Title: Health Insurance Marketplace Affordability Act of 2021
Policy area: Taxation

Summary:
Health Insurance Marketplace Affordability Act of 2021
This bill modifies the refundable tax credit for health care premium assistance to require an age rate adjustment to the applicable percentage used to determine the amount of such credit. The age rate adjustment for any individual shall be determined using a single national age rating curve specified in guidance by the Department of Health and Human Services and shall reflect market patterns in the individual health care market.

[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4572 Introduced in House (IH)]

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117th CONGRESS
  1st Session
                                H. R. 4572

  To amend the Internal Revenue Code of 1986 to provide an age rating 
 adjustment to the applicable percentage used to determine the credit 
               for coverage under qualified health plans.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             July 20, 2021

    Mrs. Murphy of Florida introduced the following bill; which was 
              referred to the Committee on Ways and Means

_______________________________________________________________________

                                 A BILL


 
  To amend the Internal Revenue Code of 1986 to provide an age rating 
 adjustment to the applicable percentage used to determine the credit 
               for coverage under qualified health plans.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Health Insurance Marketplace 
Affordability Act of 2021''.

SEC. 2. AGE RATING ADJUSTMENT TO APPLICABLE PERCENTAGE USED TO 
              DETERMINE THE CREDIT FOR COVERAGE UNDER QUALIFIED HEALTH 
              PLANS.

    (a) In General.--Section 36B(b)(3)(A) of the Internal Revenue Code 
of 1986 is amended by adding at the end the following new clause:
                            ``(iii) Age rating adjustment.--For 
                        purposes of this subparagraph--
                                    ``(I) In general.--The applicable 
                                percentage otherwise determined under 
                                clause (i) shall be multiplied by the 
                                age adjustment value determined under 
                                subclause (II).
                                    ``(II) Age adjustment value.--The 
                                age adjustment value for any taxpayer 
                                is the average of the age rate 
                                adjustments for all individuals which 
                                have coverage described in paragraph 
                                (2)(A) with respect to the taxpayer, 
                                divided by the maximum age rate 
                                adjustment allowed under section 
                                2701(a)(1)(A)(iii) of the Public Health 
                                Service Act.
                                    ``(III) Age rate adjustment.--The 
                                age rate adjustment for any individual 
                                shall be determined using a single 
                                national age rating curve which shall 
                                be specified in guidance by the 
                                Secretary of Health and Human Services 
                                and shall reflect market patterns in 
                                the individual market in accordance 
                                with section 2701(a)(1)(A)(iii) of the 
                                Public Health Service Act.''.
    (b) Effective Date.--The amendment made by this section shall apply 
to taxable years beginning after the date on which the single national 
age rating curve referred to in section 36B(b)(3)(A)(iii)(III) of the 
Internal Revenue Code of 1986 (as added by this section) is specified 
by the Secretary of Health and Human Services.
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