,,ii  ,calendar ,no4 #bii #aadth        
,,congress  #ast ,session  ,h4 ,r4 #cgfb
  ,,in ,,the ,,senate ,,of ,,the        
,,united ,,states  ,november #ah1       
#bjae,received2 read the first time     
,november #ai1 #bjae,read the second    
time and placed on the calendar  ,,an   
,,act  ,to provide for reconciliation   
pursuant to section #bjjb of the        
concurrent resolution on the budget for 
fiscal year #bjaf4  #a4 ,short title2   
table of contents  7a7 ,short title     
,this ,act may be cited as the          
,restoring ,americans' ,healthcare      
,freedom ,reconciliation ,act of #bjae4 
7b7 ,table of contents ,the table of    
contents of this ,act is as follows3    
,sec4 #a4 ,short title2 table of        
contents4 ,title ,i--,committee on      
,energy and ,commerce ,sec4 #aja4       
,repeal of the ,prevention and ,public  
,health ,fund4 ,sec4 #ajb4 ,federal     
payment to ,states4 ,sec4 #ajc4 ,funding
 for community health center program4   
,title ,,ii--,committee on ,ways and    

,means ,sec4 #bja4 ,repeal of individual
 mandate4 ,sec4 #bjb4 ,repeal of        
employer mandate4 ,sec4 #bjc4 ,repeal of
 medical device excise tax4 ,sec4 #bjd4 
,repeal of the tax on employee health   
insurance premiums and health plan      
benefits and related reporting          
requirements4  ,i ,committee on ,energy 
and ,commerce  #aja4 ,repeal of the     
,prevention and ,public ,health ,fund   
7a7 ,in general ,section #djjb of the   
,patient ,protection and ,affordable    
,care ,act 7#db ,u4,s4,c4 #cjju-#aa7 is 
repealed4  7b7 ,rescission of           
unobligated funds ,of the funds made    
available by such section #djjb1 the    
unobligated balance is rescinded4  #ajb4
 ,federal payment to ,states  7a7 ,in   
general ,notwithstanding section        
#ejd7;a71 #aijb7;a77#bc71 #bjjb1        
#bjje7;a77#d71 #bajb7;a77#g71 or        
#baje7;a77#a7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #gjd7;a71           
#acif;b7a77#bc71 #acig;a1               
#acig;d7a77#d71 #acig;bb7a77#b71        

#acig;ee7a77#a771 or the terms of any   
,medicaid waiver in effect on the date  
of enactment of this ,act that is       
approved under section #aaae or #aiae of
 the ,social ,security ,act 7#db        
,u4,s4,c4 #acae1 #acifn71 for the       
#a-year period beginning on the date of 
the enactment of this ,act no ,federal  
funds may be made available to a ,state 
for payments to a prohibited entity1    
whether made directly to the prohibited 
entity or through a managed care        
organization under contract with the    
,state4  7b7 ,definition of prohibited  
entity ,in this section1 the term       
prohibited entity means an entity1      
including its affiliates1 subsidiaries1 
successors1 and clinics-- 7#a7 that1 as 
of the date of enactment of this ,act-- 
7,a7 is an organization described in    
section #eja7;c77#c7 of the ,internal   
,revenue ,code of #aihf and exempt from 
tax under section #eja7;a7 of such      
,code2  7,b7 is an essential community  
provider described in section #aef4bce  

of title #de1 ,code of ,federal         
,regulations1 that is primarily engaged 
in family planning services1            
reproductive health1 and related medical
 care2 and  7,c7 provides for abortions1
 other than an abortion-- 7i7 if the    
pregnancy is the result of an act of    
rape or incest2 or  7ii7 in the case    
where a woman suffers from a physical   
disorder1 physical injury1 or physical  
illness that would1 as certified by a   
physician1 place the woman in danger of 
death unless an abortion is performed1  
including a life-endangering physical   
condition caused by or arising from the 
pregnancy itself2 and  7#b7 for which   
the total amount of ,federal and ,state 
expenditures under the ,medicaid program
 under title ,,xix of the ,social       
,security ,act in fiscal year #bjad made
 directly to the entity and to any      
affiliates1 subsidiaries1 successors1 or
 clinics of the entity1 or made to the  
entity and to any affiliates1           
subsidiaries1 successors1 or clinics of 

