Lower Health Care Premiums for All Americans Act

Today's wording of each part of the law, with what would be struck out and added. Each change also gives the bill's own instruction, word for word.

1. 29 U.S.C. 1002(5)addedby H.R. 6703 Sec. 101(a)

   The bill says: Section 3(5) of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1002(5)) is amended by inserting after "capacity" the following: "(including, for the purpose of establishing or maintaining a group health plan, a group or association of employers that satisfies the requirements of section 736(a))".

   Bill text · Current law (29 U.S.C. 1002)

2. 29 U.S.C. 1181added 736by H.R. 6703 Sec. 101(b)

   736 Rules applicable to group health plans established and maintained by a group or association of employers.—(a) Association health plans.— A group or association of employers may maintain a group health plan, regardless of whether the employers composing such group or association are in the same industry, trade, or profession, if such group or association satisfies the following requirements:(1) Group or association requirements.— The group or association of employers—(A) shall—(i) have been formed and maintained in good faith for purposes other than providing health insurance coverage through a group health plan;(ii) establish a governing board or another indicator of formality as described in paragraph (2); and(iii) have existed for at least 2 years prior to offering a group health plan to the employees of such group or association; and(iv) make health insurance coverage under the group health plan offered by such group or association available—(I) to at least 51 employees; and(II) to all employees of the employer members, and any dependents of such employees;(B) may only provide health insurance coverage through the group health plan of the group or association—(i) to an employee of an employer member of the group or association or a dependent of such an employee; or(ii) as necessary to comply with part 6;(C) may include a health insurance issuer as an employer member, except that the group or association may not—(i) be a health insurance issuer; or(ii) be controlled or owned by a health insurance issuer (or a subsidiary or affiliate of a health insurance issuer).(D) may not condition the membership of an employer in the group or association on any health status-related factor (as described in section 702(a)(1)) relating to any employee or dependent of any employee of any employer member.(2) Organizational requirements.—(A) Governing board or formal organization of the group or association.—(i) In general.— The group or association shall have—(I) a formal organizational structure with a governing board and by-laws; or(II) another structure or indicator of formality.(ii) Requirement.— Both structures described in subclauses (I) and (II) of clause (i) shall comply with the requirements described in subparagraph (B).(B) Formal organization structure of group or association.—(i) In general.— The functions and activities of the group or association shall be controlled by the employer members in substance and in fact.(ii) Control.— The control described in clause (i) shall be satisfied so long as at least 75 percent of the positions on the board or other formal organizational structure are held by employer members.(iii) Elections.— Each position of the governing board or other formal organizational structure shall be subject to scheduled elections, as determined by the group or association, and each employer-member shall be able to cast only one vote in each such election.(C) Group health plan requirements.—(i) Control.— The group health plan shall be controlled in substance and in fact by employer members participating in the group health plan.(ii) Eligibility verification.— A plan fiduciary shall verify, on a regular basis and pursuant to reasonable monitoring procedures as established by the plan fiduciary, whether an individual is a self-employed individual if such individual (or a beneficiary thereof) participates in the group health plan on the basis that such individual is a self-employed individual.(iii) Ineligible self-employed individuals.—(I) In general.— Subject to subclause (II) and except as required under part 6, in the case that the plan fiduciary determines that an individual who participates in the group health plan no longer meets the requirements under a self-employed individual during a plan year, the group health plan shall not make health insurance coverage available to such individual for any plan year following the plan year in which such determination was made.(II) Remedial action.— If, after the plan fiduciary determines that an individual described in clause (i) is not a self-employed individual, the individual furnishes to the plan fiduciary evidence proving that such individual is a self-employed individual, such individual shall be eligible to participate in the group health plan.(3) Discrimination and pre-existing condition protections.— A group health plan established and maintained by the group or association of employers under this section may not—(A) establish any rule for eligibility (including continued eligibility) of any individual (including an employee of an employer member or a self-employed individual, or a dependent of such employee or self-employed individual) to enroll for benefits under the terms of the plan that discriminates based on any health status-related factor that relates to such individual (consistent with the rules under section 702(a)(1));(B) require an individual (including an employee of an employer member or a self-employed individual, or a dependent of such employee or self-employed individual), as a condition of enrollment or continued enrollment under the plan, to pay a premium or contribution that is greater than the premium or contribution for a similarly situated individual enrolled in the plan based on any health status-related factor that relates to such individual (consistent with the rules under section 702(b)(1)); and(C) deny coverage under such plan on the basis of a pre-existing condition (consistent with the rules under section 2704 of the Public Health Service Act).(b) Premium rates for a group or association of employers.—(1) In general.— A group health plan established and maintained by a group or association of employers that meets that requirements of this section may, to the extent not prohibited under State law—(A) establish base premium rates formed on an actuarially sound, modified community rating methodology that considers the pooling of all plan participant claim

