I 

112TH CONGRESS 

1ST SESSION H. R. 3243 

To amend titles XIX and XXI of the Social Security Act, titles I and 

II of the Patient Protection and Affordable Care Act, and other Acts 

for the purpose of eliminating certain health entitlement programs and 

reducing the deficit. 

IN THE HOUSE OF REPRESENTATIVES 

OCTOBER 24, 2011 

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

Ways and Means, 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 amend titles XIX and XXI of the Social Security Act, 

titles I and II of the Patient Protection and Affordable 

Care Act, and other Acts for the purpose of eliminating 

certain health entitlement programs and reducing the 

deficit. 

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; TABLE OF CONTENTS. 

4 (a) SHORT TITLE.—This Act may be cited as the 

5 ‘‘The Common Sense Deficit Reduction Act of 2011’’. 


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1 (b) TABLE OF CONTENTS.—The table of contents of 

2 this Act is as follows: 

Sec. 1. Short title; table of contents. 

Sec. 2. Medicaid expansion for certain adults. 

Sec. 3. Elimination of Medicaid coverage of former foster care children. 

Sec. 4. Removal of requirement of minimal essential coverage for Medicaid 

benchmark benefits. 

Sec. 5. Elimination of Medicaid premium assistance requirement. 

Sec. 6. Elimination of Medicaid and CHIP MAGI requirements. 

Sec. 7. Elimination of increased FMAP for CHIP. 

Sec. 8. Restoration of CHIP appropriation amounts under CHIPRA. 

Sec. 9. Treatment of children who are unable to be enrolled in CHIP due to 

a funding shortfall. 

Sec. 10. Grants to improve CHIP outreach and enrollment. 

Sec. 11. Additional one-time appropriations for CHIP. 

Sec. 12. Repeal of PPACA Premium tax credits and cost-sharing subsidies. 

Sec. 13. Treatment of individual mandate. 

Sec. 14. Repeal of CLASS Act. 

3 SEC. 2. MEDICAID EXPANSION FOR CERTAIN ADULTS. 

4 (a) MANDATORY POPULATIONS.—Section 1902 of 

5 the Social Security Act (42 U.S.C. 1396a) is amended— 

6 (1) in subsection (a)(10)— 

7 (A) in subparagraph (A)(i)— 

8 (i) by inserting ‘‘or’’ at the end of 

9 subclause (VI); and 

10 (ii) by striking subclause (VIII); and 

11 (B) in the matter following subparagraph 

12 (G) by striking ‘‘(XV) the medical assistance 

13 made available to an individual described in 

14 subparagraph (A)(i)(VIII) shall be limited to 

15 medical assistance described in subsection 

16 (k)(1)’’; 

17 (2) by striking subsection (k); and 


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1 (3) in subsection (l)(2)(C) by striking ‘‘(or, be2 ginning January 1, 2014, 133 percent)’’. 

3 (b) OPTIONAL POPULATION.—Section 1902 of the 

4 Social Security Act (42 U.S.C. 1396a) is further amend5 ed— 

6 (1) in subsection (a)(10)(A)(ii) by striking sub7 clause (XX); and 

8 (2) by striking subsection (hh). 

9 (c) ELIMINATION OF FUNDING.—Section 1905 of the 

10 Social Security Act (42 U.S.C. 1396d), is amended— 

11 (1) in subsection (a), in the matter preceding 

12 paragraph (1), by striking clauses (xiv) and (xv); 

13 (2) in subsection (b), in the first sentence, by 

14 striking ‘‘(y),’’ before ‘‘(z),’’; and 

15 (3) by striking subsection (y). 

16 (d) CONFORMING AMENDMENTS.— 

17 (1) Section 1903 of the Social Security Act (42 

18 U.S.C. 1396b) is amended— 

19 (A) in subsection (f)(4), by striking 

20 ‘‘1902(a)(10)(A)(i)(VIII),’’ and 

21 ‘‘1902(a)(10)(A)(ii)(XX),’’; and 

22 (B) in subsection (i)— 

23 (i) by inserting ‘‘or’’ at the end of 

24 paragraph (24); 


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1 (ii) by striking ‘‘; or’’ at the end of 

2 paragraph (25) and inserting a period; and 

3 (iii) by striking paragraph (26). 

