II 
Calendar No. 299 
114TH CONGRESS 
1ST SESSION H. R. 3762 
IN THE SENATE OF THE UNITED STATES 
NOVEMBER 18, 2015 
Received; read the first time 
NOVEMBER 19, 2015 
Read the second time and placed on the calendar 
AN ACT 
To provide for reconciliation pursuant to section 2002 of 
the concurrent resolution on the budget for fiscal year 2016. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Restoring Americans’ Healthcare Freedom Reconcili-
ation Act of 2015’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
TITLE I—COMMITTEE ON ENERGY AND COMMERCE 
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Sec. 101. Repeal of the Prevention and Public Health Fund. 
Sec. 102. Federal payment to States. 
Sec. 103. Funding for community health center program. 
TITLE II—COMMITTEE ON WAYS AND MEANS 
Sec. 201. Repeal of individual mandate. 
Sec. 202. Repeal of employer mandate. 
Sec. 203. Repeal of medical device excise tax. 
Sec. 204. Repeal of the tax on employee health insurance premiums and health 
plan benefits and related reporting requirements. 
TITLE I—COMMITTEE ON 
ENERGY AND COMMERCE 
SEC. 101. REPEAL OF THE PREVENTION AND PUBLIC 
HEALTH FUND. 
(a) IN GENERAL.—Section 4002 of the Patient Pro-
tection and Affordable Care Act (42 U.S.C. 300u–11) is 
repealed. 
(b) RESCISSION OF UNOBLIGATED FUNDS.—Of the 
funds made available by such section 4002, the unobli-
gated balance is rescinded. 
SEC. 102. FEDERAL PAYMENT TO STATES. 
(a) IN GENERAL.—Notwithstanding section 504(a), 
1902(a)(23), 2002, 2005(a)(4), 2102(a)(7), or 2105(a)(1) 
of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
704(a), 
1396b(a)(23), 
1397a, 
1397d(a)(4), 
1397bb(a)(2), 
1397ee(a)(1)), or the terms of any Medicaid waiver in ef-
fect on the date of enactment of this Act that is approved 
under section 1115 or 1915 of the Social Security Act (42 
U.S.C. 1315, 1396n), for the 1-year period beginning on 
the date of the enactment of this Act no Federal funds 
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may be made available to a State for payments to a pro-
hibited entity, whether made directly to the prohibited en-
tity or through a managed care organization under con-
tract with the State. 
(b) DEFINITION OF PROHIBITED ENTITY.—In this 
section, the term ‘‘prohibited entity’’ means an entity, in-
cluding its affiliates, subsidiaries, successors, and clinics— 
(1) that, as of the date of enactment of this 
Act— 
(A) is an organization described in section 
501(c)(3) of the Internal Revenue Code of 1986 
and exempt from tax under section 501(a) of 
such Code; 
(B) is an essential community provider de-
scribed in section 156.235 of title 45, Code of 
Federal Regulations, that is primarily engaged 
in family planning services, reproductive health, 
and related medical care; and 
(C) provides for abortions, other than an 
abortion— 
(i) if the pregnancy is the result of an 
act of rape or incest; or 
(ii) in the case where a woman suffers 
from a physical disorder, physical injury, 
or physical illness that would, as certified 
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by a physician, place the woman in danger 
of death unless an abortion is performed, 
including a life-endangering physical condi-
tion caused by or arising from the preg-
nancy itself; and 
(2) for which the total amount of Federal and 
State expenditures under the Medicaid program 
under title XIX of the Social Security Act in fiscal 
year 2014 made directly to the entity and to any af-
filiates, subsidiaries, successors, or clinics of the en-
tity, or made to the entity and to any affiliates, sub-
sidiaries, successors, or clinics of the entity as part 
of a nationwide health care provider network, ex-
ceeded $350,000,000. 
SEC. 103. FUNDING FOR COMMUNITY HEALTH CENTER 
PROGRAM. 
Effective as if included in the enactment of the Medi-
care Access and CHIP Reauthorization Act of 2015 (Pub-
lic Law 114–10, 129 Stat. 87), paragraph (1) of section 
221(a) of such Act is amended by inserting after ‘‘Section 
10503(b)(1)(E) of the Patient Protection and Affordable 
Care Act (42 U.S.C. 254b–2(b)(1)(E)) is amended’’ the 
following: ‘‘by striking ‘$3,600,000,000’ and inserting 
‘$3,835,000,000’ and’’. 
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TITLE II—COMMITTEE ON WAYS 
AND MEANS 
SEC. 201. REPEAL OF INDIVIDUAL MANDATE. 
(a) IN GENERAL.—Section 5000A of the Internal 
Revenue Code of 1986 is amended by adding at the end 
the following: 
‘‘(h) TERMINATION.—This section shall not apply 
with respect to any month beginning after December 31, 
2014.’’. 
(b) CONFORMING AMENDMENTS.— 
(1) Section 5000A(c) of such Code is amend-
ed— 
(A) in paragraph (2)(B) by striking 
clauses (ii) and (iii), 
(B) in paragraph (3)(B) by striking 
‘‘2014’’ and all that follows and inserting 
‘‘2014.’’, and 
(C) in paragraph (3) by striking subpara-
graph (D). 
(2) Section 5000A(e)(1) of such Code is amend-
ed by striking subparagraph (D). 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to months beginning after Decem-
ber 31, 2014. 
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SEC. 204. REPEAL OF THE TAX ON EMPLOYEE HEALTH IN-
SURANCE PREMIUMS AND HEALTH PLAN 
BENEFITS AND RELATED REPORTING RE-
QUIREMENTS. 
(a) EXCISE TAX.—Chapter 43 of the Internal Rev-
enue Code of 1986 is amended by striking section 4980I. 
(b) REPORTING REQUIREMENT.—Section 6051(a) of 
such Code is amended by inserting ‘‘and’’ at the end of 
paragraph (12), by striking ‘‘, and’’ at the end of para-
graph (13) and inserting a period, and by striking para-
graph (14). 
(c) CLERICAL AMENDMENT.—The table of sections 
for chapter 43 of such Code is amended by striking the 
item relating to section 4980I. 
(d) EFFECTIVE DATES.— 
(1) IN GENERAL.—Except as provided by para-
graph (2), the amendments made by this section 
shall apply to taxable years beginning after Decem-
ber 31, 2017. 
(2) REPORTING
REQUIREMENT.—The amend-
ment made by subsection (b) shall apply to calendar 
years beginning after December 31, 2014. 
Passed the House of Representatives October 23, 
2015. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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Calendar No. 299 
114TH CONGRESS 
1ST SESSION 
H. R. 3762 
AN ACT 
To provide for reconciliation pursuant to section 
2002 of the concurrent resolution on the budget 
for fiscal year 2016. 
NOVEMBER 19, 2015 
Read the second time and placed on the calendar 
VerDate Sep 11 2014 
22:07 Nov 19, 2015
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PO 00000
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