I 
113TH CONGRESS 
1ST SESSION H. R. 1558 
To lower health premiums and increase choice for small businesses. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 15, 2013 
Mr. COLLINS of New York introduced the following bill; which was referred 
to the Committee on Energy and Commerce, and in addition to the Com-
mittee on Ways and Means, for a period to be subsequently determined 
by the Speaker, in each case for consideration of such provisions as fall 
within the jurisdiction of the committee concerned 
A BILL 
To lower health premiums and increase choice for small 
businesses. 
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 
‘‘Small Business Health Relief Act of 2013’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
TITLE I—MAKING COVERAGE AFFORDABLE FOR SMALL 
BUSINESSES 
VerDate Mar 15 2010 
23:31 Apr 19, 2013
Jkt 029200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6211
E:\BILLS\H1558.IH
H1558
rfrederick on DSK6VPTVN1PROD with BILLS
Sec. 101. Protecting American jobs and wages. 
Sec. 102. Increasing flexibility for small businesses. 
Sec. 103. Increasing choices for Americans. 
Sec. 104. Protecting patients from higher premiums. 
Sec. 105. Ensuring affordable coverage. 
TITLE II—INCREASING CONSUMER CONTROL 
Sec. 201. Repeal of the restriction on over-the-counter medicines. 
Sec. 202. Repeal of the annual cap. 
TITLE III—ALLOWING INDIVIDUALS TO KEEP COVERAGE THEY 
LIKE 
Sec. 301. Allowing individuals to keep the coverage they have if they like it. 
TITLE I—MAKING COVERAGE AF-
FORDABLE FOR SMALL BUSI-
NESSES 
SEC. 101. PROTECTING AMERICAN JOBS AND WAGES. 
Sections 1513 and 1514 and subsections (e), (f), and 
(g) of section 10106 of the Patient Protection and Afford-
able Care Act (Public Law 111–148) and the amendments 
made by such sections and subsections are repealed and 
the Internal Revenue Code of 1986 shall be applied and 
administered as if such provisions and amendments had 
never been enacted. 
SEC. 102. INCREASING FLEXIBILITY FOR SMALL BUSI-
NESSES. 
Section 1302(c)(2) of the Patient Protection and Af-
fordable Care Act (Public Law 111–148; 42 U.S.C. 
18022(c)(2)) is repealed. 
SEC. 103. INCREASING CHOICES FOR AMERICANS. 
(a) QUALIFIED HEALTH PLAN COVERAGE SATISFIED 
BY HIGH DEDUCTIBLE HEALTH PLAN WITH HEALTH 
VerDate Mar 15 2010 
23:31 Apr 19, 2013
Jkt 029200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H1558.IH
H1558
rfrederick on DSK6VPTVN1PROD with BILLS
SAVINGS ACCOUNT.—Section 1302(e) of the Patient Pro-
tection and Affordable Care Act (42 U.S.C. 18022(e)) is 
amended to read as follows: 
‘‘(e) HIGH
DEDUCTIBLE
HEALTH
PLAN
WITH 
HEALTH SAVINGS ACCOUNT.—A health plan not pro-
viding a bronze, silver, gold, or platinum level of coverage 
shall be treated as meeting the requirements of subsection 
(d) with respect to any plan year for any enrollee if the 
plan meets the requirements for a high deductible health 
plan under section 223(c)(2) of the Internal Revenue Code 
of 1986 and such enrollee has established a health savings 
account (as defined in section 223(d)(1) of such Code) in 
relation to such plan.’’. 
(b) CONFORMING AMENDMENTS.— 
(1) Subparagraph (C) of section 1312(d)(3) of 
the Patient Protection and Affordable Care Act (42 
U.S.C. 18032(d)(3)) is amended by striking ‘‘, ex-
cept’’ and all that follows through ‘‘1302(e)(2)’’. 
(2) Subparagraph (A) of section 36B(c)(3) of 
the Internal Revenue Code of 1986, as added by sec-
tion 1401(a) of the Patient Protection and Afford-
able Care Act (Public Law 111–148) is amended by 
striking ‘‘, except’’ and all that follows through 
‘‘such Act’’. 
VerDate Mar 15 2010 
23:31 Apr 19, 2013
Jkt 029200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H1558.IH
H1558
rfrederick on DSK6VPTVN1PROD with BILLS
(3) Subparagraph (B) of section 1334(c)(1) of 
the Patient Protection and Affordable Care Act (42 
U.S.C. 18054(c)(1)) is amended by striking ‘‘and 
catastrophic coverage’’. 
