Small Business Health Relief Act of 2013 - Repeals provisions of the Internal Revenue Code (IRC), as added by the Patient Protection and Affordable Care Act (PPACA), that: (1) impose fines on large employers (those with more than 50 full-time employees) who fail to offer their full-time employees the opportunity to enroll in minimum essential health insurance coverage, and (2) require such large employers to file a report with the Secretary of the Treasury on health insurance coverage provided to their full-time employees.
Repeals provisions of PPACA that: (1) set limits on the annual deductible on health plans offered in the small group market, (2) allow catastrophic plans to be offered in the individual market to individuals under the age of 30, and (3) impose an annual fee on health insurance entities.
Deems high deductible health plans to meet essential health benefits coverage requirements if the enrollee has established a health savings account.
Amends the Public Health Service Act, as amended by PPACA, to repeal the allowance of a premium rate variance by age in the individual or small group market.
Repeals restrictions on payments for medications from health savings accounts, medical savings accounts, and health flexible spending arrangements.
Repeals the limitation to $2,500 of annual salary reduction contributions by an employee to a health flexible spending arrangement under a cafeteria plan.
Allows a health plan to maintain its status as a grandfathered health plan regardless of any modification to the cost-sharing levels, employer contribution rates, or covered benefits. Requires the Secretary of Health and Human Services (HHS) to promulgate regulations to clarify the application of such allowance. Makes this allowance effective as if included in PPACA. Voids any regulations promulgated pursuant to current related provisions before enactment of this Act.
[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1558 Introduced in House (IH)]
113th CONGRESS
1st Session
H. R. 1558
To lower health premiums and increase choice for small businesses.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
April 15, 2013
Mr. Collins of New York introduced the following bill; which was
referred to the Committee on Energy and Commerce, and in addition to
the Committee on Ways and Means, for a period to be subsequently
determined by the Speaker, in each case for consideration of such
provisions as fall within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To lower health premiums and increase choice for small businesses.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) Short Title.--This Act may be cited as the ``Small Business
Health Relief Act of 2013''.
(b) Table of Contents.--The table of contents for this Act is as
follows:
Sec. 1. Short title; table of contents.
TITLE I--MAKING COVERAGE AFFORDABLE FOR SMALL BUSINESSES
Sec. 101. Protecting American jobs and wages.
Sec. 102. Increasing flexibility for small businesses.
Sec. 103. Increasing choices for Americans.
Sec. 104. Protecting patients from higher premiums.
Sec. 105. Ensuring affordable coverage.
TITLE II--INCREASING CONSUMER CONTROL
Sec. 201. Repeal of the restriction on over-the-counter medicines.
Sec. 202. Repeal of the annual cap.
TITLE III--ALLOWING INDIVIDUALS TO KEEP COVERAGE THEY LIKE
Sec. 301. Allowing individuals to keep the coverage they have if they
like it.
TITLE I--MAKING COVERAGE AFFORDABLE FOR SMALL BUSINESSES
SEC. 101. PROTECTING AMERICAN JOBS AND WAGES.
Sections 1513 and 1514 and subsections (e), (f), and (g) of section
10106 of the Patient Protection and Affordable Care Act (Public Law
111-148) and the amendments made by such sections and subsections are
repealed and the Internal Revenue Code of 1986 shall be applied and
administered as if such provisions and amendments had never been
enacted.
SEC. 102. INCREASING FLEXIBILITY FOR SMALL BUSINESSES.
Section 1302(c)(2) of the Patient Protection and Affordable Care
Act (Public Law 111-148; 42 U.S.C. 18022(c)(2)) is repealed.
SEC. 103. INCREASING CHOICES FOR AMERICANS.
(a) Qualified Health Plan Coverage Satisfied by High Deductible
Health Plan With Health Savings Account.--Section 1302(e) of the
Patient Protection and Affordable Care Act (42 U.S.C. 18022(e)) is
amended to read as follows:
``(e) High Deductible Health Plan With Health Savings Account.--A
health plan not providing a bronze, silver, gold, or platinum level of
coverage shall be treated as meeting the requirements of subsection (d)
with respect to any plan year for any enrollee if the plan meets the
requirements for a high deductible health plan under section 223(c)(2)
of the Internal Revenue Code of 1986 and such enrollee has established
a health savings account (as defined in section 223(d)(1) of such Code)
in relation to such plan.''.
