To amend the Patient Protection and Affordable Care Act to redirect user fees assessed of health insurance issuers on Federal Exchanges, and for other purposes.

This bill amends the Patient Protection and Affordable Care Act to require the Department of Health and Human Services to deposit monthly in the Treasury $1.50 for each individual enrolled in health insurance coverage though a federally operated health insurance exchange.

The user fee charged to health insurers by federally operated health insurance exchanges may not exceed a specified percentage of a plan's premiums.

[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6514 Introduced in House (IH)]

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114th CONGRESS
  2d Session
                                H. R. 6514

  To amend the Patient Protection and Affordable Care Act to redirect 
 user fees assessed of health insurance issuers on Federal Exchanges, 
                        and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            December 8, 2016

  Mr. Lance introduced the following bill; which was referred to the 
                    Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
  To amend the Patient Protection and Affordable Care Act to redirect 
 user fees assessed of health insurance issuers on Federal Exchanges, 
                        and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. REDIRECTING USER FEES ASSESSED OF HEALTH INSURANCE ISSUERS 
              ON FEDERAL EXCHANGES.

    (a) Transfer of Funds.--Section 1341 of the Patient Protection and 
Affordable Care Act (42 U.S.C. 18061) is amended by adding at the end 
the following new subsection:
    ``(e) Transfer of Funds.--
            ``(1) In general.--With respect to each month of plan year 
        2018 and of each plan year thereafter, the Secretary shall 
        deposit into the general fund of the Treasury of the United 
        States the amount described in paragraph (2).
            ``(2) Amount of deposit.--The amount described in this 
        paragraph, with respect to a month described in paragraph (1), 
        is an amount that is equal to $1.50 multiplied by the number of 
        individuals that, with respect to the month prior to such 
        month, were enrolled in health insurance coverage through an 
        Exchange established and operated by the Secretary under 
        section 1321 (including an Exchange established and operated by 
        the Secretary in conjunction with a State, commonly known as a 
        `hybrid' Exchange).
            ``(3) Timing of deposit.--With respect to each deposit that 
        the Secretary makes pursuant to paragraph (1) with respect to a 
        month, the Secretary shall make such deposit not later than 60 
        days after the date on which the applicable reinsurance entity 
        described in subsection (b)(1)(A) collects payments with 
        respect to such month from health insurance issuers described 
        in such subsection pursuant to such subsection.''.
    (b) Cap on Federal Exchange User Fees.--Section 1311(d)(5) of the 
Patient Protection and Affordable Care Act (42 U.S.C. 18031(d)(5)) is 
amended by adding at the end the following new subparagraph:
                    ``(C) Cap on federal exchange user fees.--In the 
                case that an Exchange established and operated by the 
                Secretary under section 1321 (including an Exchange 
                established and operated by the Secretary in 
                conjunction with a State, commonly known as a `hybrid' 
                Exchange) charges user fees to a participating health 
                insurance issuer, such user fees charged to such issuer 
                may not exceed a monthly rate that is equal to 3.5 
                percent of the monthly premium for each plan offered by 
                the issuer on the Exchange.''.
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