I 

116TH CONGRESS 

1ST SESSION H. R. 2524 

To repeal the multi-State plan program. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 3, 2019 

Mr. MEADOWS introduced the following bill; which was referred to the 

Committee on Energy and Commerce 

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 

11 a contract with the Office of Personnel Management to 

12 offer multi-State plan options pursuant to section 1334 


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1 of the Patient Protection and Affordable Care Act (Public 

2 Law 111–148). 

3 (b) PROGRAM REPEAL.—Effective January 1, 2020, 

4 section 1334 of the Patient Protection and Affordable 

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

6 effect. 

7 (c) TERMINATION OF EXTERNAL REVIEW.—The ad8 ministration of external review pursuant to section 1334 

9 of the Patient Protection and Affordable Care Act shall 

10 conclude upon the issuance by the Director of Office of 

11 Personnel Management (referred to in this section as 

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

13 multi-State plan during or before the 2019 plan year. 

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

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

16 OPM shall provide the Committee on Homeland Security 

17 and Governmental Affairs and the Committee on Health, 

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

19 Committee on Oversight and Government Reform and the 

20 Committee on Energy and Commerce of the House of 

21 Representatives a briefing concerning the efforts of the 

22 OPM to wind down the multi-State program under section 

23 1334 of the Patient Protection and Affordable Care Act. 

24 Such briefing shall contain such information as may be 

25 required, including information regarding— 


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1 (1) the methods of communication OPM and an 

2 MSP issuer will use to notify current enrollees that 

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

4 next open season, including a timeline of the planned 

5 communications; 

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

7 will work with the Secretary of Health and Human 

8 Services to ensure that no plans previously offered 

9 pursuant to such section 1334 are offered on State 

10 or Federal Exchanges; and 

11 (3) a timeline detailing how OPM will close 

12 down the information technology portal that MSP 

13 issuers utilize. 

14 (e) CONFORMING AMENDMENTS.— 

15 (1) IN GENERAL.—Title I of the Patient Pro16 tection and Affordable Care Act is amended— 

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

18 18021(a))— 

19 (i) in paragraph (2)— 

20 (I) in the heading, by striking 

21 ‘‘AND MULTI-STATE QUALIFIED

22 HEALTH PLANS’’; and 

23 (II) by striking ‘‘and a multi24 State plan under section 1334,’’; and 


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

2 including a multi-State qualified health 

3 plan,’’; and 

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

5 18044(a)), by striking ‘‘, or a multi-State quali6 fied health plan under section 1334,’’. 

7 (2) EFFECTIVE DATE.—The amendments made 

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

9 2020. 

Æ 


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