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(b) RESCISSION OF UNOBLIGATED FUNDS.—Of the 
funds made available by such section 4002, the unobligated 
balance is rescinded. 
SEC. 102. COMMUNITY HEALTH CENTER PROGRAM. 
Effective as if included in the enactment of the Medi-
care Access and CHIP Reauthorization Act of 2015 (Public 
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 fol-
lowing: ‘‘by striking ‘$3,600,000,000’ and inserting 
‘$3,835,000,000’ and’’. 
SEC. 103. TERRITORIES. 
Section 1323(c) of the Patient Protection and Afford-
able Care Act (42 U.S.C. 18043(c)) is amended by adding 
at the end the following: 
‘‘(3) NO FORCE AND EFFECT.—Effective January 
1, 2018, this subsection shall have no force or effect.’’. 
SEC. 104. REINSURANCE, RISK CORRIDOR, AND RISK AD-
JUSTMENT PROGRAMS. 
(a) TRANSITIONAL REINSURANCE PROGRAM FOR INDI-
VIDUAL MARKET.—Section 1341 of the Patient Protection 
and Affordable Care Act (42 U.S.C. 18061) is amended by 
adding at the end the following:
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‘‘(e) NO FORCE AND EFFECT.—Effective January 1, 
2016, the Secretary shall not collect fees and shall not make 
payments under this section.’’. 
SEC. 105. SUPPORT FOR STATE RESPONSE TO SUBSTANCE 
ABUSE PUBLIC HEALTH CRISIS AND URGENT 
MENTAL HEALTH NEEDS. 
(a) IN GENERAL.—There are authorized to be appro-
priated, and are appropriated, out of monies in the Treas-
ury not otherwise obligated, $750,000,000 for each of fiscal 
years 2016 and 2017, to the Secretary of Health and 
Human Services (referred to in this section as the ‘‘Sec-
retary’’) to award grants to States to address the substance 
abuse public health crisis or to respond to urgent mental 
health needs within the State. In awarding grants under 
this section, the Secretary may give preference to States 
with an incidence or prevalence of substance use disorders 
that is substantial relative to other States or to States that 
identify mental health needs within their communities that 
are urgent relative to such needs of other States. Funds ap-
propriated under this subsection shall remain available 
until expended. 
(b) USE OF FUNDS.—Grants awarded to a State under 
subsection (a) shall be used for one or more of the following 
public health-related activities:
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(1) Improving State prescription drug moni-
toring programs. 
(2) Implementing prevention activities, and eval-
uating such activities to identify effective strategies to 
prevent substance abuse. 
(3) Training for health care practitioners, such 
as best practices for prescribing opioids, pain man-
agement, recognizing potential cases of substance 
abuse, referral of patients to treatment programs, and 
overdose prevention. 
(4) Supporting access to health care services pro-
vided by federally certified opioid treatment programs 
or other appropriate health care providers to treat 
substance use disorders or mental health needs. 
(5) Other public health-related activities, as the 
State determines appropriate, related to addressing 
the substance abuse public health crisis or responding 
to urgent mental health needs within the State. 
TITLE II—FINANCE 
SEC. 201. RECAPTURE EXCESS ADVANCE PAYMENTS OF 
PREMIUM TAX CREDITS. 
Subparagraph (B) of section 36B(f)(2) of the Internal 
Revenue Code of 1986 is amended by adding at the end 
the following new clause:
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‘‘(iii) NONAPPLICABILITY
OF
LIMITA-
TION.—This subparagraph shall not apply 
to taxable years ending after December 31, 
2015, and before January 1, 2018.’’. 
SEC. 202. PREMIUM TAX CREDIT AND COST-SHARING SUB-
SIDIES. 
(a) REPEAL OF PREMIUM TAX CREDIT.—Subpart C 
of part IV of subchapter A of chapter 1 of the Internal Rev-
enue Code of 1986 is amended by striking section 36B. 
(b) REPEAL
OF COST-SHARING SUBSIDY.—Section 
1402 of the Patient Protection and Affordable Care Act is 
repealed. 
(c) REPEAL OF ELIGIBILITY DETERMINATIONS.—The 
following sections of the Patient Protection and Affordable 
Care Act are repealed: 
(1) Section 1411 (other than subsection (i), the 
last sentence of subsection (e)(4)(A)(ii), and such pro-
visions of such section solely to the extent related to 
the application of the last sentence of subsection 
(e)(4)(A)(ii)). 