4 (2) Section 1920 of the Social Security Act (42 

5 U.S.C. 1396r–1) is amended by striking subsection 

6 (e). 

7 (3) Section 1937(a)(1)(B) of such Act (42 

8 U.S.C. 1396u–7(a)(1)(B)) is amended by striking 

9 ‘‘subclause (VIII) of section 1902(a)(10)(A)(i) or 

10 under’’. 

11 SEC. 3. ELIMINATION OF MEDICAID COVERAGE OF FORMER 

12 FOSTER CARE CHILDREN. 

13 (a) IN GENERAL.—Section 1902(a)(10)(A)(i) of the 

14 Social Security Act (42 U.S.C. 1396a) is amended by 

15 striking subclause (IX). 

16 (b) CONFORMING AMENDMENTS.— 

17 (1) Section 1902(a)(10) of such Act (42 U.S.C. 

18 1396a(a)(10)) is amended in the matter following 

19 subparagraph (G)— 

20 (A) by inserting ‘‘and’’ before ‘‘XVI if an 

21 individual’’; and 

22 (B) by striking ‘‘and (XVII) if an indi23 vidual is described in subclause (IX) of sub24 paragraph (A)(i) and is also described in sub25 clause (VIII) of that subparagraph, the medical 


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1 assistance shall be made available to the indi2 vidual through subclause (IX) instead of 

3 through subclause (VIII)’’. 

4 (2) Section 1903(f)(4) of such Act (42 U.S.C. 

5 1396b(f)(4)) is amended by striking 

6 ‘‘1902(a)(10)(A)(i)(IX),’’. 

7 (3) Section 1937(a)(2)(B)(viii) of such Act (42 

8 U.S.C. 1396u–7(a)(2)(B)(viii)) is amended by strik9 ing ‘‘, or the individual qualifies for medical assist10 ance on the basis of section 1902(a)(10)(A)(i)(IX)’’. 

11 SEC. 4. REMOVAL OF REQUIREMENT OF MINIMAL ESSEN12 TIAL COVERAGE FOR MEDICAID BENCHMARK 

13 BENEFITS. 

14 Section 1937(b) of the Social Security Act (42 U.S.C. 

15 1396–7(b)) is amended— 

16 (1) in paragraph (1), in the matter preceding 

17 subparagraph (A), by striking ‘‘subject to para18 graphs (5) and (6)’’; 

19 (2) in paragraph (2)— 

20 (A) in the matter preceding subparagraph 

21 (A), by striking ‘‘subject to paragraphs (5) and 

22 (6)’’; 

23 (B) in subparagraph (A)— 

24 (i) by striking clauses (iv) and (v); 

25 and 


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1 (ii) by redesignating clauses (vi) and 

2 (vii) as clauses (iv) and (v), respectively; 

3 and 

4 (C) in subparagraph (C)— 

5 (i) by redesignating clauses (i) and 

6 (ii) as clauses (iii) and (iv), respectively; 

7 and 

8 (ii) by inserting before clause (iii), as 

9 so redesignated, the following: 

10 ‘‘(i) Coverage of prescription drugs. 

11 ‘‘(ii) Mental health services.’’; and 

12 (3) by striking paragraphs (5) and (6). 

13 SEC. 5. ELIMINATION OF MEDICAID PREMIUM ASSISTANCE 

14 REQUIREMENT. 

15 Section 2003 of the Patient Protection and Afford16 able Care Act is repealed and the provisions of law amend17 ed by such section are restored as if such section had never 

18 been enacted. 

