Assuring Coverage for Americans with Pre-existing Conditions Act of 2009 - Requires the Secretary of Health and Human Services (HHS) to provide to each state an amount equal to 50% of the state's expenditures to provide for the use of a high-risk pool, reinsurance pool, or other risk-adjustment mechanism to subsidize the purchase of private health insurance for the high-risk population (not to exceed 50 cents multiplied by the average number of state residents in a fiscal year).
[Congressional Bills 111th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3741 Introduced in House (IH)]
111th CONGRESS
1st Session
H. R. 3741
To provide Federal matching funding for State insurance expenditures
for high-risk pools.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
October 7, 2009
Mr. Hoekstra introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To provide Federal matching funding for State insurance expenditures
for high-risk pools.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Assuring Coverage for Americans with
Pre-existing Conditions Act of 2009''.
SEC. 2. FEDERAL MATCHING FUNDING FOR STATE INSURANCE EXPENDITURES.
(a) In General.--Subject to the succeeding provisions of this
section, each State shall receive from the Secretary of Health and
Human Services an amount equal to 50 percent of the funds expended by
the State in providing for the use, in connection with providing health
benefits coverage, of a high-risk pool, a reinsurance pool, or other
risk-adjustment mechanism used for the purpose of subsidizing the
purchase of private health insurance.
(b) Funding Limitation.--A State shall not receive under this
section for a fiscal year more than a total of 50 cents multiplied by
the average number of residents (as estimated by the Secretary) in the
State in the fiscal year.
(c) Administration.--The Secretary of Health and Human Services
shall provide for the administration of this section and may establish
such terms and conditions, including the requirement of an application,
as may be appropriate to carry out this section.
(d) Construction.--Nothing in this section shall be construed as
requiring a State to operate a reinsurance pool (or other risk-
adjustment mechanism) under this section or as preventing a State from
operating such a pool or mechanism through one or more private
entities.
(e) High-Risk Pool.--For purposes of this section, the term ``high-
risk pool'' means any qualified high risk pool (as defined in section
2744(c)(2) of the Public Health Service Act).
(f) Reinsurance Pool or Other Risk-Adjustment Mechanism Defined.--
For purposes of this section, the term ``reinsurance pool or other
risk-adjustment mechanism'' means any State-based risk spreading
mechanism to subsidize the purchase of private health insurance for the
high-risk population.
(g) High-Risk Population.--For purposes of this section, the term
``high-risk population'' means--
(1) individuals who, by reason of the existence or history
of a medical condition, are able to acquire health coverage
only at rates which are at least 150 percent of the standard
risk rates for such coverage, and
(2) individuals who are provided health coverage by a high-
risk pool.
(h) State Defined.--For purposes of this section, the term
``State'' includes the District of Columbia, Puerto Rico, the Virgin
Islands, Guam, American Samoa, and the Northern Mariana Islands.
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Introduced in House
Introduced in House
Referred to the House Committee on Energy and Commerce.
Referred to the Subcommittee on Health.
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