I 
115TH CONGRESS 
1ST SESSION H. R. 4664 
To repeal the multi-State plan program. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 15, 2017 
Mr. MEADOWS introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce, and in addition to the Committee on 
Appropriations, for a period to be subsequently determined by the Speak-
er, in each case for consideration of such provisions as fall within the ju-
risdiction of the committee concerned 
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 of 2017’’ 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 
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a contract with the Office of Personnel Management to 
offer multi-State plan options pursuant to section 1334 
of the Patient Protection and Affordable Care Act (Public 
Law 111–148). 
(b) PROGRAM REPEAL.—Effective October 1, 2018, 
section 1334 of the Patient Protection and Affordable 
Care Act (Public Law 111–148) shall have no force or 
effect. 
(c) REQUIRED REPORTING.—Not later than 60 days 
after the date of enactment of this Act, the Director of 
the Office of Personnel Management shall provide the 
Committee on Homeland Security and Governmental Af-
fairs of the Senate and the Committee on Oversight and 
Government Reform of the House of Representatives a 
briefing concerning the efforts of the Office of Personnel 
Management (referred to in this section as ‘‘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 re-
quired, including information regarding— 
(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; 
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(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. 
(d) RESCISSION
OF
UNUSED
FUNDS.—Of the 
amounts made available to OPM for the purposes of staff-
ing and administering the program under section 1334 of 
the Patient Protection and Affordable Care Act, the unob-
ligated balance is rescinded, effective October 1, 2018. 
(e) SENSE OF CONGRESS.—It is the sense of Con-
gress that— 
(1) the Director of the Office of Personnel 
Management should assign employees of the Office 
whose duties on the date of enactment relate to car-
rying out section 1334 of the Patient Protection and 
Affordable Care Act (Public Law 111–148) to duties 
relating to processing appeals brought by individuals 
or employers pursuant to such section 1334; and 
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