II 

117TH CONGRESS 

1ST SESSION S. 2519 

To repeal the multi-State plan program. 

IN THE SENATE OF THE UNITED STATES 

JULY 28, 2021 

Mr. JOHNSON (for himself, Mr. WICKER, Mr. TOOMEY, Mr. LEE, Ms. LUMMIS, Mr. BRAUN, Mr. CRAMER, Mr. BARRASSO, Mr. LANKFORD, Mrs. 

HYDE-SMITH, Mr. INHOFE, Mrs. BLACKBURN, and Mr. PAUL) introduced 

the following bill; which was read twice and referred to the Committee 

on Health, Education, Labor, and Pensions 

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’’ or the ‘‘RIP MSP 

6 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 


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1 a contract with the Office of Personnel Management to 

2 offer multi-State plan options pursuant to section 1334 

3 of the Patient Protection and Affordable Care Act (Public 

4 Law 111–148). 

5 (b) PROGRAM REPEAL.—Effective January 1, 2022, 

6 section 1334 of the Patient Protection and Affordable 

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

8 effect. 

9 (c) TERMINATION OF EXTERNAL REVIEW.—The ad10 ministration of external review pursuant to section 1334 

11 of the Patient Protection and Affordable Care Act shall 

12 conclude upon the issuance by the Director of the Office 

13 of Personnel Management (referred to in this section as 

14 ‘‘OPM’’) of all final decisions for enrollees enrolled in a 

15 multi-State plan during or before the 2021 plan year. 

16 (d) REQUIRED REPORTING.—Not later than 60 days 

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

18 OPM shall provide the Committee on Homeland Security 

19 and Governmental Affairs and the Committee on Health, 

20 Education, Labor, and Pensions of the Senate and the 

21 Committee on Oversight and Reform and the Committee 

22 on Energy and Commerce of the House of Representatives 

23 a briefing concerning the efforts of the OPM to wind down 

24 the multi-State program under section 1334 of the Patient 

25 Protection and Affordable Care Act. Such briefing shall 


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1 contain such information as may be required, including 

2 information regarding— 

3 (1) the methods of communication OPM and an 

4 MSP issuer will use to notify current enrollees that 

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

6 next open season, including a timeline of the planned 

7 communications; 

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

9 will work with the Secretary of Health and Human 

10 Services to ensure that no plans previously offered 

11 pursuant to such section 1334 are offered on State 

12 or Federal Exchanges; and 

13 (3) a timeline detailing how OPM will close 

14 down the information technology portal that MSP 

15 issuers utilize. 

16 (e) CONFORMING AMENDMENTS.— 

17 (1) IN GENERAL.—Title I of the Patient Pro18 tection and Affordable Care Act is amended— 

19 (A) in section 1301(a) (42 U.S.C. 

20 18021(a))— 

21 (i) in paragraph (2)— 

22 (I) in the heading, by striking 

23 ‘‘AND MULTI-STATE QUALIFIED

24 HEALTH PLANS’’; and 


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1 (II) by striking ‘‘and a multi2 State plan under section 1334,’’; and 

3 (ii) in paragraph (4), by striking ‘‘, 

4 including a multi-State qualified health 

5 plan,’’; and 

6 (B) in section 1324(a) (42 U.S.C. 

7 18044(a)), by striking ‘‘, or a multi-State quali8 fied health plan under section 1334,’’. 

9 (2) EFFECTIVE DATE.—The amendments made 

10 by paragraph (1) shall take effect on January 1, 

11 2022. 

Æ 


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