19 SEC. 6. ELIMINATION OF MEDICAID AND CHIP MAGI RE20 QUIREMENTS. 

21 (a) MEDICAID.—Section 1902(e) of the Social Secu22 rity Act (42 U.S.C. 1396a(e)) is amended by striking 

23 paragraph (14). 

24 (b) CHIP.— 


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1 (1) IN GENERAL.—Section 2102(b)(1)(B) of 

2 such Act (42 U.S.C. 1397bb) is amended— 

3 (A) by inserting ‘‘and’’ at the end of clause 

4 (iii); 

5 (B) by striking ‘‘and’’ at the end of clause 

6 (iv); and 

7 (C) by striking clause (v). 

8 (2) ELIMINATION OF RELATED ELIGIBILITY

9 RULE.—Section 2101(f) of the Patient Protection 

10 and Affordable Care Act is repealed. 

11 (c) CONFORMING AMENDMENTS.— 

12 (1) Section 1902(a)(17) of such Act (42 U.S.C. 

13 1396a(a)(17)) is amended by striking ‘‘(e)(14)’’. 

14 (2) Section 2105(d)(1) of such Act (42 U.S.C. 

15 1397ee(d)(1)) is amended by striking ‘‘, except as 

16 required under section 1902(e)(14)’’. 

17 (3) Section 2107(e)(1) of such Act (42 U.S.C. 

18 1397gg(e)(1)) is amended by striking subparagraph 

19 (F) (relating to income determined using modified 

20 adjusted gross income and household income). 

21 SEC. 7. ELIMINATION OF INCREASED FMAP FOR CHIP. 

22 Section 2105(b) of the Social Security Act (42 U.S.C. 

23 1397ee(b)) is amended by striking ‘‘Notwithstanding the 

24 preceding sentence, during the period that begins on Octo25 ber 1, 2015, and ends on September 30, 2019, the enVerDate Mar 15 2010 00:57 Oct 25, 2011 Jkt 099200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\H3243.IH H3243

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1 hanced FMAP determined for a State for a fiscal year 

2 (or for any portion of a fiscal year occurring during such 

3 period) shall be increased by 23 percentage points, but in 

4 no case shall exceed 100 percent. The increase in the en5 hanced FMAP under the preceding sentence shall not 

6 apply with respect to determining the payment to a State 

7 under subsection (a)(1) for expenditures described in sub8 paragraph (D)(iv), paragraphs (8), (9), (11) of subsection 

9 (c), or clause (4) of the first sentence of section 1905(b).’’. 

10 SEC. 8. RESTORATION OF CHIP APPROPRIATION AMOUNTS 

11 UNDER CHIPRA. 

12 (a) RESTORATION OF CHIPRA APPROPRIATION

13 AMOUNTS.—Section 2104(a) of the Social Security Act 

14 (42 U.S.C. 1397dd(a)) is amended— 

15 (1) in paragraph (15), by inserting ‘‘and’’ after 

16 the semicolon at the end; and 

17 (2) by striking paragraphs (16) through (18) 

18 and inserting the following: 

19 ‘‘(16) for fiscal year 2013, for purposes of mak20 ing 2 semiannual allotments— 

21 ‘‘(A) $2,850,000,000 for the period begin22 ning on October 1, 2012, and ending on March 

23 31, 2013, and 


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1 ‘‘(B) $2,850,000,000 for the period begin2 ning on April 1, 2013, and ending on Sep3 tember 30, 2013.’’. 

4 (b) CONFORMING AMENDMENTS.— 

5 (1) Section 2104(m) of such Act (42 U.S.C. 