   The bill says: Part 7 of subtitle B of title I of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1181, et seq.) is amended by adding at the end the following:

   Bill text · Current law (29 U.S.C. 1181)

3. 29 U.S.C. 1191b(b)(1)addedby H.R. 6703 Sec. 102(a)

   The bill says: Section 733(b)(1) of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1191b(b)(1)) is amended by adding at the end the following sentence: "Such term shall not include a stop-loss policy obtained by a self-insured group health plan or a plan sponsor of a group health plan that self-insures the health risks of its plan participants to reimburse the plan or sponsor for losses that the plan or sponsor incurs in providing health or medical benefits to such plan participants in excess of a predetermined level set forth in the stop-loss policy obtained by such plan or sponsor.".

   Bill text · Current law (29 U.S.C. 1191b)

4. 29 U.S.C. 1144(b)added (10)by H.R. 6703 Sec. 102(b)

   (10) The provisions of this title (including part 7 relating to group health plans) shall preempt State laws insofar as they may now or hereafter prevent an employee benefit plan that is a group health plan from insuring against the risk of excess or unexpected health plan claims losses.

   The bill says: Section 514(b) of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1144(b)) is amended by adding at the end the following:

   Bill text · Current law (29 U.S.C. 1144)

5. 26 U.S.C. 9815(b)changedby H.R. 6703 Sec. 103(a)

   Exceptions.—(1) Self-insured group health plans.— Notwithstanding subsection (a)

   The bill says: by striking "Exception.—Notwithstanding subsection (a)" and inserting the following:

   Bill text · Current law (26 U.S.C. 9815)

6. 26 U.S.C. 9815(b)added (2)by H.R. 6703 Sec. 103(a)

   (2) Custom health option and individual care expense arrangements.—(A) In general.— For purposes of this subchapter, a custom health option and individual care expense arrangement shall be treated as meeting the requirements of section 9802 and sections 2705, 2711, 2713, and 2715 of title XXVII of the Public Health Service Act.(B) Custom health option and individual care expense arrangements defined.— For purposes of this section, the term custom health option and individual care expense arrangement means a health reimbursement arrangement—(i) which is an employer-provided group health plan funded solely by employer contributions to provide payments or reimbursements for medical care subject to a maximum fixed dollar amount for a period,(ii) under which such payments or reimbursements may only be made for medical care provided during periods during which the individual is covered—(I) under individual health insurance coverage (other than coverage that consists solely of excepted benefits), or(II) under part A and B of title XVIII of the Social Security Act or part C of such title,(iii) which meets the nondiscrimination requirements of subparagraph (C),(iv) which meets the substantiation requirements of subparagraph (D), and(v) which meets the notice requirements of subparagraph (E).(C) Nondiscrimination.—(i) In general.— An arrangement meets the requirements of this subparagraph if an employer offering such arrangement to an employee within a specified class of employee— In the case of an employer who offers a group health plan provided through health insurance coverage in the small group market (that is subject to section 2701 of the Public Health Service Act) to all employees within such specified class, subclause (II) shall not apply to such group health plan.(I) offers such arrangement to all employees within such specified class on the same terms, and(II) does not offer any other group health plan (other than an account-based group health plan or a group health plan that consists solely of excepted benefits) to any employees within such specified class.