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I
116TH CONGRESS
2D SESSION
H. R. 8020
To impose an emergency tax on the increase in wealth of billionaires during
the COVID–19 pandemic in order to pay for all of the out-of-pocket
healthcare expenses of the uninsured and under-insured, including pre-
scription drugs, for one year.
IN THE HOUSE OF REPRESENTATIVES
AUGUST 11, 2020
Ms. OMAR (for herself, Mrs. WATSON COLEMAN, Ms. OCASIO-CORTEZ, Ms.
PRESSLEY, Ms. TLAIB, Ms. SCHAKOWSKY, Mr. HASTINGS, and Ms.
JAYAPAL) introduced the following bill; which was referred to the Com-
mittee on Ways and Means, and in addition to the Committees on Energy
and Commerce, Oversight and Reform, Veterans’ Affairs, Armed Serv-
ices, and Natural Resources, for a period to be subsequently determined
by the Speaker, in each case for consideration of such provisions as fall
within the jurisdiction of the committee concerned
A BILL
To impose an emergency tax on the increase in wealth of
billionaires during the COVID–19 pandemic in order to
pay for all of the out-of-pocket healthcare expenses of
the uninsured and under-insured, including prescription
drugs, for one year.
Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
2
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•HR 8020 IH
SECTION 1. SHORT TITLE.
1
This Act may be cited as the ‘‘Make Billionaires Pay
2
Act’’.
3
TITLE I—PANDEMIC WEALTH
4
TAX
5
SEC. 101. IMPOSITION OF PANDEMIC WEALTH TAX.
6
(a) IN GENERAL.—The Internal Revenue Code of
7
1986 is amended by inserting after subtitle B the fol-
8
lowing new subtitle:
9
‘‘Subtitle B–1—Pandemic Wealth
10
Tax
11
‘‘CHAPTER 18—DETERMINATION OF WEALTH TAX
‘‘CHAPTER 18—DETERMINATION OF
12
WEALTH TAX
13
‘‘Sec. 2901. Imposition of tax.
‘‘Sec. 2902. Net value of assets.
‘‘Sec. 2903. Special rules.
‘‘SEC. 2901. IMPOSITION OF TAX.
14
‘‘(a) IN GENERAL.—In the case of any applicable in-
15
dividual, there is hereby imposed a tax of 60 percent of
16
the excess (if any) of—
17
‘‘(1) the net value of assets of the applicable in-
18
dividual on December 31, 2020, over
19
‘‘(2) the greater of—
20
‘‘(A) the net value of assets of the applica-
21
ble individual on March 18, 2020, or
22
‘‘(B) $1,000,000,000.
23
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•HR 8020 IH
‘‘(b) APPLICABLE INDIVIDUAL.—For purposes of this
1
chapter, the term ‘applicable individual’ means any indi-
2
vidual whose assets have a net value on December 31,
3
2020, of more than $1,000,000,000.
4
‘‘SEC. 2902. NET VALUE OF ASSETS.
5
‘‘(a) IN GENERAL.—The net value of assets held by
6
an applicable individual as of any day shall be the excess
7
of—
8
‘‘(1) the value of all property of the applicable
9
individual, real or personal, tangible or intangible,
10
wherever situated, on such day, over
11
‘‘(2) the amount of any debt owed by the appli-
12
cable individual on such day.
13
‘‘(b) INCLUSION OF CERTAIN GIFTS.—For purposes
14
of this subtitle, any property transferred by an applicable
15
individual during the period described in section 2901(a)
16
to an individual who is a member of the family of the ap-
17
plicable individual (as determined under section 267(c)(4))
18
and has not attained the age of 18 shall be treated as
19
property held by the taxpayer for any date before such
20
individual attains the age of 18.
21
‘‘(c) ESTABLISHMENT OF VALUATION RULES.—
22
‘‘(1) AUTHORITY
OF
SECRETARY.—The Sec-
23
retary shall establish rules and methods for deter-
24
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•HR 8020 IH
mining the value of any asset for purposes of this
1
subtitle.
2
‘‘(2) GENERAL
RULES.—Except as otherwise
3
provided in this paragraph, the rules and methods
4
established under paragraph (1) may be similar to
5
the rules of part III of subchapter A of chapter 11
6
(other than the rules of sections 2031(c), 2032A,
7
2035, and 2044).
8
‘‘SEC. 2903. SPECIAL RULES.
9
‘‘(a) MARRIED INDIVIDUALS.—The Secretary shall
10
by regulations establish rules for the application of this
11
subtitle to married individuals.
12
‘‘(b) DECEASED INDIVIDUALS.—In the case of any
13
individual who dies during the period described in section
14
2901(a), section 2901(a) shall be applied by substituting
15
the date of the individual’s death for ‘December 31, 2020’.
