,i #aacth ,,congress #b;d ,session ,h4 ,r4 #dgbh ,,in ,,the ,,house ,,of ,,representatives ,may #bb1 #bjad ,mr4 ,fincher 7for himself and ,mrs4 ,black7 introduced the following bill2 which was referred to the ,committee on ,ways and ,means1 and in addition to the ,committees on ,education and the ,workforce1 ,energy and ,commerce1 the ,judiciary1 ,natural ,resources1 ,house ,administration1 ,rules1 and ,appropriations1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to direct the ,office of the ,actuary of the ,centers for ,medicare ,medicaid ,services and the ,comptroller ,general of the ,united ,states to study the impact of the ,patient ,protection and ,affordable ,care ,act on small businesses4 #a4 ,short title ,this ,act may be cited as the ,certify ,it ,act of #bjad4 #b4 ,study on impact on small business jobs 7a7 ,study and report 7#a7 ,in general ,not later than #a year after the date of enactment of this ,act1 and ,december #a for each of the #d consecutive years thereafter1 the ,comptroller ,general of the ,united ,states1 shall conduct a study on the impact of the ,affordable ,care ,act on small businesses1 including-- 7,a7 the impact of any increased health insurance costs resulting from the provisions of such ,act on economic indicators 7including jobs lost1 hours worked per employee1 and any resulting loss of wages72 and 7,b7 the impact of section #dihj;,h of the ,internal ,revenue ,code of #aihf 7relating to shared responsibility for employers regarding health coverage7 on economic indicators1 including any jobs lost4 7#b7 ,report ,the ,comptroller ,general of the ,united ,states1 using data from the ,office of the ,actuary1 ,centers for ,medicare ,medicaid ,services1 under section #c and economic indicators data from other ,federal agencies1 shall submit to the appropriate committees of ,congress a report on the study conducted under paragraph 7#a74 7b7 ,appropriate committees of congress ,for purposes of this section1 the term appropriate committees of ,congress means the ,committee on ,ways and ,means1 the ,committee on ,education and the ,workforce1 the ,committee on ,energy and ,commerce1 and the ,small ,business ,committee of the ,house of ,representatives and the ,committee on ,finance1 the ,committee on ,health1 ,education1 ,labor1 and ,pensions1 and the ,small ,business and ,entrepreneurship ,committee of the ,senate4 7c7 ,definitions ,for purposes of this ,act3 7#a7 ,affordable care act ,the term ,affordable ,care ,act means the ,patient ,protection and ,affordable ,care ,act 7,public ,law #aaa-adh7 and title ,i and subtitle ,b of title ,,ii of the ,health ,care and ,education ,reconciliation ,act of #bjaj 7,public ,law #aaa-aeb74 7#b7 ,small business ,the term small business means an employer with #bej or fewer employees4 #c4 ,study on impact on small business health insurance 7a7 ,study and report 7#a7 ,in general ,not later than #a year after the date of the enactment of this ,act1 and ,december #a for each of the #d consecutive years thereafter1 the ,office of the ,actuary1 ,centers for ,medicare ,medicaid ,services1 shall conduct a study on the impact of the ,affordable ,care ,act on small group health insurance costs1 including-- 7,a7 the impact of requirements and benefits pursuant to such ,act on the small group health insurance market1 including community rating requirements1 minimum actuarial value requirements1 requirements to provide for essential health benefits described in section #acjb7;b7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjbb7;b771 requirements related to cost-sharing1 the prohibition on annual and lifetime limits on benefits under section #bgaa of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#aa71 prohibitions on cost-sharing requirements for preventive services1 and the extension of dependent coverage under section #bgad of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#ad72 and 7,b7 the impact of new taxes and fees on the small group health insurance market costs1 including the fee imposed under section #ijaj of the ,patient ,protection and ,affordable ,care ,act 7relating to imposition of annual fee on health insurance providers71 the transitional reinsurance program contributions1 the fees imposed under subchapter ,b of chapter #cd of the ,internal ,revenue ,code of #aihf 7relating to the ,patient ,centered ,outcome ,research ,institute fees71 and ,exchange assessments or user fees4 7#b7 ,report ,the ,office of the ,actuary1 ,centers for ,medicare ,medicaid ,services1 in consultation with the ,comptroller ,general for purposes of verifying the methodology1 assumptions1 validity1 and reasonableness of the data used by the ,actuary1 shall submit to the appropriate committees of ,congress a report on the study conducted under paragraph 7#a74 7b7 ,appropriate committees of congress ,for purposes of this section1 the term appropriate committees of ,congress means the ,committee on ,ways and ,means1 the ,committee on ,education and the ,workforce1 the ,committee on ,energy and ,commerce1 and the ,small ,business ,committee of the ,house of ,representatives and the ,committee on ,finance1 the ,committee on ,health1 ,education1 ,labor1 and ,pensions1 and the ,small ,business and ,entrepreneurship ,committee of the ,senate4 #d4 ,one-year delay for employer mandate in case of negative impact on small business 7a7 ,in general ,if the ,comptroller ,general of the ,united ,states or the ,office of the ,actuary1 ,centers for ,medicare ,medicaid ,services1 determines in any report submitted under section #b or #c that the ,affordable ,care ,act has caused net employment loss amongst small businesses or caused small group health insurance costs to rise1 section #dihj;,h of the ,internal ,revenue ,code of #aihf shall not apply for months beginning during the #a-year period beginning on the date of the submission of such report4 7b7 ,failure ,to submit ,if the ,comptroller ,general of the ,united ,states or the ,office of the ,actuary1 ,centers for ,medicare ,medicaid ,services1 fails to submit a report in accordance with the timelines specified in this ,act1 section #dihj;,h of the ,internal ,revenue ,code of #aihf shall not apply the following calendar year4