Legis Daily

Premium Reduction Act of 2019

USA116th CongressS-1868| Senate 
| Updated: 6/13/2019
Susan M. Collins

Susan M. Collins

Republican Senator

Maine

Cosponsors (2)
Joe Manchin (Independent)Josh Hawley (Republican)

Finance Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Premium Reduction Act of 2019 This bill provides funding for grants for states to establish invisible high-risk pool and reinsurance programs through applications for state innovation waivers from certain health insurance coverage requirements. A reinsurance program generally permits health insurance issuers to transfer a portion of the cost of the coverage for enrollees with large claims to the state, thus facilitating the enrollment of higher-risk individuals, including those with preexisting conditions. Similarly, an invisible high-risk pool generally identifies and enrolls higher-risk individuals and the state program pays a percentage of any insurance claims of such enrollees that exceed a predetermined amount. In states that do not establish such programs, the Department of Health and Human Services (HHS) must make market stabilization payments to health insurance issuers. The bill further directs HHS to expedite the review of state innovation waiver applications that include a high-risk pool or reinsurance program. States may model a waiver application on the application of a state that has an approved waiver for such a program.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Jun 13, 2019
Introduced in Senate
Jun 13, 2019
Read twice and referred to the Committee on Finance.
  • June 13, 2019
    Introduced in Senate


  • June 13, 2019
    Read twice and referred to the Committee on Finance.

Health

AppropriationsHealth care costs and insuranceHealth care coverage and accessHealth programs administration and fundingInsurance industry and regulationState and local government operations

Premium Reduction Act of 2019

USA116th CongressS-1868| Senate 
| Updated: 6/13/2019
Premium Reduction Act of 2019 This bill provides funding for grants for states to establish invisible high-risk pool and reinsurance programs through applications for state innovation waivers from certain health insurance coverage requirements. A reinsurance program generally permits health insurance issuers to transfer a portion of the cost of the coverage for enrollees with large claims to the state, thus facilitating the enrollment of higher-risk individuals, including those with preexisting conditions. Similarly, an invisible high-risk pool generally identifies and enrolls higher-risk individuals and the state program pays a percentage of any insurance claims of such enrollees that exceed a predetermined amount. In states that do not establish such programs, the Department of Health and Human Services (HHS) must make market stabilization payments to health insurance issuers. The bill further directs HHS to expedite the review of state innovation waiver applications that include a high-risk pool or reinsurance program. States may model a waiver application on the application of a state that has an approved waiver for such a program.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Jun 13, 2019
Introduced in Senate
Jun 13, 2019
Read twice and referred to the Committee on Finance.
  • June 13, 2019
    Introduced in Senate


  • June 13, 2019
    Read twice and referred to the Committee on Finance.
Susan M. Collins

Susan M. Collins

Republican Senator

Maine

Cosponsors (2)
Joe Manchin (Independent)Josh Hawley (Republican)

Finance Committee

Health

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
AppropriationsHealth care costs and insuranceHealth care coverage and accessHealth programs administration and fundingInsurance industry and regulationState and local government operations