,,ii  #aae? ,,congress  #a/ ,session    
,s4 #aigh  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #ah1 #bjag ,ms4
 ,heitkamp 7= h]self1 ,mrs4 ,%ahe51 &   
,mr4 ,donnelly7 introduc$ ! foll[+ bill2
 :i* 0 read twice & ref]r$ to !         
,committee on ,f9ance  ,a ,,bill  ,to   
delay ! annual fee on heal? insurance   
provid]s until #bjbj & to make su* fee  
tax d$uctible4  #a4 ,%ort title ,?is    
,act may be cit$ z ! ,small ,bus9ess &  
,family ,heal? ,tax ,relief ,act (      
#bjag4  #b4 ,f9d+s ,congress makes !    
foll[+ f9d+s3  7#a7 ,! ,pati5t          
,protection & ,af=dable ,c>e ,act       
e/abli%$ an annual fee on heal?         
insurance provid]s to be paid by cov]$  
entities 7z def9$ 9 section #ijaj ( su* 
,act74  7#b7 ,public ,law #aad-aac 0    
pass$ ) bip>tisan support 9 #bjae to    
delay ! fee = #a ye> ?r\gh #bjag4  7#c7 
,consum]s1 employ]s1 s5iors1 ,/ates1 &  
tribes b5efitt$ f ?is fee n be+ 9 effect
 ) l[] premiums & additional heal?      
b5efits4  7#d7 ,indep5d5t analysis by   

,oliv] ,wyman f\nd t ! av]age premium   
r$uction f ! delay ( ! fee 0            
approximately #c p]c5t4  7#e7 ,?is fee  
affects an e/imat$ #aef1jjj1jjj consum]s
 ) cov]age across v>i\s m>kets includ+ !
 individual gr\p m>ket1 ! small gr\p    
m>ket1 ! ,m$ic>e ,advantage program "u  
"p ,c ( title ,,xviii ( ! ,social       
,security ,act1 ! ,m$ic>e prescription  
drug program "u "p ,d ( title ,,xviii ( 
! ,social ,security ,act1 ,m$icaid      
manag$ c>e organizations1 & /&-alone    
d5tal & vision plans4  7#f7 ,^! consum]s
 face an impact to _! premiums due to ! 
fee tak+ effect 9 #bjah4  7#g7 ,?is ,act
 w\ld provide relief to ^! consum]s &   
improve af=dability ( heal? c>e cov]age4
  7#h7 ,insurance companies h pass$ !   
impact ( ! fee on to consum]s 9         
calculat+ rates = ! plan ye> beg9n+ 9   
#bjah4  7#i7 ,giv5 ! complexity ( a fee 
t captures su* a v>i$ gr\p ( consum]s1 !
 ,dep>tm5t ( ,heal? & ,human ,s]vice1 ! 
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices1 !  
,dep>tm5t ( ! ,treasury1 ,/ate insurance

 commission]s1 insurance provid]s & o!r 
entities mak+ paym5t ( b5efits1 & o!rs  
%\ld "w toge!r to ensure t consum]s     
b5efit f ! delay ( ! fee ?r\gh rebates1 
premium r$uctions1 supplem5tal heal?    
b5efits1 or o!rwise 9 bo? #bjah & #bjai4
  7#aj7 ,mak+ ?is fee d$uctible 9 future
 ye>s w provide great] /ability &       
m9imize ! negative impact ( ! fee on    
consum]s4  #c4 ,delay ( application (   
annual fee on heal? insurance provid]s  
7a7 ,9 g5]al ,section #ijaj7;j7 ( !     
,pati5t ,protection & ,af=dable ,c>e    
,act 7#bf ,u4,s4,c4 #djja note prec47 is
 am5d$ by /rik+ ,decemb] #ca1 #bjag &   
ins]t+ ,decemb] #ca1 #bjai4  7b7        
,effective date ,! am5dm5t made by ?is  
section %all apply to cal5d> ye>s beg9n+
 aft] ,decemb] #ca1 #bjag4  #d4         
,d$uctibility ( fee  7a7 ,9 g5]al       
,section #ijaj7;f77#b7 ( ! ,pati5t      
,protection & ,af=dable ,c>e ,act 7#bf  
,u4,s4,c4 #djja note prec47 is am5d$ by 
/rik+ %all be consid]$ & ins]t+ %all n  
be consid]$4  7b7 ,effective date ,!    

am5dm5t made by ?is section %all apply  
to cal5d> ye>s beg9n+ aft] ,decemb] #ca1
 #bjai4