I 

113TH CONGRESS 

1ST SESSION H. R. 1558 

To lower health premiums and increase choice for small businesses. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 15, 2013 

Mr. COLLINS of New York introduced the following bill; which was referred 

to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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 lower health premiums and increase choice for small 

businesses. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 

4 (a) SHORT TITLE.—This Act may be cited as the 

5 ‘‘Small Business Health Relief Act of 2013’’. 

6 (b) TABLE OF CONTENTS.—The table of contents for 

7 this Act is as follows: 

Sec. 1. Short title; table of contents. 

TITLE I—MAKING COVERAGE AFFORDABLE FOR SMALL 

BUSINESSES 


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Sec. 101. Protecting American jobs and wages. 

Sec. 102. Increasing flexibility for small businesses. 

Sec. 103. Increasing choices for Americans. 

Sec. 104. Protecting patients from higher premiums. 

Sec. 105. Ensuring affordable coverage. 

TITLE II—INCREASING CONSUMER CONTROL 

Sec. 201. Repeal of the restriction on over-the-counter medicines. 

Sec. 202. Repeal of the annual cap. 

TITLE III—ALLOWING INDIVIDUALS TO KEEP COVERAGE THEY 

LIKE 

Sec. 301. Allowing individuals to keep the coverage they have if they like it. 

1 TITLE I—MAKING COVERAGE AF2 FORDABLE FOR SMALL BUSI3 NESSES 

4 SEC. 101. PROTECTING AMERICAN JOBS AND WAGES. 

5 Sections 1513 and 1514 and subsections (e), (f), and 

6 (g) of section 10106 of the Patient Protection and Afford7 able Care Act (Public Law 111–148) and the amendments 

8 made by such sections and subsections are repealed and 

9 the Internal Revenue Code of 1986 shall be applied and 

10 administered as if such provisions and amendments had 

11 never been enacted. 

12 SEC. 102. INCREASING FLEXIBILITY FOR SMALL BUSI13 NESSES. 

14 Section 1302(c)(2) of the Patient Protection and Af15 fordable Care Act (Public Law 111–148; 42 U.S.C. 

16 18022(c)(2)) is repealed. 

17 SEC. 103. INCREASING CHOICES FOR AMERICANS. 

18 (a) QUALIFIED HEALTH PLAN COVERAGE SATISFIED

19 BY HIGH DEDUCTIBLE HEALTH PLAN WITH HEALTH


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1 SAVINGS ACCOUNT.—Section 1302(e) of the Patient Pro2 tection and Affordable Care Act (42 U.S.C. 18022(e)) is 

3 amended to read as follows: 

4 ‘‘(e) HIGH DEDUCTIBLE HEALTH PLAN WITH

5 HEALTH SAVINGS ACCOUNT.—A health plan not pro6 viding a bronze, silver, gold, or platinum level of coverage 

7 shall be treated as meeting the requirements of subsection 

8 (d) with respect to any plan year for any enrollee if the 

9 plan meets the requirements for a high deductible health 

10 plan under section 223(c)(2) of the Internal Revenue Code 

11 of 1986 and such enrollee has established a health savings 

12 account (as defined in section 223(d)(1) of such Code) in 

13 relation to such plan.’’. 

14 (b) CONFORMING AMENDMENTS.— 

15 (1) Subparagraph (C) of section 1312(d)(3) of 

16 the Patient Protection and Affordable Care Act (42 

17 U.S.C. 18032(d)(3)) is amended by striking ‘‘, ex18 cept’’ and all that follows through ‘‘1302(e)(2)’’. 

19 (2) Subparagraph (A) of section 36B(c)(3) of 

20 the Internal Revenue Code of 1986, as added by sec21 tion 1401(a) of the Patient Protection and Afford22 able Care Act (Public Law 111–148) is amended by 

23 striking ‘‘, except’’ and all that follows through 

24 ‘‘such Act’’. 


