,i  #aacth ,,congress  #b;d ,session    
,h4 ,r4 #cihf  ,,in ,,the ,,house ,,of  
,,representatives  ,february #d1        
#bjad,mr4 ,thompson of ,california 7for 
himself1 ,ms4 ,eshoo1 ,ms4 ,matsui1 ,ms4
 ,speier1 ,mr4 ,honda1 ,ms4 ,lofgren1   
,mr4 ,farr1 ,mrs4 ,capps1 ,mr4 ,schiff1 
,mr4 ,lowenthal1 ,mr4 ,larson of        
,connecticut1 ,ms4 ,esty1 ,mr4 ,israel1 
,mrs4 ,lowey1 ,mr4 ,nadler1 ,ms4 ,clarke
 of ,new ,york1 ,mr4 ,bishop of ,new    
,york1 ,mrs4 ,negrete ,mc,leod1 and ,mr4
 ,peters of ,california7 introduced the 
following bill2 which was referred to   
the ,committee on ,ways and ,means  ,a  
,,bill  ,to amend the ,internal ,revenue
 ,code of #aihf to adjust the phaseout  
of the health insurance tax credit for  
geographic variations in the            
cost-of-living4  #a4 ,short title ,this 
,act may be cited as the ,fair ,access  
to ,health ,care ,act4  #b4 ,phaseout of
 health insurance tax credit adjusted to
 take into account geographic variation 
in the cost-of-living  7a7 ,in general  

,section #cf;,b7b7 of the ,internal     
,revenue ,code of #aihf is amended by   
adding at the end the following new     
paragraph3  7#d7 ,geographic adjustment 
for cost-of-living  7,a7 ,in general ,in
 the case of a taxpayer whose principal 
place of residence for any taxable year 
is located in a high cost area1 there   
shall be substituted for each specified 
amount an amount which bears the same   
proportion to such specified amount as  
the ,,spm with respect to such high cost
 area bears to the national average     
,,spm4  7,b7 ,high cost area ,for       
purposes of this paragraph1 the term    
high cost area means any metropolitan   
statistical area or non-metropolitan    
area the ,,spm for which exceeds the    
national average ,,spm4  7,c7 ,specified
 amounts ,for purposes of this          
paragraph1 the term specified amount    
means each of the following3 7i7 ,the   
#djj amount contained in the table in   
paragraph 7#c77;,a77i74  7ii7 ,the #djj 
amount contained in subsection          

7c77#a77;,a74  7,d7 ,,spm ,for purposes 
of this paragraph-- 7i7 ,in general ,the
 term ,,spm means1 with respect to each 
calendar year1 the ,supplemental        
,poverty ,measure as determined by the  
,bureau of the ,census4  7ii7 ,national 
average ,,spm ,the national average     
,,spm shall be determined without regard
 to ,alaska and ,hawaii4  7iii7         
,determination for taxable year based on
 preceding calendar year ,,spm with     
respect to any taxable year shall be    
determined on the basis of the calendar 
year preceding the calendar year in     
which the taxable year begins4  7,e7    
,alternative measure of cost-of-living  
,if the ,secretary determines that      
another measure of cost-of-living is    
more appropriate than the ,,spm for     
purposes of this paragraph1 the         
,secretary shall use such measure in    
lieu of the ,,spm4  4  7b7 ,effective   
date ,the amendment made by this section
 shall apply to taxable years beginning 
after the date of the enactment of this 

,act4