,,ii #aaeth ,,congress #ast ,session ,s4 #bjeb ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,november #a1 #bjag ,mr4 ,hatch introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to provide for temporary funding for health insurance cost-sharing reduction payments and provide targeted tax relief1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,health ,care ,market ,certainty and ,mandate ,relief ,act 4 #b4 ,cost-sharing reduction payments 7a7 ,in general 7#a7 ,appropriations ,there is appropriated to the ,secretary of ,health and ,human ,services1 out of any funds in the ,treasury not otherwise appropriated1 such sums as may be necessary for payments for cost-sharing reductions authorized by section #adjb of ,public ,law #aaa-adh1 including through advanced payment of such reductions under section #adab of such ,public ,law for plan years #bjag1 #bjah1 and #bjai 7and including for adjustments to any prior obligations for such payments74 7#b7 ,adjustments ,notwithstanding any other provision of this ,act1 payments and other actions for adjustments to obligations incurred prior to ,december #ca1 #bjai1 may be made through ,december #ca1 #bjbj4 7#c7 ,limitation ,amounts appropriated under paragraph 7#a7 shall not include payment to an issuer of a qualified health plan that includes coverage of abortion 7other than any abortion necessary to save the life of the mother or any abortion with respect to a pregnancy that is the result of an act of rape or incest74 7b7 ,special rule for plan year #bjah payments ,section #adjb7;c7 of ,public ,law #aaa-adh 7#db ,u4,s4,c4 #ahjga7;c77 is amended-- 7#a7 in paragraph 7#c77;,a71 by striking ,an issuer and inserting ,subject to paragraph 7#f71 an issuer2 and 7#b7 by adding at the end the following new paragraph3 7#f7 ,special rule for plan year #bjah payments 7,a7 ,in general ,the ,secretary shall make payments under paragraph 7#c77;,a71 including through advanced payment for cost-sharing reduction under section #adab1 for plan year #bjah to an issuer of a qualified health plan1 subject to subparagraph 7,c71 only if the ,secretary determines1 based on a certification and appropriate documentation from the issuer and a certification from ,state regulators1 that the premium rates applied under such plan for such plan year were based on the assumption of receiving payments under paragraph 7#c77;,a7 for such plan year 7including by reason of the plan being offered in a ,state in which the ,state regulators instructed issuers of health plans in such ,state to make such an assumption74 7,b7 ,recovery of past payments ,if the ,secretary makes payments to an issuer of a qualified health plan under paragraph 7#c77;,a7 for plan year #bjah and subsequently determines that such issuer increased premium rates for that plan year because the issuer expected1 or was instructed by applicable ,state regulators to expect1 that the issuer would not receive such payments 7or1 in the case of such payments made to an issuer of a qualified health plan for plan year #bjah pursuant to subparagraph 7,c71 determines that such issuer did not reduce premium rates under such plan for such plan year to such rates as described in clause 7i77,i7 of such subparagraph7 the ,secretary may reduce payments due to such issuer under paragraph 7#c77;,a7 for a subsequent plan year by the amount paid to such issuer under such paragraph for plan year #bjah4 7,c7 ,payments allowed in case of issuers in ,states providing for premium adjustment process ,notwithstanding subparagraph 7,a71 the ,secretary may make payments under paragraph 7#c77;,a7 for plan year #bjah to an issuer of a qualified health plan not otherwise eligible for such payments pursuant to subparagraph 7,a7 if-- 7i7 the qualified health plan is offered in a ,state for such plan year for which the ,state insurance commissioner notifies the ,secretary of the ,treasury and the ,secretary of ,health and ,human ,services of a process provided for in the ,state under which-- 7,i7 issuers of qualified health plans in such ,state choosing to participate in such process are required to reduce premium rates under such plans for plan year #bjah to the rates that would have been applied under such plans for such plan year had the issuers assumed payments for cost-sharing reductions under such paragraph would be received for such plan year2 and 7,,ii7 the ,state submits to the ,secretaries information to verify that the reduction of the premium rate under a qualified health plan offered by an issuer participating under such process satisfies the reduction requirement described in subclause 7,i72 and 7ii7 the issuer of such qualified health plan chooses to participate in such process4 7,d7 ,reconciliation process ,the ,secretary of the ,treasury and the ,secretary of ,health and ,human ,services shall adjust the methodologies under section #aef4dcj of title #de1 ,code of ,federal ,regulations 7as in effect on the date of enactment of the ,health ,care ,market ,certainty and ,mandate ,relief ,act71 as may be necessary to correct for any overpayments or underpayments made under this section to an issuer in accordance with this paragraph4 4 #c4 ,moratorium on individual mandate ,section #ejjj;,a of the ,internal ,revenue ,code of #aihf is amended-- 7#a7 in subsection 7a71 by striking ,an applicable and inserting ,except as provided in subsection 7h71 an applicable2 and 7#b7 by adding at the end the following new subsection3 7h7 ,suspension ,this section shall not apply to any month beginning after ,december #ca1 #bjaf1 and before ,january #a1 #bjbb4 4 #d4 ,moratorium on employer mandate ,section #dihj;,h of the ,internal ,revenue ,code of #aihf is amended by adding at the end the following new subsection3 7e7 ,suspension ,this section shall not apply to any month beginning after ,december #ca1 #bjad1 and before ,january #a1 #bjah4 4 #e4 ,maximum contribution limit to health savings account increased to amount of deductible and out-of-pocket limitation 7a7 ,in general ,subsection 7b7 of section #bbc of the ,internal ,revenue ,code of #aihf is amended by adding at the end the following new paragraph3 7#i7 ,increased limitation ,in the case of any month beginning after ,december #ca1 #bjag1 and before ,january #a1 #bjbc-- 7,a7 paragraph 7#b77;,a7 shall be applied by substituting the amount in effect under subsection 7c77#b77;,a77ii77,i7 for #b1bej1 and 7,b7 paragraph 7#b77;,b7 shall be applied by substituting the amount in effect under subsection 7c77#b77;,a77ii77,,ii7 for #d1ejj4 4 7b7 ,effective date ,the amendment made by this section shall apply to taxable years beginning after ,december #ca1 #bjag4