State Leadership in Health Care Act

Bill: 113-s-858
Sponsor: full_name: Sen. Sanders, Bernard [I-VT]
Introduced: 2013-05-06
Policy area: Health
Subjects: Health care costs and insurance

Health care coverage and access

State and local government operations
Latest action: action_date: 2013-05-06
text: Read twice and referred to the Committee on Finance.

Summaries:
action_date: 2013-05-06
action_desc: Introduced in Senate
text: <p>State Leadership in Health Care Act - Amends the Patient Protection and Affordable Care Act (PPACA) to allow states to apply for a waiver of specified requirements under PPACA with respect to health insurance coverage within that state due to implementation of a state plan that provides comparable coverage for plan years beginning in 2015 (currently, 2017). Permits the Secretary of Health and Human Services (HHS) or the Secretary of the Treasury to deny waivers only if: (1) the state plan does not meet requirements for granting a waiver, (2) the Secretary of HHS or the Treasury notifies the state in writing of the requirements that the state plan did not meet and provides the state with information used in making such a determination, and (3) the state is given an opportunity to appeal.</p> <p>Requires the Secretary of HHS or the Treasury to reconsider the determination in the event of an appeal and issue a written decision within 60 days.</p>

tv_txt: II 113th CONGRESS 1st Session S. 858 IN THE SENATE OF THE UNITED STATES May 6, 2013 Mr. Sanders (for himself and Mr. Leahy ) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To provide for an earlier start for State health care coverage innovation waivers under the Patient Protection and Affordable Care Act, and for other purposes.

1. Short title This Act may be cited as the State Leadership in Health Care Act . 2. Earlier start for State health care coverage innovation waivers (a) In general Section 1332 of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18052 ) is amended— (1) in subsection (a)(1), by striking January 1, 2017 and inserting January 1, 2015 ; and (2) by amending subsection (e) to read as follows: (e) Term of waiver (1) In general No waiver under this section may extend over a period of more than 5 years unless the State requests continuation of such waiver and such request is granted by the Secretary under paragraph (2). (2) Approval of request (A) In general A request under paragraph (1) shall be deemed granted unless the Secretary, not later than 90 days after the date of submission to the Secretary of such request, either denies such request in writing or informs the State in writing with respect to any additional information that is needed in order to make a final determination with respect to the request. (B) Denial of request The Secretary may deny such a request only if the Secretary— (i) determines that the State plan under the waiver to be continued did not meet the requirements under subsection (b); (ii) notifies the State in writing of the requirements under subsection (b) that the State plan did not meet and provides to the State the information used by the Secretary in making that determination; and (iii) provides the State with an opportunity to appeal such determination and provide information as to how such requirements were met. (C) Reconsideration of request In the case of an appeal described in subparagraph (B)(iii), the Secretary shall consider any information provided under such clause and reconsider the determination made under subparagraph (B)(i), and shall issue a written decision on such appeal not later than 60 days after the date on which the Secretary receives notice of such appeal. The Secretary shall grant the request if the Secretary determines upon reconsideration that the State plan meets such requirements. .