16
‘‘(c) ANTI-ABUSE RULES.—The Secretary shall pre-
17
scribe such rules as necessary to prevent the avoidance
18
of the purposes of this section, including through the use
19
of trusts.’’.
20
(b) NO DEDUCTION FROM INCOME TAXES.—Section
21
275 is amended by inserting after paragraph (6) the fol-
22
lowing new paragraph:
23
‘‘(7) Taxes imposed by chapter 18.’’.
24
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•HR 8020 IH
(c) CLERICAL AMENDMENT.—The table of subtitles
1
is amended by inserting after the item relating to subtitle
2
B the following new item:
3
‘‘Subtitle B–1—Pandemic Wealth Tax’’.
TITLE
II—REIMBURSEMENTS
4
FOR
CERTAIN
COSTS
OF
5
HEALTH
CARE
ITEMS
AND
6
SERVICES
INCLUDING
PRE-
7
SCRIPTION
DRUGS
FUR-
8
NISHED
DURING
PUBLIC
9
HEALTH EMERGENCY
10
SEC. 201. REIMBURSEMENTS FOR CERTAIN COSTS OF
11
HEALTH CARE ITEMS AND SERVICES INCLUD-
12
ING PRESCRIPTION DRUGS FURNISHED DUR-
13
ING PUBLIC HEALTH EMERGENCY.
14
(a) IN GENERAL.—During the 1-year period that be-
15
gins on the date of enactment of this Act, the Secretary
16
shall make payments to qualified providers with respect
17
to applicable health care items and services as defined in
18
subsection (b) that are furnished to an applicable indi-
19
vidual in an amount equal to—
20
(1) in the case of any portion of such period in
21
which an applicable individual is enrolled in a public
22
or private health insurance plan, the amount of any
23
cost sharing, including any deductibles, copayments,
24
coinsurance or similar charges, that would otherwise
25
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•HR 8020 IH
be applicable under such plan, including with respect
1
to prescription drug coverage under the plan; and
2
(2) in the case of any portion of such period in
3
which an applicable individual is uninsured, the
4
amount that would be paid to the qualified provider
5
for the same or equivalent items or services, includ-
6
ing with respect to any inpatient or physician-admin-
7
istered drugs (and excluding outpatient prescription
8
drugs or biologicals with respect to which coverage
9
is provided under subsection (e)), under the Medi-
10
care program under title XVIII of the Social Secu-
11
rity Act (42 U.S.C. 1395 et seq.).
12
(b) APPLICABLE HEALTH CARE ITEMS AND SERV-
13
ICES; APPLICABLE INDIVIDUAL DEFINED.—In this sec-
14
tion:
15
(1) APPLICABLE
HEALTH
CARE
ITEMS
AND
16
SERVICES.—The term ‘‘applicable health care items
17
and services’’ means, with respect to an applicable
18
individual, any health care items and services that
19
are medically necessary or appropriate for the main-
20
tenance of health or for the diagnosis, treatment, or
21
rehabilitation of a health condition of the applicable
22
individual, including—
23
(A) any testing services and treatments for
24
COVID–19 or related complications, including
25
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•HR 8020 IH
vaccines, diagnostic tests, drugs and biologicals,
1
and therapies; and
2
(B) in the case of an applicable individual
3
who is enrolled in a public or private health in-
4
surance plan, any health care items and serv-
5
ices covered by such plan as of March 1, 2020,
6
or in the case of an applicable individual who
7
enrolls in such plan after the date, any health
8
care items and services covered by such plan as
9
of the date of such enrollment.
10
(2) APPLICABLE INDIVIDUAL.—The term ‘‘ap-
11
plicable individual’’ means an individual who is a
12
resident of the United States.
13
(c) REQUIREMENTS.—
14
(1) NO EFFECT ON APPLICABLE COST-SHARING
15
REQUIREMENTS.—Nothing in this section shall af-
16
fect the application of any requirements applicable
17
under Federal or State law with respect to coverage
18
of health care items and services without any cost
19
sharing.
20
(2) MAINTENANCE OF EFFORT.—
21
(A) IN GENERAL.—During the period de-
22
scribed in subsection (a), a public or private
23
health plan shall not increase cost sharing, de-
24
crease benefits, or otherwise make coverage less
25
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•HR 8020 IH
generous than the benefits offered on the date
1
of enactment of this Act.
2
(B) NEW ITEMS AND SERVICES.—During
3
such period, a public or private health plan
4
shall provide coverage of new items and serv-
5
ices, including those related to COVID–19, as
6
appropriate, at a minimum, at a level consistent
7
with
the
prior
coverage
practices
and
8
formularies of the plan.