(2) Section 1412. 
(d) PROTECTING AMERICANS BY REPEAL OF DISCLO-
SURE AUTHORITY TO CARRY OUT ELIGIBILITY REQUIRE-
MENTS FOR CERTAIN PROGRAMS.—
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(1) IN
GENERAL.—Paragraph (21) of section 
6103(l) of the Internal Revenue Code of 1986 is 
amended by adding at the end the following new sub-
paragraph: 
‘‘(D) TERMINATION.—No disclosure may be 
made under this paragraph after December 31, 
2017.’’. 
(e) EFFECTIVE DATES.— 
(1) PREMIUM
TAX
CREDIT.—The amendment 
made by subsection (a) shall apply to taxable years 
beginning after December 31, 2017. 
(2) COST SHARING-SUBSIDIES AND ELIGIBILITY 
DETERMINATIONS.—The repeals in subsection (b) and 
(c) shall take effect on December 31, 2017. 
(3) PROTECTING
AMERICANS
BY
RESCINDING 
DISCLOSURE AUTHORITY.—The amendments made by 
subsection (d) shall take effect on December 31, 2017. 
SEC. 203. SMALL BUSINESS TAX CREDIT. 
(a) IN GENERAL.—Section 45R of the Internal Rev-
enue Code of 1986 is amended by adding at the end the 
following new subsection: 
‘‘(j) SHALL NOT APPLY.—This section shall not apply 
with respect to amounts paid or incurred in taxable years 
beginning after December 31, 2017.’’.
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(b) EFFECTIVE DATE.—The amendment made by this 
section shall apply to amounts paid or incurred in taxable 
years beginning after December 31, 2017. 
SEC. 204. INDIVIDUAL MANDATE. 
(a) IN GENERAL.—Section 5000A(c) of the Internal 
Revenue Code of 1986 is amended— 
(1) in paragraph (2)(B) by striking clauses (ii) 
and (iii) and inserting the following: 
‘‘(ii) Zero percent for taxable years be-
ginning after 2014.’’, and 
(2) in paragraph (3)— 
(A) by striking ‘‘$695’’ in subparagraph 
(A) and inserting ‘‘$0’’, 
(B) by striking ‘‘and $325 for 2015’’ in sub-
paragraph (B), and 
(C) by striking subparagraph (D). 
(b) EFFECTIVE DATE.—The amendments made by this 
section shall apply to months beginning after December 31, 
2014. 
SEC. 205. EMPLOYER MANDATE. 
(a) IN GENERAL.— 
(1) Paragraph (1) of section 4980H(c) of the In-
ternal Revenue Code of 1986 is amended by inserting 
‘‘($0 in the case of months beginning after December 
31, 2014)’’ after ‘‘$2,000’’.
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(2) Paragraph (1) of section 4980H(b) of the In-
ternal Revenue Code of 1986 is amended by inserting 
‘‘($0 in the case of months beginning after December 
31, 2014)’’ after ‘‘$3,000’’. 
(b) EFFECTIVE DATE.—The amendments made by this 
section shall apply to months beginning after December 31, 
2014. 
SEC. 206. FEDERAL PAYMENTS TO STATES. 
(a) IN GENERAL.—Notwithstanding section 504(a), 
1902(a)(23), 1903(a), 2002, 2005(a)(4), 2102(a)(7), or 
2105(a)(1) of the Social Security Act (42 U.S.C. 704(a), 
1396a(a)(23), 1396b(a), 1397a, 1397d(a)(4), 1397bb(a)(7), 
1397ee(a)(1)), or the terms of any Medicaid waiver in effect 
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 enactment of this Act, no Federal funds provided from 
a program referred to in this subsection that is considered 
direct spending for any year may be made available to a 
State for payments to a prohibited entity, whether made 
directly to the prohibited entity or through a managed care 
organization under contract with the State. 
