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II
116TH CONGRESS
1ST SESSION
S. 1313
To repeal the multi-State plan program.
IN THE SENATE OF THE UNITED STATES
MAY 2, 2019
Mr. JOHNSON (for himself, Mr. BARRASSO, Mr. BRAUN, Mr. WICKER, Mr.
LEE, Mr. ALEXANDER, Mr. ENZI, Mr. CRAMER, and Mr. PAUL) intro-
duced the following bill; which was read twice and referred to the Com-
mittee on Health, Education, Labor, and Pensions
A BILL
To repeal the multi-State plan program.
Be it enacted by the Senate and House of Representa-
1
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 ‘‘Repeal Insurance
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Plans of the Multi-State Program Act’’ or the ‘‘RIP MSP
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Act’’.
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SEC. 2. REPEAL OF MULTI-STATE PLAN PROGRAM.
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(a) DEFINITIONS.—In this section, the terms ‘‘multi-
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State plan issuer’’ and ‘‘MSP issuer’’ mean a health insur-
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ance issuer or group of health insurance issuers that has
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a contract with the Office of Personnel Management to
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•S 1313 IS
offer multi-State plan options pursuant to section 1334
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of the Patient Protection and Affordable Care Act (Public
2
Law 111–148).
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(b) PROGRAM REPEAL.—Effective January 1, 2020,
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section 1334 of the Patient Protection and Affordable
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Care Act (Public Law 111–148) shall have no force or
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effect.
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(c) TERMINATION OF EXTERNAL REVIEW.—The ad-
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ministration of external review pursuant to section 1334
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of the Patient Protection and Affordable Care Act shall
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conclude upon the issuance by the Director of the Office
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of Personnel Management (referred to in this section as
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‘‘OPM’’) of all final decisions for enrollees enrolled in a
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multi-State plan during or before the 2019 plan year.
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(d) REQUIRED REPORTING.—Not later than 60 days
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after the date of enactment of this Act, the Director of
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OPM shall provide the Committee on Homeland Security
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and Governmental Affairs and the Committee on Health,
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Education, Labor, and Pensions of the Senate and the
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Committee on Oversight and Reform and the Committee
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on Energy and Commerce of the House of Representatives
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a briefing concerning the efforts of the OPM to wind down
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the multi-State program under section 1334 of the Patient
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Protection and Affordable Care Act. Such briefing shall
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•S 1313 IS
contain such information as may be required, including
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information regarding—
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(1) the methods of communication OPM and an
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MSP issuer will use to notify current enrollees that
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the multi-State plan will not be offered during the
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next open season, including a timeline of the planned
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communications;
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(2) a description of how the Director of OPM
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will work with the Secretary of Health and Human
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Services to ensure that no plans previously offered
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pursuant to such section 1334 are offered on State
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or Federal Exchanges; and
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(3) a timeline detailing how OPM will close
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down the information technology portal that MSP
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issuers utilize.
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(e) CONFORMING AMENDMENTS.—
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(1) IN GENERAL.—Title I of the Patient Pro-
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tection and Affordable Care Act is amended—
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(A)
in
section
1301(a)
(42
U.S.C.
19
18021(a))—
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(i) in paragraph (2)—
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(I) in the heading, by striking
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‘‘AND
MULTI-STATE
QUALIFIED
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HEALTH PLANS’’; and
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(II) by striking ‘‘and a multi-
1
State plan under section 1334,’’; and
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(ii) in paragraph (4), by striking ‘‘,
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including a multi-State qualified health
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plan,’’; and
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(B)
in
section
1324(a)
(42
U.S.C.
6
18044(a)), by striking ‘‘, or a multi-State quali-
7
fied health plan under section 1334,’’.
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(2) EFFECTIVE DATE.—The amendments made
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by paragraph (1) shall take effect on January 1,
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2020.
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Æ
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