,,ii #aadth ,,congress #ast ,session ,s4 #bed ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,january #bf1 #bjae,mr4 ,portman 7for himself1 ,ms4 ,ayotte1 ,mr4 ,mc,cain1 and ,mr4 ,scott7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to lower health premiums and increase choice for small businesses4 #a4 ,short title2 table of contents 7a7 ,short title ,this ,act may be cited as the ,small ,business ,health ,relief ,act of #bjae4 7b7 ,table of contents ,the table of contents for this ,act is as follows3 ,sec4 #a4 ,short title2 table of contents4 ,,title ,i--,making coverage affordable for small businesses ,sec4 #aja4 ,protecting ,american jobs and wages4 ,sec4 #ajb4 ,increasing flexibility for small businesses4 ,sec4 #ajc4 ,increasing choices for ,americans4 ,sec4 #ajd4 ,protecting patients from higher premiums4 ,sec4 #aje4 ,ensuring affordable coverage4 ,,title ,,ii--,increasing consumer control ,sec4 #bja4 ,repeal of restriction on over-the-counter medicines4 ,sec4 #bjb4 ,repeal of the annual cap4 ,,title ,,iii--,allowing individuals to keep coverage they like ,sec4 #cja4 ,allowing individuals to keep the coverage they have if they like it4 ,i ,making coverage affordable for small businesses #aja4 ,protecting ,american jobs and wages 7a7 ,repeal of shared responsibility payment for employers regarding health coverage 7#a7 ,in general ,chapter #dc of the ,internal ,revenue ,code of #aihf is amended by striking section #dihj;,h4 7#b7 ,conforming amendments 7,a7 ,the table of sections for chapter #dc of the ,internal ,revenue ,code of #aihf is amended by striking the item relating to section #dihj;,h4 7,b7 ,section #acaa7;d77#d77;,i7 of the ,patient ,protection and ,affordable ,care ,act is amended by inserting and at the end of clause 7i7 and by striking clause 7ii74 7,c7 ,section #accb7;a77#b77;,d7 of such ,act is amended by striking #cf;,b1 #dihj;,h1 and #ejjj;,a and inserting #cf;,b and #ejjj;,a4 7,d7 ,section #adaa7;e77#d77;,b7 of such ,act is amended by striking clause 7iii74 7,e7 ,section #adaa7;f7 of such ,act is amended to read as follows3 7f7 ,appeals and redeterminations ,the ,secretary1 in consultation with the ,secretary of the ,treasury1 the ,secretary of ,homeland ,security1 and the ,commissioner of ,social ,security1 shall establish procedures by which the ,secretary or one of such other ,federal officers-- 7#a7 hears and makes decisions with respect to appeals of any determination under subsection 7e72 and 7#b7 redetermines eligibility on a periodic basis in appropriate circumstances4 4 7,f7 ,section #adaa of such ,act is amended by striking subsection 7i74 7,g7 ,section #adab7;a77#b7 of such ,act is amended to read as follows3 7#b7 the ,secretary notifies the ,exchange and the ,secretary of the ,treasury of the advance determinations2 and 4 7,h7 ,section #aeac of such ,act is amended by striking subsection 7c74 7#c7 ,effective date ,the amendments made by this subsection shall apply to months after ,december #ca1 #bjac4 7b7 ,repeal of reporting of employer health insurance coverage 7#a7 ,in general ,subpart ,d of part ,,iii of subchapter ,a of chapter #fa of the ,internal ,revenue ,code of #aihf is amended by striking section #fjef4 7#b7 ,conforming amendments 7,a7 ,section #fgbd7;d77#a77;,b7 of the ,internal ,revenue ,code of #aihf is amended by inserting or at the end of clause 7xxiii71 by striking 1 or at the end of clause 7xxiv7 and inserting a period1 and by striking clause 7xxv74 7,b7 ,section #fgbd7;d77#b7 of such ,code is amended by inserting or at the end of subparagraph 7,,ff71 by striking 1 or at the end of subparagraph 7,,gg7 and inserting a period1 and by striking subparagraph 7,,hh74 7#c7 ,effective date ,the amendments made by this subsection shall apply to periods beginning after ,december #ca1 #bjac4 #ajb4 ,increasing flexibility for small businesses ,section #acjb7;c77#b7 of the ,patient ,protection and ,affordable ,care ,act 7,public ,law #aaa-adh7 is repealed4 #ajc4 ,increasing choices for ,americans 7a7 ,qualified health plan coverage satisfied by high deductible health plan with health savings account ,section #acjb7;e7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjbb7;e77 is amended to read as follows3 7e7 ,high deductible health plan with health savings account ,a health plan not providing a bronze1 silver1 gold1 or platinum level of coverage shall be treated as meeting the requirements of subsection 7d7 with respect to any plan year for