Title: To amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange.
Policy area: Health

Summary:
This bill amends the Patient Protection and Affordable Care Act to prohibit a state from funding its health insurance exchange by charging a health insurer a fee or tax for excepted benefits coverage (benefits not subject to requirements under the Act) or standalone dental plans that are not sold on an exchange.

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4225 Introduced in House (IH)]

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115th CONGRESS
  1st Session
                                H. R. 4225

 To amend the Patient Protection and Affordable Care Act by clarifying 
 that State Exchanges are prohibited from imposing fees or assessments 
 on issuers of excepted benefits and standalone dental plans not sold 
                          through an Exchange.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            November 2, 2017

  Mr. Hudson introduced the following bill; which was referred to the 
                    Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
 To amend the Patient Protection and Affordable Care Act by clarifying 
 that State Exchanges are prohibited from imposing fees or assessments 
 on issuers of excepted benefits and standalone dental plans not sold 
                          through an Exchange.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. PROHIBITING STATE EXCHANGES FROM IMPOSING ASSESSMENTS OR 
              FEES ON EXCEPTED BENEFITS AND STANDALONE DENTAL PLANS NOT 
              SOLD THROUGH AN EXCHANGE.

    (a) In General.--Section 1311(d)(5) of the Patient Protection and 
Affordable Care Act (42 U.S.C. 18031(d)(5)) is amended--
            (1) in subparagraph (A), by inserting ``, subject to 
        subparagraph (C)'' after ``its operations''; and
            (2) by adding at the end the following new subparagraph:
                    ``(C) Limitation.--For purposes of subparagraph 
                (A), a State, with respect to an Exchange within such 
                State, may not charge a health insurance issuer an 
                assessment, user fee, tax, or any other fee--
                            ``(i) on excepted benefits coverage within 
                        the meaning of section 2791(c) of the Public 
                        Health Service Act that is not sold on an 
                        Exchange; or
                            ``(ii) on standalone dental plans described 
                        in paragraph (2)(B)(ii) that are not sold on an 
                        Exchange.''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
apply to assessments, user fees, taxes, and other fees imposed, 
assessed, or collected on or after January 1, 2018.
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