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I
116TH CONGRESS
1ST SESSION H. R. 2243
To exempt health insurance of residents of United States territories from
the annual fee on health insurance providers.
IN THE HOUSE OF REPRESENTATIVES
APRIL 10, 2019
Miss GONZA´LEZ-COLO´N of Puerto Rico (for herself, Ms. PLASKETT, Mrs.
RADEWAGEN, and Mr. SAN NICOLAS) introduced the following bill; which
was referred to the Committee on Ways and Means, and in addition to
the Committee on Energy and Commerce, for a period to be subsequently
determined by the Speaker, in each case for consideration of such provi-
sions as fall within the jurisdiction of the committee concerned
A BILL
To exempt health insurance of residents of United States
territories from the annual fee on health insurance providers.
Be it enacted by the Senate and House of Representa-
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tives of the United States of America in Congress assembled,
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SECTION 1. SHORT TITLE.
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This Act may be cited as the ‘‘Territory Health In-
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surance Tax Relief Act of 2019’’.
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•HR 2243 IH
SEC. 2. HEALTH INSURANCE OF RESIDENTS OF UNITED
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STATES TERRITORIES EXEMPT FROM AN-
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NUAL FEE ON HEALTH INSURANCE PRO-
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VIDERS.
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(a) IN GENERAL.—Section 9010(b) of the Patient
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Protection and Affordable Care Act is amended by adding
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at the end the following new paragraph:
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‘‘(4) EXCEPTION FOR HEALTH INSURANCE OF
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RESIDENTS OF UNITED STATES TERRITORIES.—
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‘‘(A) IN GENERAL.—Solely for purposes of
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paragraph (1)(A), the term ‘United States
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health risk’ shall not include the health risk of
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any individual who is a bona fide resident of
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Guam, American Samoa, the Northern Mariana
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Islands, Puerto Rico, or the Virgin Islands (as
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determined under section 937(a)).
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‘‘(B) EXCEPTION NOT TO INCREASE FEE
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ALLOCATION.—The amount determined under
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paragraph (1)(B) shall be determined without
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regard to subparagraph (A) of this para-
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graph.’’.
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(b) REPORTING.—Section 9010(g)(1) of the Patient
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Protection and Affordable Care Act is amended by insert-
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ing ‘‘(and the amount of such net premiums to which sub-
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section (b)(4)(A) applies)’’ before the period at the end.
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(c) EFFECTIVE DATE.—
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•HR 2243 IH
(1) IN GENERAL.—The amendments made by
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this section shall apply to calendar years beginning
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after the date of the enactment of this Act.
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(2) TRANSITIONAL
RULE
FOR
REPORTING.—
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For purposes of applying the amendment made by
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subsection (a) with respect to the first calendar year
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beginning after the date of the enactment of this
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Act, the Secretary of the Treasury (or the Sec-
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retary’s designee) shall provide a method for covered
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entities to report the information described in the
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amendment made by subsection (b) for the calendar
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year which precedes such first calendar year.
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Æ
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