A bill to repeal provisions of the Patient Protection and Affordable Care Act and provide private health insurance reform, and for other purposes.
USA115th CongressS-222| Senate
| Updated: 1/24/2017
Rand Paul
Republican Senator
Kentucky
Cosponsors (1)
Finance Committee
- Introduced
- In Committee
- On Floor
- Passed Chamber
- Enacted
Obamacare Replacement Act This bill amends the Internal Revenue Code, the Public Health Service Act, the Employee Retirement Income Security Act of 1974 (ERISA), and the Social Security Act to repeal certain provisions regarding health insurance, including: the requirement for individuals to maintain minimum essential coverage, limitations on insurers varying premiums by age or health status, requirements for health insurance to cover preexisting conditions and the essential health benefits, and the prohibition on lifetime or annual limits on benefits. The bill allows a refundable tax credit for a percentage of health insurance premiums and a tax credit for health savings account (HSA) contributions. The bill eliminates HSA contribution limits and allows all individuals to make contributions to HSAs. HSAs may be used to pay for over-the-counter medications and health insurance in addition to currently allowed medical expenses. The tax deduction for medical care is expanded to include exercise equipment, exercise or health instruction, gym memberships, nutritional supplements, and periodic, pre-paid, or capitated primary care fees. Physicians may deduct uncompensated and charity care. The bill provides for the establishment and governance of: (1) independent health pools, which are entities that form risk pools to offer health insurance coverage to their members; and (2) association health plans, which are group health plans sponsored by business associations. Individual health insurance coverage is governed by the laws of a state designated by the health insurance issuer. The Centers for Medicare and Medicaid Services must (currently, may) waive Medicaid requirements to enable states to carry out experimental, pilot, or demonstration projects. The bill exempts health care professionals from federal and state antitrust laws in connection with negotiations with a health plan to provide health care items or services. Stop-loss insurance obtained by certain health plans or plan sponsors is exempt from requirements for health insurance.
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Timeline
Introduced in Senate
Read twice and referred to the Committee on Finance.
Health
Accounting and auditingAdministrative law and regulatory proceduresAdministrative remediesAdvisory bodiesBank accounts, deposits, capitalBankruptcyChild healthCompetition and antitrustCongressional oversightContracts and agencyDepartment of LaborEmployee benefits and pensionsEmployment taxesFederal preemptionFraud offenses and financial crimesGovernment information and archivesHealth care costs and insuranceHealth care coverage and accessHealth personnelIncome tax creditsIncome tax deductionsInsurance industry and regulationIntergovernmental relationsLicensing and registrationsMedicaidMedicareNutrition and dietPhysical fitness and lifestylePrescription drugsSales and excise taxesSmall businessSocial work, volunteer service, charitable organizationsSports and recreation facilitiesState and local government operationsState and local taxationTax administration and collection, taxpayersUser charges and fees
A bill to repeal provisions of the Patient Protection and Affordable Care Act and provide private health insurance reform, and for other purposes.
USA115th CongressS-222| Senate
| Updated: 1/24/2017
Obamacare Replacement Act This bill amends the Internal Revenue Code, the Public Health Service Act, the Employee Retirement Income Security Act of 1974 (ERISA), and the Social Security Act to repeal certain provisions regarding health insurance, including: the requirement for individuals to maintain minimum essential coverage, limitations on insurers varying premiums by age or health status, requirements for health insurance to cover preexisting conditions and the essential health benefits, and the prohibition on lifetime or annual limits on benefits. The bill allows a refundable tax credit for a percentage of health insurance premiums and a tax credit for health savings account (HSA) contributions. The bill eliminates HSA contribution limits and allows all individuals to make contributions to HSAs. HSAs may be used to pay for over-the-counter medications and health insurance in addition to currently allowed medical expenses. The tax deduction for medical care is expanded to include exercise equipment, exercise or health instruction, gym memberships, nutritional supplements, and periodic, pre-paid, or capitated primary care fees. Physicians may deduct uncompensated and charity care. The bill provides for the establishment and governance of: (1) independent health pools, which are entities that form risk pools to offer health insurance coverage to their members; and (2) association health plans, which are group health plans sponsored by business associations. Individual health insurance coverage is governed by the laws of a state designated by the health insurance issuer. The Centers for Medicare and Medicaid Services must (currently, may) waive Medicaid requirements to enable states to carry out experimental, pilot, or demonstration projects. The bill exempts health care professionals from federal and state antitrust laws in connection with negotiations with a health plan to provide health care items or services. Stop-loss insurance obtained by certain health plans or plan sponsors is exempt from requirements for health insurance.
View Full TextSuggested Questions
Get AI-generated questions to help you understand this bill better
Timeline
Introduced in Senate
Read twice and referred to the Committee on Finance.
Rand Paul
Republican Senator
Kentucky
Cosponsors (1)
Finance Committee
Health
Related Bills
- HR 115-3278: To amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage.
- HR 115-1101: Small Business Health Fairness Act of 2017
- HR 115-314: To repeal title I of the Patient Protection and Affordable Care Act and to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce.
- HR 115-143: To prohibit anticompetitive activities and to provide that health insurance issuers and medical malpractice insurance issuers are subject to the antitrust laws of the United States, and for other purposes.
- HR 115-372: Competitive Health Insurance Reform Act of 2017
- HR 115-1304: Self-Insurance Protection Act
- S 115-1516: A bill to expand health care choices by allowing Americans to buy health care coverage across State lines.
- HR 115-1072: To repeal provisions of the Patient Protection and Affordable Care Act and provide private health insurance reform, and for other purposes.
- Introduced
- In Committee
- On Floor
- Passed Chamber
- Enacted
Accounting and auditingAdministrative law and regulatory proceduresAdministrative remediesAdvisory bodiesBank accounts, deposits, capitalBankruptcyChild healthCompetition and antitrustCongressional oversightContracts and agencyDepartment of LaborEmployee benefits and pensionsEmployment taxesFederal preemptionFraud offenses and financial crimesGovernment information and archivesHealth care costs and insuranceHealth care coverage and accessHealth personnelIncome tax creditsIncome tax deductionsInsurance industry and regulationIntergovernmental relationsLicensing and registrationsMedicaidMedicareNutrition and dietPhysical fitness and lifestylePrescription drugsSales and excise taxesSmall businessSocial work, volunteer service, charitable organizationsSports and recreation facilitiesState and local government operationsState and local taxationTax administration and collection, taxpayersUser charges and fees