I 
113TH CONGRESS 
1ST SESSION H. R. 1076 
To amend the Patient Protection and Affordable Care Act to provide for 
savings to the Federal Government by permitting pass-through funding 
for State authorized public entity health benefits pools. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 12, 2013 
Mr. HALL (for himself and Mr. THORNBERRY) introduced the following bill; 
which was referred to the Committee on Energy and Commerce, and in 
addition to the Committee on Ways and Means, for a period to be subse-
quently determined by the Speaker, in each case for consideration of such 
provisions as fall within the jurisdiction of the committee concerned 
A BILL 
To amend the Patient Protection and Affordable Care Act 
to provide for savings to the Federal Government by 
permitting pass-through funding for State authorized 
public entity health benefits pools. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SAVINGS FROM STATE AUTHORIZED PUBLIC 
ENTITY HEALTH BENEFITS POOLS. 
The Patient Protection and Affordable Care Act 
(Public Law 111–148) is amended by inserting after sec-
tion 1332 (42 U.S.C. 18052) the following new section 
VerDate Mar 14 2013 
16:07 Mar 14, 2013
Jkt 029200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H1076.IH
H1076
tkelley on DSK3SPTVN1PROD with BILLS
(and inserting a corresponding item in the table of con-
tents of the Act): 
‘‘SEC. 1332A. SAVINGS FROM STATE AUTHORIZED PUBLIC 
ENTITY BENEFITS POOLS. 
‘‘(a) APPLICATION.— 
‘‘(1) IN GENERAL.—A State authorized public 
entity health benefits pool (in this section referred to 
as a ‘pool’) may apply to the Secretary for a pass 
through of funding described in subsection (b) with 
respect to health care benefits provided through that 
pool for coverage years beginning on or after Janu-
ary 1, 2014. 
‘‘(2) APPROVAL
OF
APPLICATION.—The Sec-
retary shall approve such an application of a pool if 
the Secretary determines that health care benefits 
provided through the pool— 
‘‘(A) will provide coverage that is at least 
as comprehensive as the coverage defined in 
section 1302(b); 
‘‘(B) will provide coverage and cost sharing 
protections 
against 
excessive 
out-of-pocket 
spending that are at least as affordable as the 
provisions of this title would provide; and 
‘‘(C) will result in cost savings to the Fed-
eral Government because the cost of providing 
VerDate Mar 14 2013 
16:07 Mar 14, 2013
Jkt 029200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H1076.IH
H1076
tkelley on DSK3SPTVN1PROD with BILLS
health care benefits to individuals through the 
pool will be less than the cost of providing 
health care benefits to such individuals had 
they become participants in a qualified health 
plan offered through an Exchange, and so the 
payment amount under subsection (b) will be 
less than the total of premium tax credits, cost- 
sharing reductions, or small business credits 
that would otherwise be required if individuals 
and small employers in the pool were instead 
participants in an Exchange. 
‘‘(3) CONSIDERATION.—Not later than 90 days 
after the date of the enactment of this section, the 
Secretary shall promulgate regulations relating to 
pass through of funding under this section. The Sec-
retary shall begin accepting applications under this 
section no later than 180 days after such date of en-
actment. 
‘‘(4) ADDITIONAL
CONSEQUENCES
OF
AP-
PROVAL.—An individual receiving health care bene-
fits through such a pool for which such an applica-
tion is approved under this section shall be treated, 
for purposes of section 5000A of the Internal Rev-
enue Code of 1986, as being covered under min-
VerDate Mar 14 2013 
16:07 Mar 14, 2013
Jkt 029200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H1076.IH
H1076
tkelley on DSK3SPTVN1PROD with BILLS