,,ib  ,union ,calendar ,no4 #fed  #aaeth
 ,,congress  #b;d ,session  ,h4 ,r4     
#fcja  ,report ,no4 #aae-hde  ,,in ,,the
 ,,house ,,of ,,representatives  ,june  
#bi1 #bjah ,mr4 ,roskam 7for himself and
 ,mr4 ,thompson of ,california7         
introduced the following bill2 which was
 referred to the ,committee on ,ways and
 ,means  ,july #ai1 #bjah;,additional   
sponsor3 ,mrs4 ,black  ,july #ai1 #bjah 
,reported with an amendment1 committed  
to the ,committee of the ,whole ,house  
on the ,state of the ,union1 and ordered
 to be printed ,strike out all after the
 enacting clause and insert the part    
printed in italic ,for text of          
introduced bill1 see copy of bill as    
introduced on ,june #bi1 #bjah  ,a      
,,bill  ,to amend the ,internal ,revenue
 ,code of #aihf to provide high         
deductible health plans with first      
dollar coverage flexibility4  #a4 ,short
 title ,this ,act may be cited as the   
,promoting ,high-,value ,health ,care   
,through ,flexibility for ,high         

,deductible ,health ,plans ,act of      
#bjah4  #b4 ,first dollar coverage      
flexibility for high deductible health  
plans  7a7 ,in general ,section         
#bbc7;c77#b7 of the ,internal ,revenue  
,code of #aihf is amended by adding at  
the end the following new subparagraph3 
7,e7 ,first dollar coverage flexibility 
7i7 ,in general ,a plan shall not fail  
to be treated as a high deductible      
health plan by reason of failing to have
 a deductible for not more than #bej of 
specified services for self-only        
coverage 7twice such amount in the case 
of family coverage7 during a plan year4 
7ii7 ,specified services ,for purposes  
of this subparagraph1 the term specified
 services means1 with respect to a plan1
 services other than preventive care    
7within the meaning of subparagraph     
7,c77 identified under the terms of the 
plan as being services to which clause  
7i7 applies4  4  7b7 ,inflation         
adjustment ,section #bbc7;g77#a7 of such
 ,code is amended-- 7#a7 by striking and

 7c77#b77;,a7 each place it appears and 
inserting 1 7c77#b77;,a71 and           
7c77#b77;,e71 and  7#b7 in subparagraph 
7,b7-- 7,a7 by striking such taxable    
year in the matter preceding clause 7i7 
and inserting the taxable year 7plan    
year in the case of the dollar amount in
 subsection 7c77#b77;,e771 and  7,b7 by 
striking clause 7ii7 and inserting      
clauses 7ii7 and 7iii7 in clause 7i71 by
 striking and at the end of clause 7i71 
by striking the period at the end of    
clause 7ii7 and inserting 1 and1 and by 
inserting after clause 7ii7 the         
following new clause3  7iii7 in the case
 of the dollar amount in subsection     
7c77#b77;,e7 for plan years beginning in
 calendar years after #bjai1 calendar   
year #bjah4  4  7c7 ,effective date ,the
 amendments made by this section shall  
apply with respect to plan years        
beginning after ,december #ca1 #bjah4   
,july #ai1 #bjah ,reported with an      
amendment1 committed to the ,committee  
of the ,whole ,house on the ,state of   

the ,union1 and ordered to be printed