United States 116th Congress Status: In Committee Bipartisan · 2 R · 1 I cosponsors

S 1868 — Premium Reduction Act of 2019

Last action — Read twice and referred to the Committee on Finance.

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  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 116th Congress. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Summary

Premium Reduction Act of 2019 This bill provides funding for grants for states to establish invisible high-risk pool and reinsurance programs through applications for state innovation waivers from certain health insurance coverage requirements. A reinsurance program generally permits health insurance issuers to transfer a portion of the cost of the coverage for enrollees with large claims to the state, thus facilitating the enrollment of higher-risk individuals, including those with preexisting conditions. Similarly, an invisible high-risk pool generally identifies and enrolls higher-risk individuals and the state program pays a percentage of any insurance claims of such enrollees that exceed a predetermined amount. In states that do not establish such programs, the Department of Health and Human Services (HHS) must make market stabilization payments to health insurance issuers. The bill further directs HHS to expedite the review of state innovation waiver applications that include a high-risk pool or reinsurance program. States may model a waiver application on the application of a state that has an approved waiver for such a program.

Bill Text

How this bill changes current law

6 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill adds provisions for federal funding to states for invisible high-risk pools and reinsurance programs under the ACA waiver process.

  • 42 U.S.C. 18052(a)

    (4) Federal funding for invisible high-risk pool and reinsurance programs.--

    Introduces a new provision for federal funding related to invisible high-risk pools and reinsurance programs.

  • 42 U.S.C. 18052(a)

    (5) Reconciliation of pass through funding and funding for invisible high-risk pool and reinsurance programs.--

    Establishes a process for reconciling state allocations regarding pass-through funding and funding for these new programs.

  • 42 U.S.C. 18052(a)(1)(B)(i)

    including, as applicable, a description of the State's plan to use any amounts awarded to the State under paragraph (4) to support an invisible high-risk pool or reinsurance program consistent with subsection (f) and such information about such program as the Secretary may require

    Requires states to describe plans to use federal grant amounts for invisible high-risk pools or reinsurance programs in their waiver applications.

  • 42 U.S.C. 18052(a)

    paragraphs (4), (5), and (6) → paragraphs (6), (7), and (8)

    Redesignates existing paragraphs to accommodate the new provisions.

  • 42 U.S.C. 18052(a)(4)(A)(i)

    Not later than 45 days after the date of enactment of this Act, the Secretary, in consultation with the National Association of Insurance Commissioners, shall specify an allocation methodology for determining the amount of funds appropriated under section 2(b) of the Premium Reduction Act of 2019 for a fiscal year to be allocated for each State for purposes of subparagraph (B) and section 2(c) of the Premium Reduction Act of 2019.

    Establishes a timeline for the Secretary to specify a methodology for fund allocation to states.

  • 42 U.S.C. 18052(a)(4)(B)

    From amounts appropriated under section 2(b)(1) of the Premium Reduction Act of 2019 for a fiscal year, the Secretary shall award grants to States for each of fiscal years 2020 through 2023, in amounts determined under subparagraph (A)(ii), for the following purposes:

    Authorizes grant awards to states for specific fiscal years to support the establishment of invisible high-risk pools or reinsurance programs.

Action History

  1. Introduced in Senate

  2. Read twice and referred to the Committee on Finance.

Sponsors

Sponsorship breakdown

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1 sponsors · 2 co-sponsors · 544 not signed on

Sponsors (1)

Co-sponsors (2)

Not signed on (544)

544 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

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Subjects

healthcare health-insurance
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Frequently asked questions

What does S 1868 do?
Premium Reduction Act of 2019 This bill provides funding for grants for states to establish invisible high-risk pool and reinsurance programs through applications for state innovation waivers from certain health insurance coverage requirements. A reinsurance program generally permits health insurance issuers to transfer a portion of the cost of the coverage for enrollees with large claims to the state, thus facilitating the enrollment of higher-risk individuals, including those with preexisting conditions. Similarly, an invisible high-risk pool generally identifies and enrolls higher-risk individuals and the state program pays a percentage of any insurance claims of such enrollees that exceed a predetermined amount. In states that do not establish such programs, the Department of Health and Human Services (HHS) must make market stabilization payments to health insurance issuers. The bill further directs HHS to expedite the review of state innovation waiver applications that include a high-risk pool or reinsurance program. States may model a waiver application on the application of a state that has an approved waiver for such a program.
Who sponsors S 1868?
S 1868 is sponsored by Collins, Susan M. (Republican), Manchin, Joe, III (Independent), and Hawley, Josh (Republican).
What is the current status of S 1868?
This bill died with 116th Congress. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track S 1868?
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