I 
113TH CONGRESS 
2D SESSION 
H. R. 3849 
To provide for the repeal of the Patient Protection and Affordable Care 
Act if it is determined that the Act has resulted in increasing the 
number of uninsured individuals. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 10, 2014 
Mr. CASSIDY introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce, and in addition to the Committees on 
Ways and Means, Education and the Workforce, the Judiciary, Natural 
Resources, House Administration, Rules, and Appropriations, for a period 
to be subsequently determined by the Speaker, in each case for consider-
ation of such provisions as fall within the jurisdiction of the committee 
concerned 
A BILL 
To provide for the repeal of the Patient Protection and 
Affordable Care Act if it is determined that the Act 
has resulted in increasing the number of uninsured indi-
viduals. 
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 ‘‘Health Insurance Ac-
countability Act of 2014’’. 
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SEC. 2. REPEAL OF PPACA. 
(a) IN GENERAL.—The Patient Protection and Af-
fordable Care Act (Public Law 111–148) and title I and 
subtitle B of title II of the Health Care and Education 
Reconciliation Act of 2011 (Public Law 111–152) shall 
be repealed effective on the date on which the Comptroller 
General report under subsection (b) determines that, at 
any point in time after the date of enactment of this Act, 
the number of individuals in the United States who are 
uninsured exceeds the number of individuals who were un-
insured on the date of enactment of the Patient Protection 
and Affordable Care Act. 
(b) REPORTS.— 
(1) IN GENERAL.—Not later than 30 days after 
the date of enactment of this Act, the Comptroller 
General of the United States, in consultation with 
the Census Bureau, shall conduct a study to deter-
mine the number of individuals in the United States 
who are uninsured, and submit to the appropriate 
committees of Congress a report concerning the re-
sults of such study, including both the number of in-
dividuals in the United States who are determined to 
be currently uninsured and the number of individ-
uals in the United States who were uninsured on the 
date of enactment of the Patient Protection and Af-
fordable Care Act. 
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(2) SUBSEQUENT STUDIES AND REPORTS.—The 
Comptroller General shall conduct one or more sub-
sequent studies every 60 days (and submit reports 
based on the results of such studies) until the Comp-
troller General makes a determination that the num-
ber of individuals in the United States who are unin-
sured exceeds the number of individuals who were 
uninsured on the date of enactment of the Patient 
Protection and Affordable Care Act. 
(3) SUNSET.—No reports shall be submitted 
under this section after the date that is 5 years after 
the date of enactment of this Act. 
(c) TRANSFER OF FUNDING.— 
(1) IN GENERAL.—If, based on the last report 
submitted during a fiscal year under subsection (b), 
the Comptroller General of the United States deter-
mines that the number of uninsured individuals for 
such fiscal year has decreased as compared to the 
number of uninsured individuals on the date of en-
actment of the Patient Protection and Affordable 
Care Act, the Secretary of Health and Human Serv-
ices shall reduce the funding described in paragraph 
(3)(A) by an amount determined in accordance with 
paragraph (2), and such amount shall be rescinded 
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and permanently cancelled for the purpose of debt 
reduction. 
(2) AMOUNT.—The amount determined under 
this paragraph for a fiscal year shall be equal to the 
amount which bears the same ratio to the total 
amount of funding for such fiscal year as described 
in paragraph (3)(A) as the total number of unin-
sured individuals determined for such fiscal year 
bears to the total number of uninsured individuals 
on the date of enactment of such Act. 
(3) FUNDING DESCRIBED.— 
(A) IN GENERAL.—The funding described 
in this section includes— 
(i) the amount provided for under sec-
tion 2793 of the Public Health Service Act 
(42 U.S.C. 300gg–93) for the fiscal year 
involved and which remains unobligated; 
(ii) the amount provided for under 
section 1311 of the Patient Protection and 
Affordable Care Act (42 U.S.C. 18031) for 
the fiscal year involved and which remains 
unobligated; and 
(iii) the amount provided for under 
section 1005 of the Health Care and Edu-
cation Reconciliation Act of 2010 (Public 
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Law 111–152) for the fiscal year involved 
and which remains unobligated. 
(B) REDUCTIONS.—With respect to any 
reductions required to be made under this sub-
section for a fiscal year, each amount in fund-
ing described in subparagraph (A) shall be re-
duced by the pro rata percentage required to 
reduce the total amount of such spending by 
the amount required under this subsection for 
the fiscal year involved. 
(d) DEFINITION.—In this section, the term ‘‘unin-
sured’’ with respect to an individual, means an individual 
lawfully present in the United States who is not covered 
by health insurance. 
Æ 
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