SEC. 104. PROTECTING PATIENTS FROM HIGHER PRE-
MIUMS. 
Section 9010 of the Patient Protection and Afford-
able Care Act (Public Law 111–148), as amended by sec-
tion 10905 of such Act, is repealed. 
SEC. 105. ENSURING AFFORDABLE COVERAGE. 
Section 2701(a)(1)(A)(iii) of the Public Health Serv-
ice Act (42 U.S.C. 300(a)(1)(A)(iii)), as added by section 
1201 of the Patient Protection and Affordable Care Act 
(Public Law 111–148), is amended by striking ‘‘, except’’ 
and all that follows through ‘‘2707(c))’’. 
TITLE II—INCREASING 
CONSUMER CONTROL 
SEC. 201. REPEAL OF THE RESTRICTION ON OVER-THE- 
COUNTER MEDICINES. 
Section 9003 of the Patient Protection and Afford-
able Care Act (Public Law 111–148) and the amendments 
made by such section are repealed; and the Internal Rev-
enue Code of 1986 shall be applied as if such section, and 
amendments, had never been enacted. 
VerDate Mar 15 2010 
23:31 Apr 19, 2013
Jkt 029200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H1558.IH
H1558
rfrederick on DSK6VPTVN1PROD with BILLS
SEC. 202. REPEAL OF THE ANNUAL CAP. 
Sections 9005 and 10902 of the Patient Protection 
and Affordable Care Act (Public Law 111–148) and sec-
tion 1403 of the Health Care and Education Reconcili-
ation Act of 2010 (Public Law 111–152) and the amend-
ments made by such sections are repealed. 
TITLE III—ALLOWING INDIVID-
UALS TO KEEP COVERAGE 
THEY LIKE 
SEC. 301. ALLOWING INDIVIDUALS TO KEEP THE COV-
ERAGE THEY HAVE IF THEY LIKE IT. 
(a) IN GENERAL.—Section 1251(a)(2) of the Patient 
Protection and Affordable Care Act (42 U.S.C. 18011) is 
amended— 
(1) by striking ‘‘Except as provided in para-
graph (3),’’ and inserting the following: 
‘‘(A) IN GENERAL.—Except as provided in 
paragraphs (3) and (4),’’; and 
(2) by adding at the end the following: 
‘‘(B) PROTECTING EMPLOYERS AND CON-
SUMERS WITH GRANDFATHERED COVERAGE.— 
‘‘(i) IN
GENERAL.—A group health 
plan or health insurance coverage in which 
an individual is enrolled on or after March 
23, 2010, but before any plan year begin-
ning not later than 1 year after the date 
VerDate Mar 15 2010 
23:31 Apr 19, 2013
Jkt 029200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H1558.IH
H1558
rfrederick on DSK6VPTVN1PROD with BILLS
of the enactment of this subparagraph, and 
which is deemed to be a grandfathered 
health plan under this section, shall con-
tinue to be considered a grandfathered 
health plan with respect to such individual 
regardless of any modification to the cost- 
sharing levels, employer contribution rates, 
or covered benefits under such plan or cov-
erage as otherwise permitted under this 
Act (and the amendments made by this 
Act). 
‘‘(ii) REGULATIONS.—The Secretary 
shall promulgate regulations to clarify the 
application of clause (i) to a plan or cov-
erage that continues to be a grandfathered 
health plan pursuant to such clause.’’. 
(b) EFFECTIVE DATE; PREVIOUSLY PROMULGATED 
REGULATIONS VOIDED.— 
(1) EFFECTIVE DATE.—The amendments made 
by this section shall take effect as if included in the 
enactment of the Patient Protection and Affordable 
Care Act. 
(2) PREVIOUSLY PROMULGATED REGULATIONS 
VOIDED.—Any 
regulations 
relating 
to 
section 
1251(a)(2) of such Act promulgated before the date 
VerDate Mar 15 2010 
23:31 Apr 19, 2013
Jkt 029200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H1558.IH
H1558
rfrederick on DSK6VPTVN1PROD with BILLS
of the enactment of this Act shall have no force or 
effect. 
Æ 
VerDate Mar 15 2010 
23:31 Apr 19, 2013
Jkt 029200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6301
E:\BILLS\H1558.IH
H1558
rfrederick on DSK6VPTVN1PROD with BILLS