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H.R. 6301 — what changed

Promoting High-Value Health Care Through Flexibility for High Deductible Health Plans Act of 2018

From Introduced in House to Reported in House. 1 section amended and 1 added between Introduced in House and Reported in House.

Section 1 Short title

added This Act may be cited as the “Promoting High-Value Health Care Through Flexibility for High Deductible Health Plans Act of 2018”.

(a)
removed In general— Section 223(c)(2) of the Internal Revenue Code of 1986 is amended by adding at the end the following new subparagraph:

removed “(E) First dollar coverage flexibility

removed “(i) In general—Such plan shall not fail to be treated as a high deductible health plan by reason of failing to have a deductible for not more than $250 of specified services (twice such amount in the case of family coverage) during a plan year.

removed “(ii) Specified services—For purposes of this subparagraph, the term “specified services” means, with respect to a plan, services other than preventive care (within the meaning of subparagraph (C)) identified under the terms of the plan as being services to which clause (i) applies.”

(b)
removed Inflation adjustment— Section 223(g)(1) of such Code is amended—
(1)
removed by striking “and (c)(2)(A)” and inserting “, (c)(2)(A), and (c)(2)(E)”; and
(2)
removed in subparagraph (B), by striking “clause (ii)” and inserting “clauses (ii) and (iii)” in clause (i), by striking “and” at the end of clause (i), by striking the period at the end of clause (ii) and inserting “, and”, and by inserting after clause (ii) the following new clause:

removed “(iii) in the case of the dollar amount in subsection (c)(2)(E), “calendar year 2017”.”

(c)
removed Effective date— The amendments made by this subsection shall apply with respect to plan years beginning after December 31, 2018.

Sec. 2 First dollar coverage flexibility for high deductible health plans

added
(a)
added In general— Section 223(c)(2) of the Internal Revenue Code of 1986 is amended by adding at the end the following new subparagraph:

added “(E) First dollar coverage flexibility

added “(i) In general—A plan shall not fail to be treated as a high deductible health plan by reason of failing to have a deductible for not more than $250 of specified services for self-only coverage (twice such amount in the case of family coverage) during a plan year.

added “(ii) Specified services—For purposes of this subparagraph, the term “specified services” means, with respect to a plan, services other than preventive care (within the meaning of subparagraph (C)) identified under the terms of the plan as being services to which clause (i) applies.”

(b)
added Inflation adjustment— Section 223(g)(1) of such Code is amended—
(1)
added by striking “and (c)(2)(A)” each place it appears and inserting “, (c)(2)(A), and (c)(2)(E)”, and
(2)
added in subparagraph (B)—
(A)
added by striking “such taxable year” in the matter preceding clause (i) and inserting “the taxable year (plan year in the case of the dollar amount in subsection (c)(2)(E))”, and
(B)
added by striking “clause (ii)” and inserting “clauses (ii) and (iii)” in clause (i), by striking “and” at the end of clause (i), by striking the period at the end of clause (ii) and inserting “, and”, and by inserting after clause (ii) the following new clause:

added “(iii) in the case of the dollar amount in subsection (c)(2)(E) for plan years beginning in calendar years after 2019, “calendar year 2018”.”

(c)
added Effective date— The amendments made by this section shall apply with respect to plan years beginning after December 31, 2018.