(ii) Specified class of employee.— For purposes of this subparagraph, any of the following may be designated as a specified class of employee: An employer may designate (in such manner as is prescribed by the Secretary) two or more of the classes described in the preceding subclauses as the specified class of employees to which the arrangement is offered for purposes of applying this subparagraph.(I) Full-time employees.(II) Part-time employees.(III) Salaried employees.(IV) Non-salaried employees.(V) Employees whose primary site of employment is in the same rating area.(VI) Employees who are included in a unit of employees covered under a collective bargaining agreement to which the employer is subject (determined under rules similar to the rules of section 105(h)).(VII) Employees who have not met a group health plan, or health insurance issuer offering group health insurance coverage, waiting period requirement that satisfies section 2708 of the Public Health Service Act.(VIII) Seasonal employees.(IX) Employees who are nonresident aliens and who receive no earned income (within the meaning of section 911(d)(2)) from the employer which constitutes income from sources within the United States (within the meaning of section 861(a)(3)).(X) Under such rules as the Secretary may prescribe, employees who are hired for temporary placement with an unrelated person that is not the common law employer.(XI) Such other classes of employees as the Secretary may designate.(iii) Special rule for new hires.— An employer may designate prospectively so much of a specified class of employees as are hired after a date set by the employer. Such subclass of employees shall be treated as the specified class for purposes of applying clause (i).(iv) Rules for determining type of employee.— For purposes for clause (ii), any determination of full-time, part-time, or seasonal employment status shall be made under rules similar to the rules of section 105(h) or 4980H, whichever the employer elects for the plan year. Such election shall apply with respect to all employees of the employer for the plan year.(v) Permitted variation.— For purposes of clause (i)(I), an arrangement shall not fail to be treated as provided on the same terms within a specified class merely because the maximum dollar amount of payments and reimbursements which may be made under the terms of the arrangement for the year with respect to each employee within such class—(I) increases as additional dependents of the employee are covered under the arrangement, and(II) increases with respect to a participant as the age of the participant increases, but not in excess of an amount equal to 300 percent of the lowest maximum dollar amount with respect to such a participant determined without regard to age.(D) Substantiation requirements.— An arrangement meets the requirements of this subparagraph if the arrangement has reasonable procedures to substantiate—(i) that the participant and any dependents are, or will be, enrolled in coverage described in subparagraph (B)(ii) as of the beginning of the plan year of the arrangement (or as of the beginning of coverage under the arrangement in the case of an employee who first becomes eligible to participate in the arrangement after the date notice is given with respect to the plan under subparagraph (E) (determined without regard to clause (iii) thereof), and(ii) any requests made for payment or reimbursement of medical care under the arrangement and that the participant and any dependents remain so enrolled.(E) Notice.—(i) In general.— Except as provided in clause (iii), an arrangement meets the requirements of this subparagraph if, under the arrangement, each employee eligible to participate is, not later than 60 days before the beginning of the plan year, given written notice of the employee’s rights and obligations unde