6 1397dd(m)) is amended— 

7 (A) in the heading, by striking ‘‘2015’’ and 

8 inserting ‘‘2013’’; 

9 (B) in paragraph (2)— 

10 (i) in paragraph heading, by striking 

11 ‘‘2014’’ and inserting ‘‘2012’’; and 

12 (ii) by striking subparagraph (B); 

13 (C) in paragraph (3)— 

14 (i) in the paragraph heading, by strik15 ing ‘‘2015’’ and inserting ‘‘2013’’; 

16 (ii) in subparagraphs (A) and (B), by 

17 striking ‘‘paragraph (18)’’ each place it ap18 pears and inserting ‘‘paragraph (16)’’; 

19 (iii) in subparagraph (C)— 

20 (I) by striking ‘‘2014’’ each place 

21 it appears and inserting ‘‘2012’’; and 

22 (II) by striking ‘‘2015’’ and in23 serting ‘‘2013’’; and 

24 (iv) in subparagraph (D)— 


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1 (I) in clause (i)(I), by striking 

2 ‘‘subsection (a)(18)(A)’’ and inserting 

3 ‘‘subsection (a)(16)(A)’’; and 

4 (II) in clause (ii)(II), by striking 

5 ‘‘subsection (a)(18)(B)’’ and inserting 

6 ‘‘subsection (a)(16)(B)’’; 

7 (D) in paragraph (4), by striking ‘‘2015’’ 

8 and inserting ‘‘2013’’; 

9 (E) in paragraph (6)— 

10 (i) in subparagraph (A), by striking 

11 ‘‘2015’’ and inserting ‘‘2013’’; and 

12 (ii) in the flush text after and below 

13 subparagraph (B)(ii), by striking ‘‘, fiscal 

14 year 2012, or fiscal year 2014’’ and insert15 ing ‘‘or fiscal year 2012’’; and 

16 (F) in paragraph (8)— 

17 (i) in the paragraph heading, by strik18 ing ‘‘2015’’ and inserting ‘‘2013’’; and 

19 (ii) by striking ‘‘2015’’ and inserting 

20 ‘‘2013’’. 

21 (2) Section 2104(n) of such Act (42 U.S.C. 

22 1397dd(n)) is amended— 

23 (A) in paragraph (2)— 

24 (i) in subparagraph (A)(ii)— 


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1 (I) by striking ‘‘2014’’ and in2 serting ‘‘2012’’; and 

3 (II) by striking ‘‘2015’’ and in4 serting ‘‘2013’’; and 

5 (ii) in subparagraph (B)— 

6 (I) by striking ‘‘2014’’ and in7 serting ‘‘2012’’; and 

8 (II) by striking ‘‘2015’’ and in9 serting ‘‘2013’’; and 

10 (B) in paragraph (3)(A), by striking ‘‘fis11 cal year 2013, fiscal year 2014, or a semi-an12 nual allotment period for fiscal year 2015’’ and 

13 inserting ‘‘or a semiannual allotment period for 

14 fiscal year 2013’’. 

15 (3) Section 2105(g)(4) of such Act (42 U.S.C. 

16 1397ee(g)(4)) is amended— 

17 (A) in the paragraph heading, by striking 

18 ‘‘2015’’ and inserting ‘‘2013’’; and 

19 (B) in subparagraph (A), striking ‘‘2015’’ 

20 and inserting ‘‘2013’’. 


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1 SEC. 9. TREATMENT OF CHILDREN WHO ARE UNABLE TO 

2 BE ENROLLED IN CHIP DUE TO A FUNDING 

3 SHORTFALL. 

4 Section 2105(d)(3) of the Social Security Act (42 

5 U.S.C. 1397ee(d)(3)) is amended by striking subpara6 graph (B). 

7 SEC. 10. GRANTS TO IMPROVE CHIP OUTREACH AND EN8 ROLLMENT. 

9 Section 2113 of the Social Security Act (42 U.S.C. 

10 1397mm) is amended— 

11 (1) in subsection (a)(1), striking ‘‘2015’’ and 

12 inserting ‘‘2013’’; and 

13 (2) in subsection (g), by striking 

14 ‘‘$140,000,000 for the period of fiscal years 2009 

15 through 2015’’ and inserting ‘‘$100,000,000 for the 

16 period of fiscal years 2009 through 2013’’. 

