II 

Calendar No. 468 

115TH CONGRESS 

2D SESSION S. 2221 

[Report No. 115–277] 

To repeal the multi-State plan program. 

IN THE SENATE OF THE UNITED STATES 

DECEMBER 12, 2017 

Mr. JOHNSON (for himself, Mr. ALEXANDER, Mr. RISCH, Mr. MCCAIN, Mr. 

PAUL, and Mr. DAINES) introduced the following bill; which was read 

twice and referred to the Committee on Homeland Security and Governmental Affairs 

JUNE 18, 2018 

Reported by Mr. JOHNSON, with an amendment 

[Strike out all after the enacting clause and insert the part printed in italic] 

A BILL 

To repeal the multi-State plan program. 

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 ‘‘Repeal Insurance 

5 Plans of the Multi-State Program Act of 2017’’ or the 

6 ‘‘RIP MSP Act’’. 


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•S 2221 RS

1 SEC. 2. REPEAL OF MULTI-STATE PLAN PROGRAM. 

2 (a) DEFINITIONS.—In this section, the terms ‘‘multi3 State plan issuer’’ and ‘‘MSP issuer’’ mean a health insur4 ance issuer or group of health insurance issuers that has 

5 a contract with the Office of Personnel Management to 

6 offer multi-State plan options pursuant to section 1334 

7 of the Patient Protection and Affordable Care Act (Public 

8 Law 111–148). 

9 (b) PROGRAM REPEAL.—Effective October 1, 2018, 

10 section 1334 of the Patient Protection and Affordable 

11 Care Act (Public Law 111–148) shall have no force or 

12 effect. 

13 (c) REQUIRED REPORTING.—Not later than 60 days 

14 after the date of enactment of this Act, the Director of 

15 the Office of Personnel Management shall provide the 

16 Committee on Homeland Security and Governmental Af17 fairs of the Senate and the Committee on Oversight and 

18 Government Reform of the House of Representatives a 

19 briefing concerning the efforts of the Office of Personnel 

20 Management (referred to in this section as ‘‘OPM’’) to 

21 wind down the multi-State program under section 1334 

22 of the Patient Protection and Affordable Care Act. Such 

23 briefing shall contain such information as may be re24 quired, including information regarding— 

25 (1) the methods of communication OPM and an 

26 MSP issuer will use to notify current enrollees that 


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1 the multi-State plan will not be offered during the 

2 next open season, including a timeline of the planned 

3 communications; 

4 (2) a description of how the Director of OPM 

5 will work with the Secretary of Health and Human 

6 Services to ensure that no plans previously offered 

7 pursuant to such section 1334 are offered on State 

8 or Federal Exchanges; and 

9 (3) a timeline detailing how OPM will close 

10 down the information technology portal that MSP 

11 issuers utilize. 

12 (d) RESCISSION OF UNUSED FUNDS.—Of the 

13 amounts made available to OPM for the purposes of staff14 ing and administering the program under section 1334 of 

15 the Patient Protection and Affordable Care Act, the unob16 ligated balance is rescinded, effective October 1, 2018. 

17 (e) SENSE OF CONGRESS.—It is the sense of Con18 gress that— 

19 (1) the Director of the Office of Personnel 

20 Management should assign employees of the Office 

21 whose duties on the date of enactment relate to car22 rying out section 1334 of the Patient Protection and 

23 Affordable Care Act (Public Law 111–148) to duties 

24 relating to processing appeals brought by individuals 

25 or employers pursuant to such section 1334; and 


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1 (2) no additional amounts should be appro2 priated for salaries and expenses relating to proc3 essing such appeals. 

4 SECTION 1. SHORT TITLE. 

5 This Act may be cited as the ‘‘Repeal Insurance Plans 

6 of the Multi-State Program Act’’ or the ‘‘RIP MSP Act’’. 

7 SEC. 2. REPEAL OF MULTI-STATE PLAN PROGRAM. 

8 (a) DEFINITIONS.—In this section, the terms ‘‘multi9 State plan issuer’’ and ‘‘MSP issuer’’ mean a health insur10 ance issuer or group of health insurance issuers that has 

11 a contract with the Office of Personnel Management to offer 

12 multi-State plan options pursuant to section 1334 of the 

13 Patient Protection and Affordable Care Act (Public Law 

14 111–148). 

15 (b) PROGRAM REPEAL.—Effective January 1, 2019, 

16 section 1334 of the Patient Protection and Affordable Care 

17 Act (Public Law 111–148) shall have no force or effect. 

18 (c) REQUIRED REPORTING.—Not later than 60 days 

19 after the date of enactment of this Act, the Director of the 

20 Office of Personnel Management shall provide the Com21 mittee on Homeland Security and Governmental Affairs of 

22 the Senate and the Committee on Oversight and Govern23 ment Reform of the House of Representatives a briefing con24 cerning the efforts of the Office of Personnel Management 

25 (referred to in this section as ‘‘OPM’’) to wind down the 


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5 

•S 2221 RS

1 multi-State program under section 1334 of the Patient Pro2 tection and Affordable Care Act. Such briefing shall contain 

3 such information as may be required, including informa4 tion regarding— 

5 (1) the methods of communication OPM and an 

6 MSP issuer will use to notify current enrollees that 

7 the multi-State plan will not be offered during the 

8 next open season, including a timeline of the planned 

9 communications; 

10 (2) a description of how the Director of OPM 

11 will work with the Secretary of Health and Human 

12 Services to ensure that no plans previously offered 

13 pursuant to such section 1334 are offered on State or 

14 Federal Exchanges; and 

15 (3) a timeline detailing how OPM will close 

16 down the information technology portal that MSP 

17 issuers utilize. 


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Calendar No. 468 

115TH CONGRESS 

2D SESSION S. 2221 

[Report No. 115–277] 

A BILL 

To repeal the multi-State plan program. 

JUNE 18, 2018 

Reported with an amendment 


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