I 
113TH CONGRESS 
2D SESSION 
H. R. 5384 
To amend the Public Health Service Act to extend health plan coverage 
to dependent children in the individual and group market, contingent 
on the enactment of legislation repealing the Patient Protection and 
Affordable Care Act, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 31, 2014 
Mr. VALADAO (for himself, Mr. FITZPATRICK, Mr. PEARCE, and Mr. COFF-
MAN) introduced the following bill; which was referred to the Committee 
on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to extend health 
plan coverage to dependent children in the individual 
and group market, contingent on the enactment of legis-
lation repealing the Patient Protection and Affordable 
Care Act, and for other purposes. 
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 ‘‘Securing Health Care 
for Young Americans Act of 2014’’. 
SEC. 2. EXTENSION OF DEPENDENT COVERAGE. 
(a) GROUP MARKET.— 
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(1) IN GENERAL.—Subpart 1 of part A of title 
XXVII of the Public Health Service Act (42 U.S.C. 
300gg et seq.) is amended by adding at the end: 
‘‘SEC. 2703A. EXTENSION OF DEPENDENT COVERAGE. 
‘‘(a) IN GENERAL.—A group health plan and a health 
insurance issuer offering group health insurance coverage 
that provides dependent coverage of children shall con-
tinue to make such coverage available for such a depend-
ent after such dependent turns 18 years of age until the 
first of the following events occurs: 
‘‘(1) The dependent turns 26 years of age. 
‘‘(2) The dependent marries. 
‘‘(3) Subject to subsection (c), the dependent no 
longer resides in the home of— 
‘‘(A) the policy holder through which such 
dependent is eligible for dependent coverage; or 
‘‘(B) in the case that the policy holder 
through which such dependent is eligible for de-
pendent coverage provides such coverage subject 
to an order to provide child support, the de-
pendent’s parent or legal guardian. 
‘‘(b) EXCEPTION FOR COLLEGE STUDENTS.—Para-
graph (3) of subsection (a) shall not apply to a dependent 
for any period of time during which such dependent is en-
rolled as a full-time student at a postsecondary edu-
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cational institution (including an institution of higher edu-
cation as defined in section 102 of the Higher Education 
Act of 1965). 
‘‘(c) LIMITATION.—Nothing in this section shall re-
quire a plan or an issuer described in subsection (a) to 
make coverage available for a child of an individual receiv-
ing dependent coverage pursuant to this section. 
‘‘(d) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed to modify the definition of ‘depend-
ent’ as used in the Internal Revenue Code of 1986 with 
respect to the tax treatment of the cost of coverage.’’. 
(2) REGULATIONS.—The Secretary shall pro-
mulgate regulations to define the dependents to 
which coverage shall be made available under section 
2703A of the Public Health Service Act, as added 
by paragraph (1). 
(b) INDIVIDUAL MARKET.—Subpart 1 of part B of 
title XXVII of the Public Health Service Act (42 U.S.C. 
300gg–41 et seq.) is amended by adding at the end the 
following: 
‘‘SEC. 2748. EXTENSION OF DEPENDENT COVERAGE. 
‘‘The provisions of section 2703A shall apply to 
health insurance coverage offered to individuals by a 
health insurance issuer in the individual market in the 
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same manner as it applies to health insurance coverage 
offered by a health insurance issuer in the group market.’’. 
(c) EFFECTIVE DATE CONTINGENT ON REPEAL OF 
PPACA.— 
(1) IN GENERAL.—Subsections (a) and (b) and 
the amendments made by such subsections shall take 
effect upon the enactment of PPACA repeal legisla-
tion described in paragraph (2) and such subsections 
and amendments shall have no force or effect if such 
PPACA repeal legislation is not enacted. 
(2) 
PPACA 
REPEAL
LEGISLATION
DE-
SCRIBED.—For purposes of paragraph (1), PPACA 
repeal legislation described in this paragraph is leg-
islation that— 
(A) repeals Public Law 111–148, and re-
stores or revives the provisions of law amended 
or repealed, respectively, by such Act as if such 
Act had not been enacted and without further 
amendment to such provisions of law; and 
(B) repeals title I and subtitle B of title II 
of the Health Care and Education Reconcili-
ation Act of 2010 (Public Law 111–152), and 
restores or revives the provisions of law amend-
ed or repealed, respectively, by such title or 
subtitle, respectively, as if such title and sub-
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title had not been enacted and without further 
amendment to such provisions of law. 
Æ 
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