17 SEC. 11. ADDITIONAL ONE-TIME APPROPRIATIONS FOR 

18 CHIP. 

19 Section 108 of the Children’s Health Insurance Pro20 gram Reauthorization Act of 2009 (42 U.S.C. 1397ee 

21 note) is amended by striking ‘‘$15,361,000,000 to accom22 pany the allotment’’ and all that follows through ‘‘allot23 ments provided from such subsection (a)(18)(A)’’ and in24 serting ‘‘$11,706,000,000 to accompany the allotment 

25 made for the period beginning on October 1, 2012, and 

26 ending on March 31, 2013, under section 2104(a)(16)(A) 


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1 of the Social Security Act (42 U.S.C. 1397dd(a)(16)(A)) 

2 (as added by section 101), to remain available until ex3 pended. Such amount shall be used to provide allotments 

4 to States under paragraph (3) of section 2104(m) of the 

5 Social Security Act (42 U.S.C. 1397dd(i)), as added by 

6 section 102, for the first 6 months of fiscal year 2013 

7 in the same manner as allotments are provided under sub8 section (a)(16)(A) of such section 2104 and subject to the 

9 same terms and conditions as apply to the allotments pro10 vided from such subsection (a)(16)(A).’’. 

11 SEC. 12. REPEAL OF PPACA PREMIUM TAX CREDITS AND 

12 COST-SHARING SUBSIDIES. 

13 (a) PREMIUM TAX CREDITS.—Section 36B of the In14 ternal Revenue Code of 1986 is amended by striking sub15 section (a). 

16 (b) COST-SHARING.—Section 1402 of the Patient 

17 Protection and Affordable Care Act is repealed. 

18 (c) CONFORMING AMENDMENTS TO ELIMINATE REF19 ERENCES TO PREMIUM ASSISTANCE AND REDUCTIONS IN

20 COST-SHARING.— 

21 (1) INTERNAL REVENUE CODE OF 1986.—The 

22 Internal Revenue Code of 1986 is amended— 

23 (A) in section 36B, as amended by sub24 section (a)— 


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1 (i) in subsection (c)(2)(A)(ii), by 

2 striking ‘‘(or through advance payment’’ 

3 and all that follows through ‘‘Act)’’; 

4 (ii) in subsection (f)— 

5 (I) by striking paragraphs (1) 

6 and (2); 

7 (II) in paragraph (3)(B), by 

8 striking ‘‘without regard to the credit 

9 under this section or cost-sharing re10 ductions under section 1402 of such 

11 Act’’; 

12 (III) in paragraph (3), by strik13 ing subparagraphs (C) and (F); and 

14 (IV) in paragraph (3)(E), by 

15 striking ‘‘necessary’’ and all that fol16 lows; and 

17 (iii) in subsection (g), by striking ‘‘, 

18 including’’ and all that follows through ‘‘of 

19 the credit’’; 

20 (B) in section 280C, by striking subsection 

21 (g) (relating to credit for health insurance pre22 miums); 

23 (C) in section 4980H(c), by striking para24 graph (3); 

25 (D) in section 5000A— 


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1 (i) in subsection (e)(1)— 

2 (I) in subparagraph (A), by strik3 ing ‘‘for the taxable year described in 

4 section 1412(b)(1)(B) of the Patient 

5 Protection and Affordable Care Act’’ 

6 and inserting ‘‘for the most recent 

7 taxable year for which the Secretary 

8 of Health and Human Services, after 

9 consultation with the Secretary of the 

10 Treasury, determines information is 

11 available’’; and 

12 (II) in subparagraph (B)(ii), by 

13 striking ‘‘, reduced by the amount of 

14 the credit allowable under section 36B 

15 for the taxable year (determined as if 

16 the individual was covered by a quali17 fied health plan offered through the 

18 Exchange for the entire taxable 

19 year)’’; and 

20 (ii) in subsection (e)(2), by striking 

21 ‘‘described in section 1412(b)(1)(B) of the 

22 Patient Protection and Affordable Care 

23 Act’’ and inserting ‘‘described in para24 graph (1)(A)’’; 


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1 (E) in section 6055(b)(1), by amending 

