(1) in paragraph (1), by adding at the end 
‘‘and’’; 
(2) by striking paragraph (2); and 
(3) by redesignating paragraph (3) as para-
graph (2). 
(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall apply with respect to individuals ap-
plying for coverage through the high risk insurance pool 
program on or after the date of the enactment of this Act. 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Helping Sick Americans 
Now Act’’. 
SEC. 2. PRIORITIZING FUNDING FOR SICK AMERICANS. 
Section 4002(c) of Public Law 111–148 (42 U.S.C. 
300u–11(c)) is amended by adding at the end the following: 
‘‘Notwithstanding any other provision of this section, the 
Secretary shall transfer amounts that are in the Fund that 
are attributable to fiscal year 2013 that are not otherwise 
obligated as of the date of the enactment of this sentence 
and funds that would otherwise be made available to the 
Fund for fiscal year 2014, fiscal year 2015, and fiscal year 
2016 to the account within the Department of Health and 
Human Services that provides for funding to carry out the 
temporary high risk health insurance pool program under 
section 1101 and such funds shall become available for obli-
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gation under such section on such date of enactment and 
remain so available through December 31, 2013.’’. 
SEC. 3. IMMEDIATE ACCESS TO HEALTH CARE FOR SICK 
AMERICANS. 
(a) IN GENERAL.—Section 1101(d) of Public Law 
111–148 (42 U.S.C. 18001(d)) is amended— 
(1) in paragraph (1), by adding at the end 
‘‘and’’; 
(2) by striking paragraph (2); and 
(3) by redesignating paragraph (3) as para-
graph (2). 
(b) EFFECTIVE DATE.—The amendments made by sub-
section (a) shall apply with respect to individuals applying 
for coverage through the high risk insurance pool program 
on or after the date of the enactment of this Act. 
SEC. 4. ENSURING AN ORDERLY REOPENING OF THE PRO-
GRAM FOR SICK AMERICANS. 
Section 1101(b) of Public Law 111–148 (42 U.S.C. 
18001(b)) is amended by adding at the end the following 
new paragraph: 
‘‘(4) ORDERLY REOPENING OF PROGRAM.—The 
Secretary shall administer this section in accordance 
with the regulations under part 152 of title 45, Code 
of Federal Regulations, as in effect as of April 16, 
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2013, except as is necessary to reflect the amendments 
made by the Helping Sick Americans Now Act.’’. 
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Union Calendar No. 28 
113TH CONGRESS 
1ST SESSION 
H. R. 1549 
[Report No. 113–45] 
A BILL 
To amend Public Law 111–148 to transfer fiscal 
year 2013 through fiscal year 2016 funds from 
the Prevention and Public Health Fund to carry 
out the temporary high risk health insurance 
pool program for individuals with preexisting 
conditions, and to extend access to such program 
to such individuals who have had creditable cov-
erage during the 6 months prior to application 
for coverage through such program. 
APRIL 19, 2013 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
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