Puerto Rico Health Insurance Fairness Act of 2016

Puerto Rico Health Insurance Fairness Act of 2016

This bill amends the Patient Protection and Affordable Care Act to exempt health insurers in jurisdictions where premium subsidies and cost-sharing reductions are not available from the annual fee on health insurers. Currently, premium subsidies and cost-sharing reductions are not available in U.S. territories. The bill reduces the total amount to be collected annually from health insurers by the amount that would have been collected from those jurisdictions.

[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6027 Introduced in House (IH)]

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114th CONGRESS
  2d Session
                                H. R. 6027

To amend section 9010 of the Patient Protection and Affordable Care Act 
         to provide health insurance fairness for Puerto Rico.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           September 14, 2016

 Mr. Murphy of Florida (for himself and Mr. Pierluisi) introduced the 
following bill; which was referred to the Committee on Ways and Means, 
 and in addition to the Committee on Energy and Commerce, 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 amend section 9010 of the Patient Protection and Affordable Care Act 
         to provide health insurance fairness for Puerto Rico.

    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 ``Puerto Rico Health Insurance 
Fairness Act of 2016''.

SEC. 2. HEALTH INSURANCE TAX COVERED ENTITIES.

    (a) Exclusions From Covered Entity Definition.--Section 9010(c)(2) 
of the Patient Protection and Affordable Care Act (Public Law 111-148) 
is amended--
            (1) in subparagraph (D), by striking the period at the end 
        and inserting ``, or''; and
            (2) by adding at the end the following new subparagraph:
                    ``(E) notwithstanding subsection (h), beginning in 
                2018, any entity within a jurisdiction that is not 
                receiving premium tax credits and cost-sharing 
                reductions under sections 1401 and 1402 of this Act.''.
    (b) Corresponding Reduction in Collections.--Section 9010(e) of the 
Patient Protection and Affordable Care Act (Public Law 111-148) is 
amended--
            (1) by redesignating paragraph (2) as paragraph (3); and
            (2) by adding after paragraph (1) the following:
            ``(2) Adjustments to applicable amount.--Beginning in 2018, 
        the Secretary shall reduce the applicable amount by a figure 
        equal to the fees that otherwise would have been collected from 
        entities within any jurisdiction that is not receiving premium 
        tax credits and cost-sharing reductions under sections 1401 and 
        1402 of this Act.''.
    (c) Effective Date.--The amendments made by this Act shall take 
effect as if included in section 9010 of the Patient Protection and 
Affordable Care Act (Public Law 111-148).
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