   The bill says: by adding at the end the following new paragraph:

   Bill text · Current law (26 U.S.C. 9815)

7. 42 U.S.C. 300ggadded 2799A–11by H.R. 6703 Sec. 201(a)

   2799A–11. Oversight of entities that provide pharmacy benefit management services.—(a) In general.— For plan years beginning on or after the date that is 30 months after the date of enactment of this section (referred to in this subsection and subsection (b) as the "effective date"), a group health plan or a health insurance issuer offering group health insurance coverage, or an entity providing pharmacy benefit management services on behalf of such a plan or issuer, shall not enter into a contract, including an extension or renewal of a contract, entered into on or after the effective date, with an applicable entity unless such applicable entity agrees to—(1) not limit or delay the disclosure of information to the group health plan (including such a plan offered through a health insurance issuer) in such a manner that prevents an entity providing pharmacy benefit management services on behalf of a group health plan or health insurance issuer offering group health insurance coverage from making the reports described in subsection (b); and(2) provide the entity providing pharmacy benefit management services on behalf of a group health plan or health insurance issuer relevant information necessary to make the reports described in subsection (b).(b) Reports.—(1) In general.— For plan years beginning on or after the effective date, in the case of any contract between a group health plan or a health insurance issuer offering group health insurance coverage offered in connection with such a plan and an entity providing pharmacy benefit management services on behalf of such plan or issuer, including an extension or renewal of such a contract, entered into on or after the effective date, the entity providing pharmacy benefit management services on behalf of such a group health plan or health insurance issuer, not less frequently than every 6 months (or, at the request of a group health plan, not less frequently than quarterly, and under the same conditions, terms, and cost of the semiannual report under this subsection), shall submit to the group health plan a report in accordance with this section. Each such report shall be made available to such group health plan in plain language, in a machine-readable format, and as the Secretary may determine, other formats. Each such report shall include the information described in paragraph (2).(2) Information described.— For purposes of paragraph (1), the information described in this paragraph is, with respect to drugs covered by a group health plan or group health insurance coverage offered by a health insurance issuer in connection with a group health plan during each reporting period—(A) in the case of a group health plan that is offered by a specified large employer or that is a specified large plan, and is not offered as health insurance coverage, or in the case of health insurance coverage for which the election under paragraph (3) is made for the applicable reporting period—(i) a list of drugs for which a claim was filed and, with respect to each such drug on such list—(I) the contracted compensation paid by the group health plan or health insurance issuer for each covered drug (identified by the National Drug Code) to the entity providing pharmacy benefit management services or other applicable entity on behalf of the group health plan or health insurance issuer;(II) the contracted compensation paid to the pharmacy, by any entity providing pharmacy benefit management services or other applicable entity on behalf of the group health plan or health insurance issuer, for each covered drug (identified by the National Drug Code);(III) for each such claim, the difference between the amount paid under subclause (I) and the amount paid under subclause (II);(IV) the proprietary name, established name or proper name, and National Drug Code;(V) for each claim for the drug (including original prescriptions and refills) and for each dosage unit of the drug for which a claim was filed, the type of dispensing channel used to furnish the drug, including retail, mail order, or specialty pharmacy;(VI) with respect to each drug dispensed, for each type of dispensing channel (including retail, mail order, or specialty pharmacy)—(aa) whether such drug is a brand name drug or a generic drug, and—(AA) in the case of a brand name drug, the wholesale acquisition cost, listed as cost per days supply and cost per dosage unit, on the date such drug was dispensed; and(BB) in the case of a generic drug, the average wholesale price, listed as cost per days supply and cost per dosage unit, on the date such drug was dispensed; and(bb) the total number of—(AA) prescription claims (including original prescriptions and refills);(BB) participants and beneficiaries for whom a claim for such drug was filed through the applicable dispensing channel;(CC) dosage units and dosage units per fill of such drug; and(DD) days supply of such drug per fill;(VII) the net price per course of treatment or single fill, such as a 30-day supply or 90-day supply to the plan or coverage after rebates, fees, alternative discounts, or other remuneration received from applicable entities;(VIII) the total amount of out-of-pocket spending by participants and beneficiaries on such drug, including spending through copayments, coinsurance, and deductibles, but not including any amounts spent by participants and beneficiaries on drugs not covered under the plan or coverage, or for which no claim is submitted under the plan or coverage;(IX) the total net spending on the drug;(X) the total amount received, or expected to be received, by the plan or issuer from any applicable entity in rebates, fees, alternative discounts, or other remuneration;(XI) the total amount received, or expected to be received, by the entity providing pharmacy benefit management services, from applicable entities, in rebates, fees, alternative discounts, or other remuneration from such entities—(aa) for claims

   The bill says: in part D (42 U.S.C. 300gg–111 et seq.), by adding at the end the following new section:

   Bill text · Current law (42 U.S.C. 300gg)

8. 42 U.S.C. 300gg(a)(1)changedby H.R. 6703 Sec. 201(a)

   The bill says: in paragraph (1), by inserting "(other than section 2799A–11)" after "part D"; and

   Bill text · Current law (42 U.S.C. 300gg)

9. 42 U.S.C. 300gg(a)(2)changedby H.R. 6703 Sec. 201(a)

   The bill says: in paragraph (2), by inserting "(other than section 2799A–11)" after "part D"; and

   Bill text · Current law (42 U.S.C. 300gg)

10. 42 U.S.C. 300gg(b)(1)changedby H.R. 6703 Sec. 201(a)

    The bill says: in paragraph (1), by inserting "(other than section 2799A–11)" after "part D";

    Bill text · Current law (42 U.S.C. 300gg)

11. 42 U.S.C. 300gg(b)(2)(A)changedby H.R. 6703 Sec. 201(a)

    The bill says: in paragraph (2)(A), by inserting "(other than section 2799A–11)" after "part D"; and

    Bill text · Current law (42 U.S.C. 300gg)

12. 42 U.S.C. 300gg(b)(2)(C)(ii)changedby H.R. 6703 Sec. 201(a)

    The bill says: in paragraph (2)(C)(ii), by inserting "(other than section 2799A–11)" after "part D".