(b) Conforming Amendments.--
(1) Subparagraph (C) of section 1312(d)(3) of the Patient
Protection and Affordable Care Act (42 U.S.C. 18032(d)(3)) is
amended by striking ``, except'' and all that follows through
``1302(e)(2)''.
(2) Subparagraph (A) of section 36B(c)(3) of the Internal
Revenue Code of 1986, as added by section 1401(a) of the
Patient Protection and Affordable Care Act (Public Law 111-148)
is amended by striking ``, except'' and all that follows
through ``such Act''.
(3) Subparagraph (B) of section 1334(c)(1) of the Patient
Protection and Affordable Care Act (42 U.S.C. 18054(c)(1)) is
amended by striking ``and catastrophic coverage''.
SEC. 104. PROTECTING PATIENTS FROM HIGHER PREMIUMS.
Section 9010 of the Patient Protection and Affordable Care Act
(Public Law 111-148), as amended by section 10905 of such Act, is
repealed.
SEC. 105. ENSURING AFFORDABLE COVERAGE.
Section 2701(a)(1)(A)(iii) of the Public Health Service Act (42
U.S.C. 300(a)(1)(A)(iii)), as added by section 1201 of the Patient
Protection and Affordable Care Act (Public Law 111-148), is amended by
striking ``, except'' and all that follows through ``2707(c))''.
TITLE II--INCREASING CONSUMER CONTROL
SEC. 201. REPEAL OF THE RESTRICTION ON OVER-THE-COUNTER MEDICINES.
Section 9003 of the Patient Protection and Affordable Care Act
(Public Law 111-148) and the amendments made by such section are
repealed; and the Internal Revenue Code of 1986 shall be applied as if
such section, and amendments, had never been enacted.
SEC. 202. REPEAL OF THE ANNUAL CAP.
Sections 9005 and 10902 of the Patient Protection and Affordable
Care Act (Public Law 111-148) and section 1403 of the Health Care and
Education Reconciliation Act of 2010 (Public Law 111-152) and the
amendments made by such sections are repealed.
TITLE III--ALLOWING INDIVIDUALS TO KEEP COVERAGE THEY LIKE
SEC. 301. ALLOWING INDIVIDUALS TO KEEP THE COVERAGE THEY HAVE IF THEY
LIKE IT.
(a) In General.--Section 1251(a)(2) of the Patient Protection and
Affordable Care Act (42 U.S.C. 18011) is amended--
(1) by striking ``Except as provided in paragraph (3),''
and inserting the following:
``(A) In general.--Except as provided in paragraphs
(3) and (4),''; and
(2) by adding at the end the following:
``(B) Protecting employers and consumers with
grandfathered coverage.--
``(i) In general.--A group health plan or
health insurance coverage in which an
individual is enrolled on or after March 23,
2010, but before any plan year beginning not
later than 1 year after the date of the
enactment of this subparagraph, and which is
deemed to be a grandfathered health plan under
this section, shall continue to be considered a
grandfathered health plan with respect to such
individual regardless of any modification to
the cost-sharing levels, employer contribution
rates, or covered benefits under such plan or
coverage as otherwise permitted under this Act
(and the amendments made by this Act).
``(ii) Regulations.--The Secretary shall
promulgate regulations to clarify the
application of clause (i) to a plan or coverage
that continues to be a grandfathered health
plan pursuant to such clause.''.
(b) Effective Date; Previously Promulgated Regulations Voided.--
(1) Effective date.--The amendments made by this section
shall take effect as if included in the enactment of the
Patient Protection and Affordable Care Act.
(2) Previously promulgated regulations voided.--Any
regulations relating to section 1251(a)(2) of such Act
promulgated before the date of the enactment of this Act shall
have no force or effect.
<all>
Introduced in House
Introduced in House
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Subcommittee on Health.
Referred to the Subcommittee on Health.
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