H.R. 7 — what changed
No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2014
From Introduced in House to Engrossed in House. 3 sections amended and 2 removed between Introduced in House and Engrossed in House.
Section 1 Short title; table of contents
Sec. 201 Clarifying application of prohibition to premium credits and cost-sharing reductions under ACA
added “(C) Separate abortion coverage or plan allowed
added “(i) Option to purchase separate coverage or plan—Nothing in subparagraph (A) shall be construed as prohibiting any individual from purchasing separate coverage for abortions described in such subparagraph, or a health plan that includes such abortions, so long as no credit is allowed under this section with respect to the premiums for such coverage or plan.
added “(ii) Option to offer coverage or plan—Nothing in subparagraph (A) shall restrict any non-Federal health insurance issuer offering a health plan from offering separate coverage for abortions described in such subparagraph, or a plan that includes such abortions, so long as premiums for such separate coverage or plan are not paid for with any amount attributable to the credit allowed under this section (or the amount of any advance payment of the credit under section 1412 of the Patient Protection and Affordable Care Act).”
added “(1) In general—Any term”
added “(2) Exclusion of health plans including coverage for abortion
added “(A) In general—The term “qualified health plan” does not include any health plan that includes coverage for abortions (other than any abortion or treatment described in section 307 or 308 of title 1, United States Code).
added “(B) Separate abortion coverage or plan allowed
added “(i) Option to purchase separate coverage or plan—Nothing in subparagraph (A) shall be construed as prohibiting any employer from purchasing for its employees separate coverage for abortions described in such subparagraph, or a health plan that includes such abortions, so long as no credit is allowed under this section with respect to the employer contributions for such coverage or plan.
added “(ii) Option to offer coverage or plan—Nothing in subparagraph (A) shall restrict any non-Federal health insurance issuer offering a health plan from offering separate coverage for abortions described in such subparagraph, or a plan that includes such abortions, so long as such separate coverage or plan is not paid for with any employer contribution eligible for the credit allowed under this section.”
removed
“(g) Amounts paid for abortion not taken into account
removed
“(1) In general—An amount paid during the taxable year for an abortion shall not be taken into account under subsection (a).
removed
“(2) Exceptions—Paragraph (1) shall not apply to—
removed
“(A) an abortion—
removed
“(i) in the case of a pregnancy that is the result of an act of rape or incest, or
removed
“(ii) in the case where a woman suffers from a physical disorder, physical injury, or physical illness that would, as certified by a physician, place the woman in danger of death unless an abortion is performed, including a life-endangering physical condition caused by or arising from the pregnancy, and
removed
“(B) the treatment of any infection, injury, disease, or disorder that has been caused by or exacerbated by the performance of an abortion.”
added “(6) Coverage consistent with federal abortion policy—In entering into contracts under this subsection, the Director shall ensure that no multi-State qualified health plan offered in an Exchange provides health benefits coverage for which the expenditure of Federal funds is prohibited under chapter 4 of title 1, United States Code.”
Sec. 202 Revision of notice requirements regarding disclosure of extent of health plan coverage of abortion and abortion premium surcharges
added “(3) Rules relating to notice
added “(A) In general—The extent of coverage (if any) of services described in paragraph (1)(B)(i) or (1)(B)(ii) by a qualified health plan shall be disclosed to enrollees at the time of enrollment in the plan and shall be prominently displayed in any marketing or advertising materials, comparison tools, or summary of benefits and coverage explanation made available with respect to such plan by the issuer of the plan, by an Exchange, or by the Secretary, including information made available through an Internet portal or Exchange under sections 1311(c)(5) and 1311(d)(4)(C).
added “(B) Separate disclosure of abortion surcharges—In the case of a qualified health plan that includes the services described in paragraph (1)(B)(i) and where the premium for the plan is disclosed, including in any marketing or advertising materials or any other information referred to in subparagraph (A), the surcharge described in paragraph (2)(B)(i)(II) that is attributable to such services shall also be disclosed and identified separately.”
removed
“(C) Separate abortion coverage or plan allowed
removed
“(i) Option to purchase separate coverage or plan—Nothing in subparagraph (A) shall be construed as prohibiting any individual from purchasing separate coverage for abortions described in such subparagraph, or a health plan that includes such abortions, so long as no credit is allowed under this section with respect to the premiums for such coverage or plan.
removed
“(ii) Option to offer coverage or plan—Nothing in subparagraph (A) shall restrict any non-Federal health insurance issuer offering a health plan from offering separate coverage for abortions described in such subparagraph, or a plan that includes such abortions, so long as premiums for such separate coverage or plan are not paid for with any amount attributable to the credit allowed under this section (or the amount of any advance payment of the credit under section 1412 of the Patient Protection and Affordable Care Act).”
Sec. 203 Disallowance of small employer health insurance expense credit for plan which includes coverage for abortion
removed
removed
“(1) In general—Any term”
removed
“(2) Exclusion of health plans including coverage for abortion—The terms qualified health plan and health insurance coverage shall not include any health plan or benefit that includes coverage for abortions (other than any abortion or treatment described in section 213(g)(2)).”
Sec. 204 Distributions for abortion expenses from certain accounts and arrangements included in gross income
removed
removed
“(k) Abortion reimbursement from flexible spending arrangement included in gross income—Notwithstanding section 105(b), gross income shall include any reimbursement for expenses incurred for an abortion (other than any abortion or treatment described in section 213(g)(2)) from a health flexible spending arrangement provided under a cafeteria plan. Such reimbursement shall not fail to be a qualified benefit for purposes of this section merely as a result of such inclusion in gross income.”