I 
116TH CONGRESS 
1ST SESSION H. R. 2524 
To repeal the multi-State plan program. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 3, 2019 
Mr. MEADOWS introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To repeal the multi-State plan program. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Repeal Insurance 
Plans of the Multi-State Program Act’’ or the ‘‘RIP MSP 
Act’’. 
SEC. 2. REPEAL OF MULTI-STATE PLAN PROGRAM. 
(a) DEFINITIONS.—In this section, the terms ‘‘multi- 
State plan issuer’’ and ‘‘MSP issuer’’ mean a health insur-
ance issuer or group of health insurance issuers that has 
a contract with the Office of Personnel Management to 
offer multi-State plan options pursuant to section 1334 
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of the Patient Protection and Affordable Care Act (Public 
Law 111–148). 
(b) PROGRAM REPEAL.—Effective January 1, 2020, 
section 1334 of the Patient Protection and Affordable 
Care Act (Public Law 111–148) shall have no force or 
effect. 
(c) TERMINATION OF EXTERNAL REVIEW.—The ad-
ministration of external review pursuant to section 1334 
of the Patient Protection and Affordable Care Act shall 
conclude upon the issuance by the Director of Office of 
Personnel Management (referred to in this section as 
‘‘OPM’’) of all final decisions for enrollees enrolled in a 
multi-State plan during or before the 2019 plan year. 
(d) REQUIRED REPORTING.—Not later than 60 days 
after the date of enactment of this Act, the Director of 
OPM shall provide the Committee on Homeland Security 
and Governmental Affairs and the Committee on Health, 
Education, Labor, and Pensions of the Senate and the 
Committee on Oversight and Government Reform and the 
Committee on Energy and Commerce of the House of 
Representatives a briefing concerning the efforts of the 
OPM to wind down the multi-State program under section 
1334 of the Patient Protection and Affordable Care Act. 
Such briefing shall contain such information as may be 
required, including information regarding— 
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(1) the methods of communication OPM and an 
MSP issuer will use to notify current enrollees that 
the multi-State plan will not be offered during the 
next open season, including a timeline of the planned 
communications; 
(2) a description of how the Director of OPM 
will work with the Secretary of Health and Human 
Services to ensure that no plans previously offered 
pursuant to such section 1334 are offered on State 
or Federal Exchanges; and 
(3) a timeline detailing how OPM will close 
down the information technology portal that MSP 
issuers utilize. 
(e) CONFORMING AMENDMENTS.— 
(1) IN GENERAL.—Title I of the Patient Pro-
tection and Affordable Care Act is amended— 
(A) 
in 
section 
1301(a) 
(42 
U.S.C. 
18021(a))— 
(i) in paragraph (2)— 
(I) in the heading, by striking 
‘‘AND
MULTI-STATE
QUALIFIED 
HEALTH PLANS’’; and 
(II) by striking ‘‘and a multi- 
State plan under section 1334,’’; and 
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(ii) in paragraph (4), by striking ‘‘, 
including a multi-State qualified health 
plan,’’; and 
(B) 
in 
section 
1324(a) 
(42 
U.S.C. 
18044(a)), by striking ‘‘, or a multi-State quali-
fied health plan under section 1334,’’. 
(2) EFFECTIVE DATE.—The amendments made 
by paragraph (1) shall take effect on January 1, 
2020. 
Æ 
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