any enrollee if the plan meets the requirements for a high deductible health plan under section #bbc7;c77#b7 of the ,internal ,revenue ,code of #aihf and such enrollee has established a health savings account 7as defined in section #bbc7;d77#a7 of such ,code7 in relation to such plan4 4 7b7 ,conforming amendments 7#a7 ,subparagraph 7,c7 of section #acab7;d77#c7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjcb7;d77#c77 is amended by striking 1 except and all that follows through #acjb7;e77#b74 7#b7 ,subparagraph 7,a7 of section #cf;,b7c77#c7 of the ,internal ,revenue ,code of #aihf1 as added by section #adja7;a7 of the ,patient ,protection and ,affordable ,care ,act 7,public ,law #aaa-adh7 is amended by striking 1 except and all that follows through such ,act4 7#c7 ,subparagraph 7,b7 of section #accd7;c77#a7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjed7;c77#a77 is amended by striking and catastrophic coverage4 #ajd4 ,protecting patients from higher premiums ,section #ijaj of the ,patient ,protection and ,affordable ,care ,act 7,public ,law #aaa-adh71 as amended by section #ajije of such ,act1 is repealed4 #aje4 ,ensuring affordable coverage ,section #bgja7;a77#a77;,a77iii7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj7;a77#a77;,a77iii771 as added by section #abja of the ,patient ,protection and ,affordable ,care ,act 7,public ,law #aaa-adh71 is amended by striking 1 except and all that follows through #bgjg7;c774 ,,ii ,increasing consumer control #bja4 ,repeal of restriction on over-the-counter medicines 7a7 ,h,s,as ,section #bbc7;d77#b77;,a7 of the ,internal ,revenue ,code of #aihf is amended by striking the last sentence thereof4 7b7 ,archer ,m,s,as ,section #bbj7;d77#b77;,a7 of the ,internal ,revenue ,code of #aihf is amended by striking the last sentence thereof4 7c7 ,health flexible spending arrangements and health reimbursement arrangements ,section #ajf of the ,internal ,revenue ,code of #aihf is amended by striking subsection 7f74 7d7 ,effective date 7#a7 ,distributions from savings accounts ,the amendments made by subsections 7a7 and 7b7 shall apply to amounts paid with respect to taxable years beginning after ,december #ca1 #bjad4 7#b7 ,reimbursements ,the amendment made by subsection 7c7 shall apply to expenses incurred with respect to taxable years beginning after ,december #ca1 #bjad4 #bjb4 ,repeal of the annual cap 7a7 ,in general ,section #abe of the ,internal ,revenue ,code of #aihf is amended by striking subsection 7i7 and by redesignating subsections 7j7 and 7k7 as subsections 7i7 and 7j71 respectively4 7b7 ,effective date ,the amendments made by this section shall apply to taxable years beginning after ,december #ca1 #bjad4 ,,iii ,allowing individuals to keep coverage they like #cja4 ,allowing individuals to keep the coverage they have if they like it 7a7 ,in general ,section #abea7;a77#b7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjaa7 is amended-- 7#a7 by striking ,except as provided in paragraph 7#c71 and inserting the following3 7,a7 ,in general ,except as provided in paragraphs 7#c7 and 7#d71 2 and 7#b7 by adding at the end the following3 7,b7 ,protecting employers and consumers with grandfathered coverage 7i7 ,in general ,a group health plan or health insurance coverage in which an individual is enrolled on or after ,march #bc1 #bjaj1 but before any plan year beginning not later than #a year after the date of the enactment of this subparagraph1 and which is deemed to be a grandfathered health plan under this section1 shall continue to be considered a grandfathered health plan with respect to such individual regardless of any modification to the cost-sharing levels1 employer contribution rates1 or covered benefits under such plan or coverage as otherwise permitted under this ,act 7and the amendments made by this ,act74 7ii7 ,regulations ,the ,secretary shall promulgate regulations to clarify the application of clause 7i7 to a plan or coverage that continues to be a grandfathered health plan pursuant to such clause4 4 7b7 ,effective date2 previously promulgated regulations voided 7#a7 ,effective date ,the amendments made by this section shall take effect as if included in the enactment of the ,patient ,protection and ,affordable ,care ,act4 7#b7 ,previously promulgated regulations voided ,any regulations relating to section #abea7;a77#b7 of such ,act promulgated before the date of the enactment of this ,act shall have no force or effect4