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1 (3) Subparagraph (B) of section 1334(c)(1) of 

2 the Patient Protection and Affordable Care Act (42 

3 U.S.C. 18054(c)(1)) is amended by striking ‘‘and 

4 catastrophic coverage’’. 

5 SEC. 104. PROTECTING PATIENTS FROM HIGHER PRE6 MIUMS. 

7 Section 9010 of the Patient Protection and Afford8 able Care Act (Public Law 111–148), as amended by sec9 tion 10905 of such Act, is repealed. 

10 SEC. 105. ENSURING AFFORDABLE COVERAGE. 

11 Section 2701(a)(1)(A)(iii) of the Public Health Serv12 ice Act (42 U.S.C. 300(a)(1)(A)(iii)), as added by section 

13 1201 of the Patient Protection and Affordable Care Act 

14 (Public Law 111–148), is amended by striking ‘‘, except’’ 

15 and all that follows through ‘‘2707(c))’’. 

16 TITLE II—INCREASING 

17 CONSUMER CONTROL 

18 SEC. 201. REPEAL OF THE RESTRICTION ON OVER-THE19 COUNTER MEDICINES. 

20 Section 9003 of the Patient Protection and Afford21 able Care Act (Public Law 111–148) and the amendments 

22 made by such section are repealed; and the Internal Rev23 enue Code of 1986 shall be applied as if such section, and 

24 amendments, had never been enacted. 


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1 SEC. 202. REPEAL OF THE ANNUAL CAP. 

2 Sections 9005 and 10902 of the Patient Protection 

3 and Affordable Care Act (Public Law 111–148) and sec4 tion 1403 of the Health Care and Education Reconcili5 ation Act of 2010 (Public Law 111–152) and the amend6 ments made by such sections are repealed. 

7 TITLE III—ALLOWING INDIVID8 UALS TO KEEP COVERAGE 

9 THEY LIKE 

10 SEC. 301. ALLOWING INDIVIDUALS TO KEEP THE COV11 ERAGE THEY HAVE IF THEY LIKE IT. 

12 (a) IN GENERAL.—Section 1251(a)(2) of the Patient 

13 Protection and Affordable Care Act (42 U.S.C. 18011) is 

14 amended— 

15 (1) by striking ‘‘Except as provided in para16 graph (3),’’ and inserting the following: 

17 ‘‘(A) IN GENERAL.—Except as provided in 

18 paragraphs (3) and (4),’’; and 

19 (2) by adding at the end the following: 

20 ‘‘(B) PROTECTING EMPLOYERS AND CON21 SUMERS WITH GRANDFATHERED COVERAGE.— 

22 ‘‘(i) IN GENERAL.—A group health 

23 plan or health insurance coverage in which 

24 an individual is enrolled on or after March 

25 23, 2010, but before any plan year begin26 ning not later than 1 year after the date 


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1 of the enactment of this subparagraph, and 

2 which is deemed to be a grandfathered 

3 health plan under this section, shall con4 tinue to be considered a grandfathered 

5 health plan with respect to such individual 

6 regardless of any modification to the cost7 sharing levels, employer contribution rates, 

8 or covered benefits under such plan or cov9 erage as otherwise permitted under this 

10 Act (and the amendments made by this 

11 Act). 

12 ‘‘(ii) REGULATIONS.—The Secretary 

13 shall promulgate regulations to clarify the 

14 application of clause (i) to a plan or cov15 erage that continues to be a grandfathered 

16 health plan pursuant to such clause.’’. 

17 (b) EFFECTIVE DATE; PREVIOUSLY PROMULGATED

18 REGULATIONS VOIDED.— 

19 (1) EFFECTIVE DATE.—The amendments made 

20 by this section shall take effect as if included in the 

21 enactment of the Patient Protection and Affordable 

22 Care Act. 

23 (2) PREVIOUSLY PROMULGATED REGULATIONS

24 VOIDED.—Any regulations relating to section 

25 1251(a)(2) of such Act promulgated before the date 


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1 of the enactment of this Act shall have no force or 

2 effect. 

Æ 


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