I 

113TH CONGRESS 

2D SESSION H. R. 3849 

To provide for the repeal of the Patient Protection and Affordable Care 

Act if it is determined that the Act has resulted in increasing the 

number of uninsured individuals. 

IN THE HOUSE OF REPRESENTATIVES 

JANUARY 10, 2014 

Mr. CASSIDY introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on 

Ways and Means, Education and the Workforce, the Judiciary, Natural 

Resources, House Administration, Rules, and Appropriations, 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 provide for the repeal of the Patient Protection and 

Affordable Care Act if it is determined that the Act 

has resulted in increasing the number of uninsured individuals. 

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 ‘‘Health Insurance Ac5 countability Act of 2014’’. 


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1 SEC. 2. REPEAL OF PPACA. 

2 (a) IN GENERAL.—The Patient Protection and Af3 fordable Care Act (Public Law 111–148) and title I and 

4 subtitle B of title II of the Health Care and Education 

5 Reconciliation Act of 2011 (Public Law 111–152) shall 

6 be repealed effective on the date on which the Comptroller 

7 General report under subsection (b) determines that, at 

8 any point in time after the date of enactment of this Act, 

9 the number of individuals in the United States who are 

10 uninsured exceeds the number of individuals who were un11 insured on the date of enactment of the Patient Protection 

12 and Affordable Care Act. 

13 (b) REPORTS.— 

14 (1) IN GENERAL.—Not later than 30 days after 

15 the date of enactment of this Act, the Comptroller 

16 General of the United States, in consultation with 

17 the Census Bureau, shall conduct a study to deter18 mine the number of individuals in the United States 

19 who are uninsured, and submit to the appropriate 

20 committees of Congress a report concerning the re21 sults of such study, including both the number of in22 dividuals in the United States who are determined to 

23 be currently uninsured and the number of individ24 uals in the United States who were uninsured on the 

25 date of enactment of the Patient Protection and Af26 fordable Care Act. 


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1 (2) SUBSEQUENT STUDIES AND REPORTS.—The 

2 Comptroller General shall conduct one or more sub3 sequent studies every 60 days (and submit reports 

4 based on the results of such studies) until the Comp5 troller General makes a determination that the num6 ber of individuals in the United States who are unin7 sured exceeds the number of individuals who were 

8 uninsured on the date of enactment of the Patient 

9 Protection and Affordable Care Act. 

10 (3) SUNSET.—No reports shall be submitted 

11 under this section after the date that is 5 years after 

12 the date of enactment of this Act. 

13 (c) TRANSFER OF FUNDING.— 

14 (1) IN GENERAL.—If, based on the last report 

15 submitted during a fiscal year under subsection (b), 

16 the Comptroller General of the United States deter17 mines that the number of uninsured individuals for 

18 such fiscal year has decreased as compared to the 

19 number of uninsured individuals on the date of en20 actment of the Patient Protection and Affordable 

21 Care Act, the Secretary of Health and Human Serv22 ices shall reduce the funding described in paragraph 

23 (3)(A) by an amount determined in accordance with 

24 paragraph (2), and such amount shall be rescinded 


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1 and permanently cancelled for the purpose of debt 

2 reduction. 

3 (2) AMOUNT.—The amount determined under 

4 this paragraph for a fiscal year shall be equal to the 

5 amount which bears the same ratio to the total 

6 amount of funding for such fiscal year as described 

7 in paragraph (3)(A) as the total number of unin8 sured individuals determined for such fiscal year 

9 bears to the total number of uninsured individuals 

10 on the date of enactment of such Act. 

11 (3) FUNDING DESCRIBED.— 

12 (A) IN GENERAL.—The funding described 

13 in this section includes— 

14 (i) the amount provided for under sec15 tion 2793 of the Public Health Service Act 

16 (42 U.S.C. 300gg–93) for the fiscal year 

17 involved and which remains unobligated; 

18 (ii) the amount provided for under 

19 section 1311 of the Patient Protection and 

20 Affordable Care Act (42 U.S.C. 18031) for 

21 the fiscal year involved and which remains 

22 unobligated; and 

23 (iii) the amount provided for under 

24 section 1005 of the Health Care and Edu25 cation Reconciliation Act of 2010 (Public 


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1 Law 111–152) for the fiscal year involved 

2 and which remains unobligated. 

3 (B) REDUCTIONS.—With respect to any 

4 reductions required to be made under this sub5 section for a fiscal year, each amount in fund6 ing described in subparagraph (A) shall be re7 duced by the pro rata percentage required to 

8 reduce the total amount of such spending by 

9 the amount required under this subsection for 

10 the fiscal year involved. 

11 (d) DEFINITION.—In this section, the term ‘‘unin12 sured’’ with respect to an individual, means an individual 

13 lawfully present in the United States who is not covered 

14 by health insurance. 

Æ 


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