    Bill text · Current law (42 U.S.C. 300gg)

13. 29 U.S.C. 1021added 726by H.R. 6703 Sec. 201(b)

    726 Oversight of entities that provide pharmacy benefit management services.—(a) In general.— For plan years beginning on or after the date that is 30 months after the date of enactment of this section (referred to in this subsection and subsection (b) as the "effective date"), a group health plan or a health insurance issuer offering group health insurance coverage, or an entity providing pharmacy benefit management services on behalf of such a plan or issuer, shall not enter into a contract, including an extension or renewal of a contract, entered into on or after the effective date, with an applicable entity unless such applicable entity agrees to—(1) not limit or delay the disclosure of information to the group health plan (including such a plan offered through a health insurance issuer) in such a manner that prevents an entity providing pharmacy benefit management services on behalf of a group health plan or health insurance issuer offering group health insurance coverage from making the reports described in subsection (b); and(2) provide the entity providing pharmacy benefit management services on behalf of a group health plan or health insurance issuer relevant information necessary to make the reports described in subsection (b).(b) Reports.—(1) In general.— For plan years beginning on or after the effective date, in the case of any contract between a group health plan or a health insurance issuer offering group health insurance coverage offered in connection with such a plan and an entity providing pharmacy benefit management services on behalf of such plan or issuer, including an extension or renewal of such a contract, entered into on or after the effective date, the entity providing pharmacy benefit management services on behalf of such a group health plan or health insurance issuer, not less frequently than every 6 months (or, at the request of a group health plan, not less frequently than quarterly, and under the same conditions, terms, and cost of the semiannual report under this subsection), shall submit to the group health plan a report in accordance with this section. Each such report shall be made available to such group health plan in plain language, in a machine-readable format, and as the Secretary may determine, other formats. Each such report shall include the information described in paragraph (2).(2) Information described.— For purposes of paragraph (1), the information described in this paragraph is, with respect to drugs covered by a group health plan or group health insurance coverage offered by a health insurance issuer in connection with a group health plan during each reporting period—(A) in the case of a group health plan that is offered by a specified large employer or that is a specified large plan, and is not offered as health insurance coverage, or in the case of health insurance coverage for which the election under paragraph (3) is made for the applicable reporting period—(i) a list of drugs for which a claim was filed and, with respect to each such drug on such list—(I) the contracted compensation paid by the group health plan or health insurance issuer for each covered drug (identified by the National Drug Code) to the entity providing pharmacy benefit management services or other applicable entity on behalf of the group health plan or health insurance issuer;(II) the contracted compensation paid to the pharmacy, by any entity providing pharmacy benefit management services or other applicable entity on behalf of the group health plan or health insurance issuer, for each covered drug (identified by the National Drug Code);(III) for each such claim, the difference between the amount paid under subclause (I) and the amount paid under subclause (II);(IV) the proprietary name, established name or proper name, and National Drug Code;(V) for each claim for the drug (including original prescriptions and refills) and for each dosage unit of the drug for which a claim was filed, the type of dispensing channel used to furnish the drug, including retail, mail order, or specialty pharmacy;(VI) with respect to each drug dispensed, for each type of dispensing channel (including retail, mail order, or specialty pharmacy)—(aa) whether such drug is a brand name drug or a generic drug, and—(AA) in the case of a brand name drug, the wholesale acquisition cost, listed as cost per days supply and cost per dosage unit, on the date such drug was dispensed; and(BB) in the case of a generic drug, the average wholesale price, listed as cost per days supply and cost per dosage unit, on the date such drug was dispensed; and(bb) the total number of—(AA) prescription claims (including original prescriptions and refills);(BB) participants and beneficiaries for whom a claim for such drug was filed through the applicable dispensing channel;(CC) dosage units and dosage units per fill of such drug; and(DD) days supply of such drug per fill;(VII) the net price per course of treatment or single fill, such as a 30-day supply or 90-day supply to the plan or coverage after rebates, fees, alternative discounts, or other remuneration received from applicable entities;(VIII) the total amount of out-of-pocket spending by participants and beneficiaries on such drug, including spending through copayments, coinsurance, and deductibles, but not including any amounts spent by participants and beneficiaries on drugs not covered under the plan or coverage, or for which no claim is submitted under the plan or coverage;(IX) the total net spending on the drug;(X) the total amount received, or expected to be received, by the plan or issuer from any applicable entity in rebates, fees, alternative discounts, or other remuneration;(XI) the total amount received, or expected to be received, by the entity providing pharmacy benefit management services, from applicable entities, in rebates, fees, alternative discounts, or other remuneration from such entities—(aa) for claims incur

    The bill says: in subpart B of part 7 (29 U.S.C. 1185 et seq.), by adding at the end the following:

    Bill text · Current law (29 U.S.C. 1021)

14. 29 U.S.C. 1021(a)(6)changedby H.R. 6703 Sec. 201(b)

