8-3