,,ii #aahth ,,congress #ast ,session ,s4 #h ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,january #bc 7legislative day1 ,january #c71 #bjbc,mrs4 ,shaheen 7for herself1 ,mr4 ,blumenthal1 ,ms4 ,smith1 ,ms4 ,baldwin1 ,mr4 ,kaine1 ,mr4 ,reed1 ,mr4 ,casey1 ,ms4 ,stabenow1 ,ms4 ,klobuchar1 ,mr4 ,cardin1 ,ms4 ,hassan1 ,mr4 ,bennet1 ,ms4 ,cortez ,masto1 and ,mrs4 ,gillibrand7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to amend the ,internal ,revenue ,code of #aihf to expand eligibility for the refundable credit for coverage under a qualified health plan1 to improve cost-sharing subsidies under the ,patient ,protection and ,affordable ,care ,act1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,improving ,health ,insurance ,affordability ,act of #bjbc4 #b4 ,increase in eligibility for credit 7a7 ,in general ,subparagraph 7,a7 of section #cf;,b7c77#a7 of the ,internal ,revenue ,code of #aihf is amended by striking but does not exceed #djj percent 4 7b7 ,applicable percentages 7#a7 ,in general ,subparagraph 7,a7 of section #cf;,b7b77#c7 of the ,internal ,revenue ,code of #aihf is amended to read as follows3 7,a7 ,applicable percentage ,the applicable percentage for any taxable year shall be the percentage such that the applicable percentage for any taxpayer whose household income is within an income tier specified in the following table shall increase1 on a sliding scale in a linear manner1 from the initial premium percentage to the final premium percentage specified in such table for such income tier3 ,in the case of household income 7expressed as a percent of poverty line7 within the following income tier3,the initial premium percentage is--,the final premium percentage is--,up to #aej percent#jjaej percent up to #bjj percent#jb4jbjj percent up to #bej percent#b4jd4jbej percent up to #cjj percent#d4jf4jcjj percent up to #djj percent#f4jh4edjj percent and up#h4eh4e4 4 7#b7 ,conforming amendments relating to affordability of coverage 7,a7 ,subparagraph 7,c7 of section #cf;,b7c77#b7 of such ,code is amended by striking clause 7iv74 7,b7 ,paragraph 7#d7 of section #cf;,b7c7 of such ,code is amended by striking subparagraph 7,f74 7c7 ,limitation on recapture ,clause 7i7 of section #cf;,b7f77#b77;,b7 of the ,internal ,revenue ,code of #aihf is amended-- 7#a7 by striking #djj percent and inserting #hjj percent2 7#b7 by striking the period at the end of the last row of the table2 and 7#c7 by adding at the end of the table the following new rows3 ,at least #djj percent but less than #fjj percent#c1ejj ,at least #fjj percent but less than #hjj percent#d1ejj4 4 7d7 ,premium cost standard 7#a7 ,in general ,the following provisions of section #cf;,b of the ,internal ,revenue ,code of #aihf are each amended by striking silver each place it appears and inserting gold3 7,a7 ,paragraphs 7#b77;,b77i71 7#c77;,b71 and 7#c77;,c7 of subsection 7b74 7,b7 ,the heading of subparagraph 7,b7 of subsection 7b77#c74 7,c7 ,subsection 7c77#d77;,c77i77,i74 7#b7 ,conforming amendments to reduced cost-sharing ,section #adjb7;b77#a7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjga7;b77#a77 is amended by striking silver and inserting gold4 7e7 ,effective date ,the amendments made by this section shall apply to taxable years beginning after ,december #ca1 #bjbc4 #c4 ,enhancements for reduced cost-sharing 7a7 ,modification of amount 7#a7 ,in general ,section #adjb7;c77#b7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjga7;c77#b77 is amended-- 7,a7 by striking #aej percent in subparagraph 7,a7 and inserting #bjj percent1 7,b7 by striking #id percent in subparagraph 7,a7 and inserting #ie percent1 7,c7 by striking #aej percent but not more than #bjj percent in subparagraph 7,b7 and inserting #bjj percent but not more than #cjj percent1 7,d7 by striking #hg percent in subparagraph 7,b7 and inserting #ij percent1 7,e7 by striking #bjj percent in subparagraph 7,c7 and inserting #cjj percent1 7,f7 by striking #bej percent in subparagraph 7,c7 and inserting #djj percent1 and 7,g7 by striking #gc percent in subparagraph 7,c7 and inserting #he percent4 7#b7 ,conforming amendment ,clause 7i7 of section #adjb7;c77#a77;,b7 of such ,act 7#db ,u4,s4,c4 #ahjga7;c77#a77;,b77 is amended to read as follows3 7i7 ,in general ,the ,secretary shall ensure the reduction under this paragraph shall not result in an increase in the plan's share of the total allowed costs of benefits provided under the plan above-- 7,i7 #ie percent in the case of an eligible insured described in paragraph 7#b77;,a72 7,,ii7 #ij percent in the case of an eligible insured described in paragraph 7#b77;,b72 and 7,,iii7 #he percent in the case of an eligible insured described in paragraph 7#b77;,c74 4 7#c7 ,effective date ,the amendments made by this subsection shall apply to plan years beginning after ,december #ca1 #bjbc4 7b7 ,funding ,section #adjb of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjga7 is amended by adding at the end the following new subsection3 7g7 ,funding ,out of any funds in the ,treasury not otherwise appropriated1 there are appropriated to the ,secretary such sums as may be necessary for payments under this section4 4