the entity as part of a nationwide      
health care provider network1 exceeded  
#cej1jjj1jjj4  #ajc4 ,funding for       
community health center program         
,effective as if included in the        
enactment of the ,medicare ,access and  
,,chip ,reauthorization ,act of #bjae   
7,public ,law #aad-aj1 #abi ,stat4 #hg71
 paragraph 7#a7 of section #bba7;a7 of  
such ,act is amended by inserting after 
,section #ajejc7;b77#a77;,e7 of the     
,patient ,protection and ,affordable    
,care ,act 7#db ,u4,s4,c4               
#bed;b-#b7;b77#a77;,e77 is amended the  
following3 by striking #c1fjj1jjj1jjj   
and inserting #c1hce1jjj1jjj and4  ,,ii 
,committee on ,ways and ,means  #bja4   
,repeal of individual mandate  7a7 ,in  
general ,section #ejjj;,a of the        
,internal ,revenue ,code of #aihf is    
amended by adding at the end the        
following3  7h7 ,termination ,this      
section shall not apply with respect to 
any month beginning after ,december #ca1
 #bjad4  4  7b7 ,conforming amendments  

7#a7 ,section #ejjj;,a7c7 of such ,code 
is amended-- 7,a7 in paragraph 7#b77;,b7
 by striking clauses 7ii7 and 7iii71    
7,b7 in paragraph 7#c77;,b7 by striking 
#bjad and all that follows and inserting
 #bjad41 and  7,c7 in paragraph 7#c7 by 
striking subparagraph 7,d74  7#b7       
,section #ejjj;,a7e77#a7 of such ,code  
is amended by striking subparagraph     
7,d74  7c7 ,effective date ,the         
amendments made by this section shall   
apply to months beginning after         
,december #ca1 #bjad4  #bjb4 ,repeal of 
employer mandate  7a7 ,in general       
,section #dihj;,h of the ,internal      
,revenue ,code of #aihf is amended by   
adding at the end the following3  7e7   
,termination ,this section shall not    
apply with respect to any month         
beginning after ,december #ca1 #bjad4  4
  7b7 ,conforming ,amendment ,section   
#dihj;,h7c7 of such ,code is amended by 
striking paragraph 7#e74  7c7 ,effective
 date ,the amendments made by this      
section shall apply to months beginning 

after ,december #ca1 #bjad4  #bjc4      
,repeal of medical device excise tax    
7a7 ,in general ,chapter #cb of the     
,internal ,revenue ,code of #aihf is    
amended by striking subchapter ,e4  7b7 
,conforming amendments  7#a7 ,subsection
 7a7 of section #dbba of such ,code is  
amended by striking the last sentence4  
7#b7 ,paragraph 7#b7 of section         
#fdaf7;b7 of such ,code is amended by   
striking the last sentence4  7c7        
,clerical amendment ,the table of       
subchapters for chapter #cb of such     
,code is amended by striking the item   
relating to subchapter ,e4  7d7         
,effective date ,the amendments made by 
this section shall apply to sales in    
calendar quarters beginning after the   
date of the enactment of this ,act4     
#bjd4 ,repeal of the tax on employee    
health insurance premiums and health    
plan benefits and related reporting     
requirements  7a7 ,excise tax ,chapter  
#dc of the ,internal ,revenue ,code of  
#aihf is amended by striking section    

#dihj;,i4  7b7 ,reporting requirement   
,section #fjea7;a7 of such ,code is     
amended by inserting and at the end of  
paragraph 7#ab71 by striking 1 and at   
the end of paragraph 7#ac7 and inserting
 a period1 and by striking paragraph    
7#ad74  7c7 ,clerical amendment ,the    
table of sections for chapter #dc of    
such ,code is amended by striking the   
item relating to section #dihj;,i4  7d7 
,effective dates  7#a7 ,in general      
,except as provided by paragraph 7#b71  
the amendments made by this section     
shall apply to taxable years beginning  
after ,december #ca1 #bjag4  7#b7       
,reporting requirement ,the amendment   
made by subsection 7b7 shall apply to   
calendar years beginning after ,december
 #ca1 #bjad4  ,passed the ,house of     
,representatives ,october #bc1          
#bjae4,karen ,l4 ,haas1,clerk  ,november
 #ai1 #bjae,read the second time and    
placed on the calendar