    The bill says: in subsection (a)(6), by striking "or (9)" and inserting "(9), or (13)";

    Bill text · Current law (29 U.S.C. 1021)

15. 29 U.S.C. 1021(b)(3)changedby H.R. 6703 Sec. 201(b)

    The bill says: in subsection (b)(3), by striking "under subsection (c)(9)" and inserting "under paragraphs (9) and (13) of subsection (c)"; and

    Bill text · Current law (29 U.S.C. 1021)

16. 29 U.S.C. 1021(c)added (13)by H.R. 6703 Sec. 201(b)

    (13) Secretarial enforcement authority relating to oversight of pharmacy benefit management services.—(A) Failure to provide information.— The Secretary may impose a penalty against a plan administrator of a group health plan, a health insurance issuer offering group health insurance coverage, or an entity providing pharmacy benefit management services on behalf of such a plan or issuer, or an applicable entity (as defined in section 726(f)) that violates section 726(a); an entity providing pharmacy benefit management services on behalf of such a plan or issuer that fails to provide the information required under section 726(b); or any person who causes a group health plan to fail to provide the information required under section 726(c), in the amount of $10,000 for each day during which such violation continues or such information is not disclosed or reported.(B) False information.— The Secretary may impose a penalty against a plan administrator of a group health plan, a health insurance issuer offering group health insurance coverage, an entity providing pharmacy benefit management services, or an applicable entity (as defined in section 726(f)) that knowingly provides false information under section 726, in an amount not to exceed $100,000 for each item of false information. Such penalty shall be in addition to other penalties as may be prescribed by law.(C) Waivers.— The Secretary may waive penalties under subparagraph (A), or extend the period of time for compliance with a requirement of this section, for an entity in violation of section 726 that has made a good-faith effort to comply with the requirements of section 726.

    The bill says: in subsection (c), by adding at the end the following:

    Bill text · Current law (29 U.S.C. 1021)

17. 29 U.S.C. 1021changedby H.R. 6703 Sec. 201(b)

    The bill says: in section 732(a) (29 U.S.C. 1191a(a)), by striking "section 711" and inserting "sections 711 and 726".

    Bill text · Current law (29 U.S.C. 1021)

18. 29 U.S.C. 1001addedby H.R. 6703 Sec. 201(b)

    The bill says: The table of contents in section 1 of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1001 et seq.) is amended by inserting after the item relating to section 725 the following new item:

    Bill text · Current law (29 U.S.C. 1001)

19. 26 U.S.C. 9831(a)(2)a new sectionchangedby H.R. 6703 Sec. 201(c)

    (2) other than with respect to section 9826, any group health plan for any plan year if, on the first day of such plan year, such plan has less than 2 participants who are current employees.

    The bill says: Section 9831(a)(2) of the Internal Revenue Code of 1986 is amended by inserting "other than with respect to section 9826," before "any group health plan".

    Bill text

20. 26 U.S.C. 4980Dadded (g)by H.R. 6703 Sec. 201(c)

    (g) Application to requirements imposed on certain entities providing pharmacy benefit management services.— In the case of any requirement under section 9826 that applies with respect to an entity providing pharmacy benefit management services on behalf of a group health plan, any reference in this section to such group health plan (and the reference in subsection (e)(1) to the employer) shall be treated as including a reference to such entity.

    The bill says: Section 4980D of the Internal Revenue Code of 1986 is amended by adding at the end the following new subsection:

    Bill text · Current law (26 U.S.C. 4980D)

21. 42 U.S.C. 18071added (h)by H.R. 6703 Sec. 202

    (h) Funding.—(1) In general.— There are appropriated out of any monies in the Treasury not otherwise appropriated such sums as may be necessary for purposes of making payments under this section for plan years beginning on or after January 1, 2027.(2) Limitation.—(A) In general.— The amounts appropriated under paragraph (1) may not be used for purposes of making payments under this section for a qualified health plan that provides health benefit coverage that includes coverage of abortion.(B) Exception.— Subparagraph (A) shall not apply to payments for a qualified health plan that provides coverage of abortion only if necessary to save the life of the mother or if the pregnancy is a result of an act of rape or incest.

    The bill says: Section 1402 of the Patient Protection and Affordable Care Act (42 U.S.C. 18071) is amended by adding at the end the following new subsection:

    Bill text · Current law (42 U.S.C. 18071)

From the bill's official text on GovInfo and the U.S. Code, 2024 edition, which may not yet show changes made since.