H.R. 1385 — what changed
State Allowance for a Variety of Exchanges Act
From Introduced in House to Reported in House. 1 section amended between Introduced in House and Reported in House.
Sec. 2 Preserving State option to implement health care marketplaces
In general— Section 1311 of the Patient Protection and Affordable Care Act (42 U.S.C. 18031) is amended—
in subsection (a)—
in paragraph (4)(B), by striking “under this subsection” and inserting “under this paragraph or paragraph (1)”; and
by adding at the end the following new paragraph:
“(6) Additional planning and establishment grants
“(A) In general—There shall be appropriated to the Secretary, out of any moneys in the Treasury not otherwise appropriated, $200,000,000 to award grants to eligible States for the uses described in paragraph (3).
“(B) Duration and renewability—A grant awarded under subparagraph (A) shall be for a period of two years and may not be renewed.
“(C) Limitation—A grant may not be awarded under subparagraph (A) after December 31, 2022.
changed
“(D) Eligible State defined—For purposes of this paragraph, the term eligible State means a State that, as of the date of the enactment of this paragraph, is not operating an Exchange.”Exchange (other than an Exchange described in section 155.200(f) of title 45, Code of Federal Regulations).”
in subsection (d)(5)(A)—
changed
by striking “In “operations.—In establishing an Exchange under this section” and inserting “(i) In general.—In establishing an Exchange under this section (other than in establishing an Exchange pursuant to subsection (a)(6))”; andinserting
added “(i) In general—In establishing an Exchange under this section (other than in establishing an Exchange pursuant to a grant awarded under subsection (a)(6))”
by adding at the end the following:
changed “(ii) Additional planning and establishment grants—In establishing an Exchange pursuant to a grant awarded under subsection (a)(6), the State shall ensure that such Exchange is self-sustaining beginning on January 1, 2024, including allowing the Exchange to charge assessments or user fees to participating health insurance issuers, or to otherwise generate funding, to support its operations.”
Clarification regarding failure To establish Exchange or implement requirements— Section 1321(c) of the Patient Protection and Affordable Care Act (42 U.S.C. 18041(c)) is amended—
in paragraph (1), by striking “If” and inserting “Subject to paragraph (3), if”; and
by adding at the end the following new paragraph:
“(3) Clarification—This subsection shall not apply in the case of a State that elects to apply the requirements described in subsection (a) and satisfies the requirement described in subsection (b) on or after January 1, 2014.”