2 clause (iii) to read as follows: 

3 ‘‘(iii) in the case of minimum essential 

4 coverage which consists of health insurance 

5 coverage, information concerning whether 

6 or not the coverage is a qualified health 

7 plan offered through an Exchange estab8 lished under section 1311 of the Patient 

9 Protection and Affordable Care Act, and’’; 

10 and 

11 (F) in section 6103(l)(21)(A), in the mat12 ter before clause (i), by striking ‘‘any premium 

13 tax credit under section 36B or any cost-shar14 ing reduction under section 1402 of the Patient 

15 Protection and Affordable Care Act or’’. 

16 (2) FAIR LABOR STANDARDS ACT OF 1938.— 

17 The Fair Labor Standards Act of 1938 (29 U.S.C. 

18 201 et seq.) is amended— 

19 (A) in section 18B(a)— 

20 (i) in paragraph (1), by inserting 

21 ‘‘and’’ after the semicolon at the end; and 

22 (ii) by striking paragraph (2); and 

23 (B) in section 18C(a), by striking para24 graph (1). 


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1 (3) PUBLIC HEALTH SERVICE ACT AMEND2 MENTS.—Title XXVII of the Public Health Service 

3 Act (42 U.S.C. 300gg et seq.) is amended— 

4 (A) in section 2705(l)(3)(A)— 

5 (i) by striking the em dash before 

6 clause (i) and inserting ‘‘will not result in 

7 any decrease in coverage.’’; and 

8 (ii) by striking clauses (i) and (ii); 

9 and 

10 (B) in section 2793(c)— 

11 (i) by inserting ‘‘and’’ at the end of 

12 paragraph (3); 

13 (ii) by striking ‘‘; and’’ at the end of 

14 paragraph (4); and 

15 (iii) by striking paragraph (5). 

16 (4) PATIENT PROTECTION AND AFFORDABLE

17 CARE ACT AMENDMENTS.—The Patient Protection 

18 and Affordable Care Act (Public Law 111–148, as 

19 amended) is amended— 

20 (A) in section 1311(d)(4)— 

21 (i) in subparagraph (G), by striking 

22 ‘‘after the application of any premium tax 

23 credit’’ and all that follows through ‘‘sec24 tion 1402’’; and 


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1 (ii) in subparagraph (I), by striking 

2 clause (ii); 

3 (B) in section 1311(i)(3)(B), by striking ‘‘, 

4 and the availability of premium tax credits’’ 

5 and all that follows through ‘‘section 1402’’; 

6 (C) in section 1331(d)(3)(A)(i) is amended 

7 by inserting ‘‘and section 8 of the Common 

8 Sense Deficit Reduction Act of 2011 had not 

9 been enacted’’ before the period at the end; 

10 (D) in section 1332(a)— 

11 (i) in paragraph (2), by striking sub12 paragraph (C); and 

13 (ii) in paragraph (3), by striking 

14 ‘‘premium tax credits, cost-sharing reduc15 tions’’; 

16 (E) in section 1334(c) by striking para17 graph (3); 

18 (F) in section 1401(c)(1)(A), by striking 

19 clause (i); 

20 (G) in section 1411— 

21 (i) in subsection (a)(1)— 

22 (I) by striking ‘‘or who is claim23 ing a premium tax credit or reduced 

24 cost-sharing,’’; and 


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1 (II) by striking ‘‘sections 

2 1312(f)(3), 1402(e), and 1412(d)’’ 

3 and inserting ‘‘section 1312(f)(3)’’; 

4 (ii) in subsection (a), by striking para5 graph (2); 

6 (iii) in subsection (b), by striking 

7 paragraphs (3) and (4); and 

8 (iv) in subsection (e)— 

9 (I) in paragraph (2), by amend10 ing subparagraph (A) to read as fol11 lows: 

