II 

113TH CONGRESS 

2D SESSION S. 2191 

To amend the Internal Revenue Code of 1986 to repeal the excise tax 

on high cost employer-sponsored health coverage, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

APRIL 1, 2014 

Mr. ROBERTS (for himself, Mr. INHOFE, Mr. COCHRAN, Mr. MORAN, Mr. 

WICKER, Mr. ENZI, and Mr. CHAMBLISS) introduced the following bill; 

which was read twice and referred to the Committee on Finance 

A BILL 

To amend the Internal Revenue Code of 1986 to repeal 

the excise tax on high cost employer-sponsored health 

coverage, 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. REPEAL OF EXCISE TAX ON HIGH COST EM4 PLOYER-SPONSORED HEALTH COVERAGE. 

5 (a) IN GENERAL.—Chapter 43 of the Internal Rev6 enue Code of 1986 is amended by striking section 4980I. 

7 (b) CLERICAL AMENDMENT.—The table of sections 

8 for chapter 43 of such Code is amended by striking the 

9 item relating to section 4980I. 


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•S 2191 IS

1 SEC. 2. REPEAL OF HEALTH INSURANCE PREMIUM REVIEW 

2 PROCESS. 

3 Section 2794 of the Public Health Service Act (as 

4 added by section 1003 of the Patient Protection and Af5 fordable Care Act (42 U.S.C. 300gg–94)) is amended— 

6 (1) by striking the section heading and all that 

7 follows through subsection (c), and inserting the fol8 lowing: 

9 ‘‘SEC. 2794. MEDICAL REIMBURSEMENT DATA CENTERS. 

10 ‘‘(a) IN GENERAL.—The Secretary shall carry out a 

11 program to award grants to States during the 5-year pe12 riod beginning with fiscal year 2010 to assist such States 

13 in establishing centers (consistent with subsection (b)) at 

14 academic or other nonprofit institutions to collect medical 

15 reimbursement information from health insurance issuers, 

16 to analyze and organize such information, and to make 

17 such information available to such issuers, health care pro18 viders, health researchers, health care policy makers, and 

19 the general public.’’; and 

20 (2) in subsection (d)— 

21 (A) by redesignating such subsection as 

22 subsection (b); and 

23 (B) by striking ‘‘subsection (c)(1)(C)’’ 

24 each place that such term appears and inserting 

25 ‘‘subsection (a)’’. 


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•S 2191 IS

1 SEC. 3. REPEAL OF THE AUTHORITY OF THE SECRETARY 

2 OF HEALTH AND HUMAN SERVICES TO DENY 

3 PLAN BIDS UNDER MEDICARE PARTS C AND 

4 D. 

5 (a) PART C.—Section 1854(a)(5)(C) of the Social Se6 curity Act (42 U.S.C. 1395w–24(a)(5)(C)) is repealed. 

7 (b) PART D.—Section 1860D–11(d)(3) of the Social 

8 Security Act (42 U.S.C. 1395w–111(d)(3)) is repealed. 

9 (c) EFFECTIVE DATE.—The amendments made by 

10 this section shall apply to bids submitted for contract 

11 years beginning on or after January 1, 2015. 

12 SEC. 4. REPEAL OF THE INDEPENDENT PAYMENT ADVI13 SORY BOARD. 

14 Effective as of the enactment of the Patient Protec15 tion and Affordable Care Act (Public Law 111–148), sec16 tions 3403 and 10320 of such Act (including the amend17 ments made by such sections) are repealed, and any provi18 sion of law amended by such sections is hereby restored 

19 as if such sections had not been enacted into law. 

Æ 


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