9
(3)
LIMITATION
ON
OUT-OF-POCKET
EX-
10
PENSES.—During such period, in order to be eligible
11
to receive payments under this section, a qualified
12
provider shall agree not to impose on an applicable
13
individual any charge for applicable health care
14
items and services furnished to the applicable indi-
15
vidual.
16
(4) PERMISSIBLE BILLING OF PLANS; LIMITA-
17
TION ON BALANCE BILLING.—During such period, in
18
order to be eligible to receive payments under this
19
section, a qualified provider shall agree, with respect
20
to applicable health care items and services fur-
21
nished to an applicable individual when such indi-
22
vidual is enrolled in a public or private health insur-
23
ance plan—
24
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•HR 8020 IH
(A) not to impose any charge on the plan
1
for such items and services beyond the amount
2
otherwise payable by the plan; and
3
(B) not to bill the applicable individual for
4
any amounts in excess of the amount described
5
in subparagraph (A).
6
(5) MEDICAL DEBT COLLECTION.—A qualified
7
provider shall agree—
8
(A) to immediately halt all medical debt
9
collection, including collection activities carried
10
out by third parties, during such period and
11
shall not collect medical debt or have third par-
12
ties collect medical debt for applicable health
13
care items and services furnished during such
14
period; and
15
(B) to refrain from pursuing medical debt
16
collection, including collection activities carried
17
out by third parties, after such period with re-
18
spect to items and services related to the diag-
19
nosis or treatment of COVID–19 (regardless of
20
whether such services were furnished before,
21
during, or after such period) and shall not col-
22
lect medical debt or have third parties collect
23
medical debt for such items or services after
24
such period.
25
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•HR 8020 IH
(6) SUBMISSION OF BILLS AND DOCUMENTA-
1
TION.—A qualified provider shall agree to submit
2
bills and any required supporting documentation re-
3
lating to the provision of applicable health care
4
items and services within 30 days after the date of
5
providing such services, in such manner as the Sec-
6
retary determines appropriate.
7
(d) WAIVER
OF LATE ENROLLMENT PENALTIES
8
UNDER MEDICARE.—During the period described in sub-
9
section (a), no increase in the monthly premium of an indi-
10
vidual pursuant to section 1818(c), 1839(b), or 1860D–
11
13 of the Social Security Act (42 U.S.C. 1395i–2(c),
12
1395r(b), 1395w–113) shall be effected in the case of any
13
individual who enrolls for benefits under title XVIII of
14
such Act with respect to any period prior to the date of
15
such enrollment.
16
(e) COVERAGE WITH RESPECT TO OUTPATIENT PRE-
17
SCRIPTION DRUGS.—
18
(1) IN GENERAL.—During the period described
19
in subsection (a), with respect to outpatient pre-
20
scription drugs or biologicals described in subsection
21
(b)(1)(A) that are dispensed to uninsured individ-
22
uals, the Secretary shall establish procedures under
23
which—
24
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•HR 8020 IH
(A) such drugs or biologicals are dispensed
1
at no cost to such individuals;
2
(B) pharmacies that dispense such drugs
3
or biologicals—
4
(i) are reimbursed by the Secretary
5
for such drugs or biologicals dispensed to
6
such individuals at an amount equal to the
7
price paid by the Secretary of Veterans Af-
8
fairs to procure the drug or biological
9
under the laws administered by the Sec-
10
retary of Veterans Affairs; and
11
(ii) agree not to charge such individ-
12
uals for any difference between the amount
13
reimbursed under clause (i) and the cost to
14
the pharmacy for the drug; and
15
(C) manufacturers of such drugs or
16
biologicals reimburse pharmacies for any dif-
17
ference described in subparagraph (B)(ii) with
18
respect to drugs or biologicals of the manufac-
19
turer that are dispensed to such individuals.
20
(2) CONDITION
OF
COVERAGE
UNDER
MEDI-
21
CARE.—During the period described in subsection
22
(a), no coverage may be provided under part B or
23
D of title XVIII of the Social Security Act (42
24
U.S.C. 1395j et seq., 1395w–101 et seq.) with re-
25
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•HR 8020 IH
spect to a drug or biological of a manufacturer if the
1
manufacturer does not enter into an agreement with
2
the Secretary to carry out the requirements applica-
3
ble with respect to such manufacturers under this
4
subsection.
5
(3) REQUIREMENT FOR PARTICIPATING PHAR-
6
MACIES.—During the period described in subsection
7
(a), a prescription drug plan under part D of title
8
XVIII of the Social Security Act (42 U.S.C. 1395w–
9
101 et seq.) may not contract with a pharmacy if
10
the pharmacy does not enter into an agreement with
11
the Secretary to carry out the requirements applica-
12
ble with respec
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