I 
112TH CONGRESS 
1ST SESSION H. R. 1915 
To amend subtitle D of title I of the Patient Protection and Affordable 
Care Act to clarify Congressional consent to and expand flexibility for 
interstate health choice compacts. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 13, 2011 
Mr. GRIFFITH of Virginia 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 amend subtitle D of title I of the Patient Protection 
and Affordable Care Act to clarify Congressional consent 
to and expand flexibility for interstate health choice com-
pacts. 
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 ‘‘State Compact Health 
Choice Act of 2011’’. 
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SEC. 2. CLARIFYING CONGRESSIONAL CONSENT TO AND 
EXPANDING FLEXIBILITY FOR INTERSTATE 
HEALTH CHOICE COMPACTS. 
(a) IN GENERAL.—Section 1333(a) of the Patient 
Protection and Affordable Care Act (42 U.S.C. 18053(a)) 
is amended— 
(1) in paragraph (1)— 
(A) in the matter before subparagraph 
(A)— 
(i) by striking ‘‘Not later than July 1, 
2013, the Secretary shall, in consultation 
with the National Association of Insurance 
Commissioners, issue regulations for’’ and 
inserting ‘‘Subject to paragraph (3), the 
Congress consents to’’; and 
(ii) by striking ‘‘under which’’; 
(B) in subparagraph (A)— 
(i) by inserting ‘‘under which’’ before 
‘‘1 or more’’; 
(ii) by striking ‘‘qualified’’; and 
(iii) by striking ‘‘but, except’’ and all 
that follows through ‘‘resides’’; 
(C) by redesignating subparagraph (B) as 
subparagraph (C); 
(D) by inserting after subparagraph (A) 
the following: 
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‘‘(B) that identifies which State law and 
regulations such plans shall be subject to; and’’; 
and 
(E) in subparagraph (C), as so redesig-
nated— 
(i) by inserting ‘‘that declares wheth-
er, and to what extent,’’ before ‘‘the issuer 
of any’’; and 
(ii) by striking ‘‘qualified’’; 
(2) by amending paragraph (3) to read as fol-
lows: 
‘‘(3) REVOCATION.—Congress may revoke the 
consent for an interstate compact under this sub-
section if the Congress passes a joint resolution re-
voking consent for such compact.’’; and 
(3) in paragraph (4), by striking ‘‘January 1, 
2016’’ and inserting ‘‘the last day of the year begin-
ning on the date of the enactment of the State Com-
pact Health Choice Act of 2011’’. 
(b) EXEMPTION FROM INDIVIDUAL MANDATE.—Sec-
tion 5000A(e) of the Internal Revenue Code (26 U.S.C. 
5000A(e)) is amended by adding at the end the following: 
‘‘(6) 
INTERSTATE
HEALTH
CHOICE
COM-
PACTS.—Any applicable individual who for any 
month is determined to be covered by a health plan 
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