(ii) in the case of any other plan year, 
$100,000; or 
(B) for plan years described in— 
(i) subparagraph (A)(i), $450,000; 
and 
(ii) subparagraph (A)(ii), $400,000. 
(3) INDEXING.—In the case of plan years be-
ginning after 2021, the dollar amounts that appear 
in subparagraphs (A) and (B) of paragraph (2) shall 
each be increased by an amount equal to— 
(A) such amount; multiplied by 
(B) the premium adjustment percentage 
specified under section 1302(c)(4) of the Af-
fordable Care Act, but determined by sub-
stituting ‘‘2019’’ for ‘‘2013’’. 
(4) PAYMENT METHODS.— 
(A) IN
GENERAL.—Payments under this 
subsection shall be based on such a method as 
the Secretary determines. The Secretary may 
establish a payment method by which interim 
payments of amounts under this subsection are 
made during a plan year based on the Sec-
retary’s best estimate of amounts that will be 
payable after obtaining all of the information. 
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(B) REQUIREMENT FOR PROVISION OF IN-
FORMATION.— 
(i) REQUIREMENT.—Payments under 
this subsection to a health insurance issuer 
are conditioned upon the furnishing to the 
Secretary, in a form and manner specified 
by the Secretary, of such information as 
may be required to carry out this sub-
section. 
(ii) RESTRICTION ON USE OF INFOR-
MATION.—Information disclosed or ob-
tained pursuant to clause (i) is subject to 
the HIPAA privacy and security law, as 
defined in section 3009(a) of the Public 
Health Service Act (42 U.S.C. 300jj– 
19(a)). 
(5) SECRETARY
FLEXIBILITY
FOR
BUDGET 
NEUTRAL
REVISIONS
TO
REINSURANCE
PAYMENT 
SPECIFICATIONS.—If the Secretary determines ap-
propriate, the Secretary may substitute higher dollar 
amounts for the dollar amounts specified under sub-
paragraphs (A) and (B) of paragraph (2) (and ad-
justed under paragraph (3), if applicable) if the Sec-
retary certifies that such substitutions, considered 
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together, neither increase nor decease the total pro-
jected payments under this subsection. 
(c) REPORTS TO CONGRESS.— 
(1) ANNUAL
REPORT.—The Secretary shall 
submit a report to Congress, not later than January 
21, 2021, and each year thereafter, that contains 
the following information for the most recently 
ended year: 
(A) The number and types of plans in each 
State’s individual market, specifying the num-
ber that are qualified health plans, grand-
fathered health plans, or health insurance cov-
erage that is not a qualified health plan. 
(B) The impact of the reinsurance pay-
ments provided under this section on the avail-
ability of coverage, cost of coverage, and cov-
erage options in each State. 
(C) The amount of premiums paid by indi-
viduals in each State by age, family size, geo-
graphic area in the State’s individual market, 
and category of health plan (as described in 
subparagraph (A)). 
(D) The process used to award funds for 
outreach and enrollment activities awarded to 
eligible entities under subsection (c), the 
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amount of such funds awarded, and the activi-
ties carried out with such funds. 
(E) Such other information as the Sec-
retary deems relevant. 
(2) EVALUATION REPORT.—Not later than Jan-
uary 31, 2024, the Secretary shall submit to Con-
gress a report that— 
(A) analyzes the impact of the funds pro-
vided under this section on premiums and en-
rollment in the individual market in all States; 
and 
(B) contains a State-by-State comparison 
of the design of the programs carried out by 
States with funds provided under this section. 
(d) DEFINITIONS.—In this section: 
(1) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of the Department of Health and 
Human Services. 
(2) FUND.—The term ‘‘Fund’’ means the Indi-
vidual Market Reinsurance Fund established under 
subsection (a). 
(3) GRANDFATHERED
HEALTH
PLAN.—The 
term ‘‘grandfathered health plan’’ has the meaning 
given that term in section 1251(e) of the Patient 
Protection and Affordable Care Act. 
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(4) HIGH-COST INDIVIDUAL.—The term ‘‘high- 
cost individual’’ means an individual enrolled in a 
qualified health plan (other than a grandfathered 
health plan or a transitional health plan) who incurs 
claims in excess of $50,000 during a plan year. 
(5) STATE.—The term ‘‘State’’ means each of 
the 50 States and the District of Columbia. 
(6) TRANSITIONAL HEALTH PLAN.—The term 
‘‘transitional health plan’’ means a plan continued 
under the letter issued by the Centers for Medicare 
& Medicaid Services on November 14, 2013, to the 
State Insurance Commissioners outlining a transi-
tional policy for coverage in the individual and small 
group markets to which section 1251 of the Patient 
Protection and Affordable Care Act does not apply, 
and under the extension of the transitional policy for 
such coverage set forth in the Insurance Standards 
Bulletin Series guidance issued by the Centers for 
Medicare & Medicaid Services on March 5, 2014, 
February 29, 2016, and February 13, 2017. 
SEC. 7. REAUTHORIZATION OF RISK CORRIDORS. 
Section 1342(a) of the Patient Protection and Af-
fordable Care Act (42 U.S.C. 18062(a)) is amended by 
inserting ‘‘and calendar years 2023 through 2026’’ after 
‘‘2016’’. 
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SEC. 8. INTEGRATION OF INDIVIDUALS AGED 50 TO 64 INTO 
HEALTH DEMONSTRATIONS. 
The Center for Medicare and Medicaid Innovation 
under section 1115A of the Social Security Act (42 U.S.C. 
1315a) is authorized to include the individuals enrolled 
under title XVIII of the Social Security Act pursuant to 
section 1899C of such Act, as added by section 3, into 
existing and future demonstrations conducted by such 
Center. 
SEC. 9. QUALIFIED HEALTH PLAN TAX CREDIT EXPANSION 
MADE PERMANENT. 
(a) IN GENERAL.—Section 36B of the Internal Rev-
enue Code of 1986 is amended— 
(1) in subsection (b)(3)(A)(iii)— 
(A) by striking the header and inserting 
‘‘PERCENTAGES FOR TAXABLE YEARS BEGIN-
NING AFTER 2020’’, and 
(B) by striking ‘‘beginning in 2021 or 
2022’’ and inserting ‘‘beginning after 2020’’, 
and 
(2) in subsection (c)(1)(E)— 
(A) by striking the header and inserting 
‘‘RULE FOR TAXABLE YEARS AFTER 2020’’, and 
(B) by striking ‘‘beginning in 2021 or 
2022’’ and inserting ‘‘beginning after 2020’’. 
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