I 

112TH CONGRESS 

1ST SESSION H. R. 1915 

To amend subtitle D of title I of the Patient Protection and Affordable 

Care Act to clarify Congressional consent to and expand flexibility for 

interstate health choice compacts. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 13, 2011 

Mr. GRIFFITH of Virginia 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 amend subtitle D of title I of the Patient Protection 

and Affordable Care Act to clarify Congressional consent 

to and expand flexibility for interstate health choice compacts. 

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. 

4 This Act may be cited as the ‘‘State Compact Health 

5 Choice Act of 2011’’. 


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1 SEC. 2. CLARIFYING CONGRESSIONAL CONSENT TO AND 

2 EXPANDING FLEXIBILITY FOR INTERSTATE 

3 HEALTH CHOICE COMPACTS. 

4 (a) IN GENERAL.—Section 1333(a) of the Patient 

5 Protection and Affordable Care Act (42 U.S.C. 18053(a)) 

6 is amended— 

7 (1) in paragraph (1)— 

8 (A) in the matter before subparagraph 

9 (A)— 

10 (i) by striking ‘‘Not later than July 1, 

11 2013, the Secretary shall, in consultation 

12 with the National Association of Insurance 

13 Commissioners, issue regulations for’’ and 

14 inserting ‘‘Subject to paragraph (3), the 

15 Congress consents to’’; and 

16 (ii) by striking ‘‘under which’’; 

17 (B) in subparagraph (A)— 

18 (i) by inserting ‘‘under which’’ before 

19 ‘‘1 or more’’; 

20 (ii) by striking ‘‘qualified’’; and 

21 (iii) by striking ‘‘but, except’’ and all 

22 that follows through ‘‘resides’’; 

23 (C) by redesignating subparagraph (B) as 

24 subparagraph (C); 

25 (D) by inserting after subparagraph (A) 

26 the following: 


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•HR 1915 IH

1 ‘‘(B) that identifies which State law and 

2 regulations such plans shall be subject to; and’’; 

3 and 

4 (E) in subparagraph (C), as so redesig5 nated— 

6 (i) by inserting ‘‘that declares wheth7 er, and to what extent,’’ before ‘‘the issuer 

8 of any’’; and 

9 (ii) by striking ‘‘qualified’’; 

10 (2) by amending paragraph (3) to read as fol11 lows: 

12 ‘‘(3) REVOCATION.—Congress may revoke the 

13 consent for an interstate compact under this sub14 section if the Congress passes a joint resolution re15 voking consent for such compact.’’; and 

16 (3) in paragraph (4), by striking ‘‘January 1, 

17 2016’’ and inserting ‘‘the last day of the year begin18 ning on the date of the enactment of the State Com19 pact Health Choice Act of 2011’’. 

20 (b) EXEMPTION FROM INDIVIDUAL MANDATE.—Sec21 tion 5000A(e) of the Internal Revenue Code (26 U.S.C. 

22 5000A(e)) is amended by adding at the end the following: 

23 ‘‘(6) INTERSTATE HEALTH CHOICE COM24 PACTS.—Any applicable individual who for any 

25 month is determined to be covered by a health plan 


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1 offered under an interstate health choice compact 

2 entered into by a State under section 1333 of the 

3 Patient Protection and Affordable Care Act (42 

4 U.S.C. 18053).’’. 

Æ 


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