I 

113TH CONGRESS 

2D SESSION H. R. 5384 

To amend the Public Health Service Act to extend health plan coverage 

to dependent children in the individual and group market, contingent 

on the enactment of legislation repealing the Patient Protection and 

Affordable Care Act, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

JULY 31, 2014 

Mr. VALADAO (for himself, Mr. FITZPATRICK, Mr. PEARCE, and Mr. COFFMAN) introduced the following bill; which was referred to the Committee 

on Energy and Commerce 

A BILL 

To amend the Public Health Service Act to extend health 

plan coverage to dependent children in the individual 

and group market, contingent on the enactment of legislation repealing the Patient Protection and Affordable 

Care Act, and for other purposes. 

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 ‘‘Securing Health Care 

5 for Young Americans Act of 2014’’. 

6 SEC. 2. EXTENSION OF DEPENDENT COVERAGE. 

7 (a) GROUP MARKET.— 


tkelley on DSK3SPTVN1PROD with BILLS
2 

•HR 5384 IH

1 (1) IN GENERAL.—Subpart 1 of part A of title 

2 XXVII of the Public Health Service Act (42 U.S.C. 

3 300gg et seq.) is amended by adding at the end: 

4 ‘‘SEC. 2703A. EXTENSION OF DEPENDENT COVERAGE. 

5 ‘‘(a) IN GENERAL.—A group health plan and a health 

6 insurance issuer offering group health insurance coverage 

7 that provides dependent coverage of children shall con8 tinue to make such coverage available for such a depend9 ent after such dependent turns 18 years of age until the 

10 first of the following events occurs: 

11 ‘‘(1) The dependent turns 26 years of age. 

12 ‘‘(2) The dependent marries. 

13 ‘‘(3) Subject to subsection (c), the dependent no 

14 longer resides in the home of— 

15 ‘‘(A) the policy holder through which such 

16 dependent is eligible for dependent coverage; or 

17 ‘‘(B) in the case that the policy holder 

18 through which such dependent is eligible for de19 pendent coverage provides such coverage subject 

20 to an order to provide child support, the de21 pendent’s parent or legal guardian. 

22 ‘‘(b) EXCEPTION FOR COLLEGE STUDENTS.—Para23 graph (3) of subsection (a) shall not apply to a dependent 

24 for any period of time during which such dependent is en25 rolled as a full-time student at a postsecondary eduVerDate Mar 15 2010 22:52 Aug 15, 2014 Jkt 039200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H5384.IH H5384

tkelley on DSK3SPTVN1PROD with BILLS
3 

•HR 5384 IH

1 cational institution (including an institution of higher edu2 cation as defined in section 102 of the Higher Education 

3 Act of 1965). 

4 ‘‘(c) LIMITATION.—Nothing in this section shall re5 quire a plan or an issuer described in subsection (a) to 

6 make coverage available for a child of an individual receiv7 ing dependent coverage pursuant to this section. 

8 ‘‘(d) RULE OF CONSTRUCTION.—Nothing in this sec9 tion shall be construed to modify the definition of ‘depend10 ent’ as used in the Internal Revenue Code of 1986 with 

11 respect to the tax treatment of the cost of coverage.’’. 

12 (2) REGULATIONS.—The Secretary shall pro13 mulgate regulations to define the dependents to 

14 which coverage shall be made available under section 

15 2703A of the Public Health Service Act, as added 

16 by paragraph (1). 

17 (b) INDIVIDUAL MARKET.—Subpart 1 of part B of 

18 title XXVII of the Public Health Service Act (42 U.S.C. 

19 300gg–41 et seq.) is amended by adding at the end the 

20 following: 

21 ‘‘SEC. 2748. EXTENSION OF DEPENDENT COVERAGE. 

22 ‘‘The provisions of section 2703A shall apply to 

23 health insurance coverage offered to individuals by a 

24 health insurance issuer in the individual market in the 


tkelley on DSK3SPTVN1PROD with BILLS
4 

•HR 5384 IH

1 same manner as it applies to health insurance coverage 

2 offered by a health insurance issuer in the group market.’’. 

3 (c) EFFECTIVE DATE CONTINGENT ON REPEAL OF

4 PPACA.— 

5 (1) IN GENERAL.—Subsections (a) and (b) and 

6 the amendments made by such subsections shall take 

7 effect upon the enactment of PPACA repeal legisla8 tion described in paragraph (2) and such subsections 

9 and amendments shall have no force or effect if such 

10 PPACA repeal legislation is not enacted. 

11 (2) PPACA REPEAL LEGISLATION DE12 SCRIBED.—For purposes of paragraph (1), PPACA 

13 repeal legislation described in this paragraph is leg14 islation that— 

15 (A) repeals Public Law 111–148, and re16 stores or revives the provisions of law amended 

17 or repealed, respectively, by such Act as if such 

18 Act had not been enacted and without further 

19 amendment to such provisions of law; and 

20 (B) repeals title I and subtitle B of title II 

21 of the Health Care and Education Reconcili22 ation Act of 2010 (Public Law 111–152), and 

23 restores or revives the provisions of law amend24 ed or repealed, respectively, by such title or 

25 subtitle, respectively, as if such title and subVerDate Mar 15 2010 22:52 Aug 15, 2014 Jkt 039200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H5384.IH H5384

tkelley on DSK3SPTVN1PROD with BILLS
5 

•HR 5384 IH

1 title had not been enacted and without further 

2 amendment to such provisions of law. 

Æ 


tkelley on DSK3SPTVN1PROD with BILLS