12 ‘‘(A) ELIGIBILITY FOR ENROLLMENT.—If 

13 information provided by an applicant under 

14 paragraphs (1) and (2) of subsection (b) is 

15 verified under subsections (c) and (d) the indi16 vidual’s eligibility to enroll through the Ex17 change shall be satisfied.’’; and 

18 (II) in paragraph (4)(B), by 

19 striking clause (iii); 

20 (H) by striking section 1412; 

21 (I) in section 1413(e)(1), by striking ‘‘, in22 cluding the premium tax credits under section 

23 36B of the Internal Revenue Code of 1986 and 

24 cost-sharing reductions under section 1402’’; 

25 (J) by striking section 1415; and 


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1 (K) in section 2901, by striking subsection 

2 (a). 

3 (5) SOCIAL SECURITY ACT.—Section 1943(b) of 

4 the Social Security Act (42 U.S.C. 1396w–3(b)) is 

5 amended— 

6 (A) in paragraph (1)(C)— 

7 (i) by striking ‘‘and, if applicable, pre8 mium assistance’’ and all that follows 

9 through ‘‘section 1412 of the Patient Pro10 tection and Affordable Care Act),’’; and 

11 (ii) by striking ‘‘reduced cost-sharing 

12 for eligible individuals under section 1402 

13 of the Patient Protection and Affordable 

14 Care Act, and any other’’ and inserting 

15 ‘‘any’’; 

16 (B) in paragraph (1)(D), by striking ‘‘, 

17 child health assistance, or premium assistance,’’ 

18 and inserting ‘‘or child health assistance,’’; 

19 (C) by striking paragraph (2); and 

20 (D) in paragraph (4), by striking ‘‘and 

21 who is eligible to receive premium credit assist22 ance for the purchase of a qualified health plan 

23 under section 36B of the Internal Revenue 

24 Code of 1986’’. 


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1 SEC. 13. TREATMENT OF INDIVIDUAL MANDATE. 

2 Section 1311(d)(4)(H) of the Patient Protection and 

3 Affordable Care Act is amended— 

4 (1) in clause (i), by striking ‘‘or’’ after the 

5 semicolon at the end; 

6 (2) in clause (ii), by inserting ‘‘or’’ after the 

7 semicolon at the end; and 

8 (3) by adding at the end the following new 

9 clause: 

10 ‘‘(iii) the individual would have quali11 fied for premium assistance under section 

12 36B of the Internal Revenue Code of 

13 1986, medical assistance under title XIX 

14 of the Social Security Act, child health as15 sistance under title XXI of such Act, or re16 duced cost-sharing under section 1402, but 

17 for the enactment of the Common Sense 

18 Deficit Reduction Act of 2011;’’. 

19 SEC. 14. REPEAL OF CLASS ACT. 

20 (a) IN GENERAL.—Title XXXII of the Public Health 

21 Service Act (42 U.S.C. 30011 et seq.) is repealed. 

22 (b) CONFORMING AMENDMENTS.— 

23 (1) Section 1902(a) of the Social Security Act 

24 (42 U.S.C. 1396a(a)) is amended— 

25 (A) in paragraph (80), by inserting ‘‘and’’ 

26 after the semicolon at the end; and 


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1 (B) by striking paragraphs (81) and (82). 

2 (2) Section 8002 of the Patient Protection and 

3 Affordable Care Act is amended by striking sub4 sections (c) and (f). 

5 (3) Section 6021(d) of the Deficit Reduction 

6 Act of 2005 (42 U.S.C. 1396p note) is amended— 

7 (A) in paragraph (2)(A)— 

8 (i) in clause (ii), by inserting ‘‘and’’ at 

9 the end; 

10 (ii) in clause (iii), by striking ‘‘; and’’ 

11 at the end and inserting a period; and 

12 (iii) by striking clause (iv); and 

13 (B) in paragraph (3), by striking ‘‘2015’’ 

14 and inserting ‘‘2012’’. 

Æ 


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