(b) DEFINITIONS.—In this section:
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(1) PROHIBITED ENTITY.—The term ‘‘prohibited 
entity’’ means an entity, including its affiliates, sub-
sidiaries, successors, and clinics— 
(A) that, as of the date of enactment of this 
Act— 
(i) is an organization described in sec-
tion 501(c)(3) of the Internal Revenue Code 
of 1986 and exempt from tax under section 
501(a) of such Code; 
(ii) is an essential community provider 
described in section 156.235 of title 45, 
Code of Federal Regulations (as in effect on 
the date of enactment of this Act), that is 
primarily engaged in family planning serv-
ices, reproductive health, and related med-
ical care; and 
(iii) 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, phys-
ical injury, or physical illness that 
would, as certified by a physician, 
place the woman in danger of death
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unless an abortion is performed, in-
cluding a life-endangering physical 
condition caused by or arising from 
the pregnancy itself; and 
(B) for which the total amount of Federal 
and State expenditures under the Medicaid pro-
gram under title XIX of the Social Security Act 
in fiscal year 2014 made directly to the entity 
and to any affiliates, subsidiaries, successors, or 
clinics of the entity, or made to the entity and 
to any affiliates, subsidiaries, successors, or clin-
ics of the entity as part of a nationwide health 
care provider network, exceeded $350,000,000. 
(2) DIRECT SPENDING.—The term ‘‘direct spend-
ing’’ has the meaning given that term under section 
250(c) of the Balanced Budget and Emergency Deficit 
Control Act of 1985 (2 U.S.C. 900(c)). 
SEC. 207. MEDICAID. 
The Social Security Act (42 U.S.C. 301 et seq.) is 
amended— 
(1) in section 1108(g)(5), by striking ‘‘2019’’ 
and inserting ‘‘2017’’; 
(2) in section 1902— 
(A) in subsection (a)(10)(A), in each of 
clauses (i)(VIII) and (ii)(XX), by inserting ‘‘and
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ending December 31, 2017,’’ after ‘‘January 1, 
2014,’’; 
(B) in subsection (a)(47)(B), by inserting 
‘‘and provided that any such election shall cease 
to be effective on January 1, 2018, and no such 
election shall be made after that date’’ before the 
semicolon at the end; and 
(C) in subsection (l)(2)(C), by inserting 
‘‘and ending December 31, 2017,’’ after ‘‘Janu-
ary 1, 2014,’’; 
(3) 
in 
each 
of 
sections 
1902(gg)(2) 
and 
2105(d)(3)(A), by striking ‘‘September 30, 2019’’ and 
inserting ‘‘September 30, 2017’’; 
(4) in section 1905— 
(A) in the first sentence of subsection (b), by 
inserting ‘‘(50 percent on or after January 1, 
2018)’’ after ‘‘55 percent’’; 
(B) in subsection (y)(1), by striking the 
semicolon at the end of subparagraph (B) and 
all that follows through ‘‘thereafter’’; and 
(C) in subsection (z)(2)— 
(i) in subparagraph (A), by striking 
‘‘each 
year 
thereafter’’ 
and 
inserting 
‘‘through 2017’’; and
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(ii) in subparagraph (B)(ii), by strik-
ing the semicolon at the end of subclause 
(IV) and all that follows through ‘‘100 per-
cent’’; 
(5) in section 1915(k)(2), by striking ‘‘during the 
period described in paragraph (1)’’ and inserting ‘‘on 
or after the date referred to in paragraph (1) and be-
fore January 1, 2018’’; 
(6) in section 1920(e), by adding at the end the 
following: ‘‘This subsection shall not apply after De-
cember 31, 2017.’’; 
(7) in section 1937(b)(5), by adding at the end 
the following: ‘‘This paragraph shall not apply after 
December 31, 2017.’’; and 
(8) in section 1943(a), by inserting ‘‘and before 
January 1, 2018,’’ after ‘‘January 1, 2014,’’. 
SEC. 208. REPEAL OF DSH ALLOTMENT REDUCTIONS. 
Section 1923(f) of the Social Security Act (42 U.S.C. 
1396r–4(f)) is amended by striking paragraphs (7) and (8). 
SEC. 209. REPEAL OF THE TAX ON EMPLOYEE HEALTH IN-
SURANCE PREMIUMS AND HEALTH PLAN BEN-
EFITS. 
(a) IN GENERAL.—Chapter 43 of the Internal Revenue 
Code of 1986 is amended by striking section 4980I.