69–008 

115TH CONGRESS REPORT " ! HOUSE OF REPRESENTATIVES 1st Session 115–88 

PROVIDING FOR FURTHER CONSIDERATION OF THE BILL (H.R. 1628) TO 

PROVIDE FOR RECONCILIATION PURSUANT TO TITLE II OF THE CONCURRENT RESOLUTION ON THE BUDGET FOR FISCAL YEAR 2017 

APRIL 6, 2017.—Referred to the House Calendar and ordered to be printed 

Mr. SESSIONS, from the Committee on Rules, 

submitted the following 

R E P O R T 

[To accompany H. Res. 254] 

The Committee on Rules, having had under consideration House 

Resolution 254, by a record vote of 9 to 2, report the same to the 

House with the recommendation that the resolution be adopted. 

SUMMARY OF PROVISIONS OF THE RESOLUTION

The resolution provides for further consideration of H.R. 1628, 

the American Health Care Act of 2017. The resolution provides 

that the further amendment printed in this report shall be considered as adopted. 

COMMITTEE VOTES

The results of each record vote on an amendment or motion to 

report, together with the names of those voting for and against, are 

printed below: 

Rules Committee record vote No. 46 

Motion by Mr. Cole to report the rule. Adopted: 9–2 

Majority Members Vote Minority Members Vote 

Mr. Cole ............................................................ Yea Ms. Slaughter .................................................. ...................

Mr. Woodall ...................................................... Yea Mr. McGovern ................................................... Nay 

Mr. Burgess ...................................................... Yea Mr. Hastings of Florida ................................... Nay 

Mr. Collins ........................................................ Yea Mr. Polis ........................................................... ...................

Mr. Byrne .......................................................... Yea 

Mr. Newhouse ................................................... Yea 

Mr. Buck ........................................................... Yea 

Ms. Cheney ....................................................... Yea 

Mr. Sessions, Chairman ................................... Yea 


SSpencer on DSK4SPTVN1PROD with REPORTS
2 

SUMMARY OF THE AMENDMENT CONSIDERED AS ADOPTED

1. Palmer (AL), Schweikert (AZ): Creates a $15 billion risk sharing program to help states lower premiums for health coverage offered in the individual market. 

TEXT OF AMENDMENT CONSIDERED AS ADOPTED

In the section 2204(c)(2)(B) proposed to be added to the Social Security Act by section 132, strike ‘‘to carry out the purpose described 

in section 2202(2) in such States by providing payments to appropriate entities described in such section with respect to claims that 

exceed $1,000,000’’ and insert ‘‘to carry out the Federal Invisible 

Risk Sharing Program in such States under section 2205’’. 

In title XXII of the Social Security Act, as added by section 132, 

add at the end the following: 

‘‘SEC. 2205. FEDERAL INVISIBLE RISK SHARING PROGRAM. 

‘‘(a) IN GENERAL.—There is established within the Patient and 

State Stability Fund a Federal Invisible Risk Sharing Program (in 

this section referred to as the ‘Program’), to be administered by the 

Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services (in 

this section referred to as the ‘Administrator’), to provide payments 

to health insurance issuers with respect to claims for eligible individuals for the purpose of lowering premiums for health insurance 

coverage offered in the individual market. 

‘‘(b) FUNDING.— 

‘‘(1) APPROPRIATION.—For the purpose of providing funding 

for the Program there is appropriated, out of any money in the 

Treasury not otherwise appropriated, $15,000,000,000 for the 

period beginning on January 1, 2018, and ending on December 

31, 2026. 

‘‘(2) USE OF UNALLOCATED FUNDS.—Funds provided under 

section 2204(c)(2)(B) to carry out this section are in addition to 

the amount appropriated under paragraph (1). 

‘‘(c) OPERATION OF PROGRAM.— 

‘‘(1) IN GENERAL.—The Administrator shall establish, after 

consultation with health care consumers, health insurance 

issuers, State insurance commissioners, and other stakeholders 

and after taking into consideration high cost health conditions 

and other health trends that generate high cost, parameters 

for the operation of the Program consistent with this section 

and consistent with the same limitation on payment with respect to health insurance coverage that applies to payment 

with respect health benefits coverage under section 2105(c)(7). 

‘‘(2) DEADLINE FOR INITIAL OPERATION.—Not later than 60 

days after the date of the enactment of this title, the Administrator shall establish sufficient parameters to specify how the 

Program will operate for plan year 2018. 

‘‘(3) STATE OPERATION OF PROGRAM.—The Administrator 

shall establish a process for a State to operate the Program in 

such State beginning with plan year 2020. 

‘‘(d) DETAILS OF PROGRAM.—The parameters for the Program 

shall include the following: 


SSpencer on DSK4SPTVN1PROD with REPORTS
3 

‘‘(1) ELIGIBLE INDIVIDUALS.—A definition for eligible individuals. 

‘‘(2) HEALTH STATUS STATEMENTS.—The development and use 

of health status statements with respect to such individuals. 

‘‘(3) STANDARDS FOR QUALIFICATION.— ‘‘(A) AUTOMATIC QUALIFICATION.—The identification of 

health conditions that automatically qualify individuals as 

eligible individuals at the time of application for health insurance coverage. 

‘‘(B) VOLUNTARY QUALIFICATION.—A process under which 

health insurance issuers may voluntarily qualify individuals, who do not automatically qualify under subparagraph (A), as eligible individuals at the time of application 

for such coverage. 

‘‘(4) PERCENTAGE OF INSURANCE PREMIUMS TO BE APPLIED.— 

The percentage of the premiums paid, to health insurance 

issuers for health insurance coverage by eligible individuals, 

that shall be collected and deposited to the credit (and available for the use) of the Program. 

‘‘(5) ATTACHMENT DOLLAR AMOUNT AND PAYMENT PROPOR- TION.—The dollar amount of claims for eligible individuals 

after which the Program will provide payments to health insurance issuers and the proportion of such claims above such 

dollar amount that the Program will pay.’’. 

Æ 


SSpencer on DSK4SPTVN1PROD with REPORTS