,i #aai? ,,congress #b;d ,session ,h4 ,r4 #ajijh ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,octob] #bf1 #bjbf,mr4 ,cl\d introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ,ways & ,means1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to implem5t ,univ]sal ,sav+s ,acc\nts & exp& transp>5cy1 competition1 & pati5t rights 9 heal? c>e4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,end+ ,pati5t ,run>\nd ,act4 #b4 ,univ]sal ,sav+s ,acc\nts 7a7 ,9 g5]al ,sub*apt] ,f ( *apt] #a ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new "p3 ,,ix ,univ]sal ,sav+s ,acc\nts #ecj;,a4 ,univ]sal sav+s acc\nts 7a7 ,g5]al rule ,a ,univ]sal ,sav+s ,acc\nt %all be exempt f taxation "u ?is subtitle4 ,not)/&+ ! prec$+ s5t5ce1 su* acc\nt %all be subject to ! taxes impos$ by section #eaa 7relat+ to imposition ( tax on unrelat$ bus9ess income ( *>itable organizations74 7b7 ,univ]sal ,sav+s ,acc\nt ,= purposes ( ?is section1 ! t]m ,univ]sal ,sav+s ,acc\nt means a tru/ creat$ or organiz$ 9 ! ,unit$ ,/ates = ! exclusive b5efit ( an individual & :i* is designat$ 79 su* mann] z ! ,secret>y %all prescribe7 at ! "t ( ! e/abli%m5t ( ! tru/ z a ,univ]sal ,sav+s ,acc\nt1 b only if ! writt5 gov]n+ in/rum5t creat+ ! tru/ meets ! foll[+ requirem5ts3 7#a7 ,except 9 ! case ( a qualifi$ rollov] contribution describ$ 9 subsection 7d7-- 7,a7 no contribution w be accept$ unless x is 9 ca%1 & 7,b7 contributions w n be accept$ = ! cal5d> ye> 9 excess ( ! contribution limit specifi$ 9 subsection 7c77#a74 7#b7 ,! tru/ee is a bank 7z def9$ 9 section #djh7n77 or ano!r p]son :o demon/rates to ! satisfaction ( ! ,secret>y t ! mann] 9 :i* t p]son w adm9i/] ! tru/ w be consi/5t ) ! requirem5ts ( ?is section or :o has s demon/rat$ ) respect to any individual retirem5t plan4 7#c7 ,! int]e/ ( an individual 9 ! balance ( 8 acc\nt is non=feitable4 7#d7 ,! assets ( ! tru/ %all n be comm+l$ ) o!r prop]ty except 9 a common tru/ fund or common inve/m5t fund4 7#e7 ,no "p ( ! tru/ funds w be inve/$ 9 life insurance contracts4 7c7 ,treatm5t ( contributions & di/ributions 7#a7 ,contribution limit 7,a7 ,9 g5]al ,! aggregate am\nt ( contributions 7o!r ?an qualifi$ rollov] contributions describ$ 9 subsection 7d77 = any cal5d> ye> to all ,univ]sal ,sav+s ,acc\nts ma9ta9$ = ! b5efit ( an individual %all n exce$ #aj1jjj4 7,b7 ,inflation adju/m5t ,9 ! case ( any cal5d> ye> aft] #bjbf1 ! #aj1jjj am\nt "u subp>agraph 7,a7 %all be increas$ by an am\nt equal to-- 7i7 su* doll> am\nt1 multipli$ by 7ii7 ! co/-(-liv+ adju/m5t det]m9$ "u section #a7;f77#c7 = ! cal5d> ye>1 det]m9$ by sub/itut+ cal5d> ye> #bjbf = cal5d> ye> #bjaf 9 subp>agraph 7,a77ii7 !re(4 ,if any increase "u ?is clause is n a multiple ( #ajj1 su* am\nt %all be r\nd$ to ! next l[] multiple ( #ajj4 7#b7 ,di/ributions 7,a7 ,9 g5]al ,except z provid$ 9 subp>agraph 7,b71 any di/ribution f a ,univ]sal ,sav+s ,acc\nt %all n be includible 9 gross income4 7,b7 ,net income attributable to excess contributions ,any di/ribution ( net income describ$ 9 section #digc7;i77#b7 %all be includible 9 ! gross income ( ! acc\nt hold] 9 ! taxable ye> 9 :i* ! contribution to :i* su* net income relates 0 made4 7d7 ,qualifi$ rollov] contribution ,= purposes ( ?is section1 ! t]m qualifi$ rollov] contribution means a contribution to a ,univ]sal ,sav+s ,acc\nt f ano!r su* acc\nt ( ! same b5efici>y1 b only if su* am\nt is contribut$ n lat] ?an ! #fj? day aft] ! di/ribution f su* o!r acc\nt4 7e7 ,treatm5t ( acc\nt ^u dea? ,^u dea? ( any acc\nt hold] ( a ,univ]sal ,sav+s ,acc\nt-- 7#a7 ,sp\se ,9 ! case ( ! acc\nt hold]'s surviv+ sp\se acquir+ su* acc\nt hold]'s int]e/ 9 su* acc\nt by reason ( ! dea? ( ! acc\nt hold]1 su* acc\nt %all be treat$ z if ! sp\se 7 ! acc\nt hold]4 7#b7 ,o!r cases ,9 any o!r case-- 7,a7 all am\nts 9 su* acc\nt %all be treat$ z di/ribut$ on ! date ( su* individual's dea?1 & 7,b7 su* acc\nt %all cease to be treat$ z a ,univ]sal ,sav+s ,acc\nt4 7f7 ,cu/odial acc\nts ,= purposes ( ?is section1 a cu/odial acc\nt %all be treat$ z a tru/ "u ?is section if ! assets ( su* acc\nt are held by a bank 7z def9$ 9 section #djh7n77 or ano!r p]son :o demon/rates1 to ! satisfaction ( ! ,secret>y1 t ! mann] 9 :i* he w adm9i/] ! acc\nt w be consi/5t ) ! requirem5ts ( ?is section1 & if ! cu/odial acc\nt w\ld1 except = ! fact t x is n a tru/1 con/itute a tru/ :i* meets ! requirem5ts ( subsection 7b74 ,= purposes ( ?is title1 9 ! case ( a cu/odial acc\nt treat$ z a tru/ by reason ( ! prec$+ s5t5ce1 ! cu/odian ( su* acc\nt %all be treat$ z ! tru/ee !re(4 7g7 ,reports ,! tru/ee ( a ,univ]sal ,sav+s ,acc\nt %all make su* reports reg>d+ su* acc\nt to ! ,secret>y & to ! b5efici>y ( ! acc\nt ) respect to contributions1 di/ributions1 & su* o!r matt]s z ! ,secret>y may require4 ,! reports requir$ by ?is subsection %all be fil$ at su* "t & 9 su* mann] & furni%$ to su* individuals at su* "t & 9 su* mann] z may be requir$4 4 7b7 ,tax on excess contributions 7#a7 ,9 g5]al ,section #digc7;a7 is am5d$ by /rik+ or at ! end ( p>agraph 7#e71 by ins]t+ or at ! end ( p>agraph 7#f71 & by ins]t+ aft] p>agraph 7#f7 ! foll[+ new p>agraph3 7#g7 a ,univ]sal ,sav+s ,acc\nt 7z def9$ 9 section #ecj,u71 4 7#b7 ,excess contribution ,section #digc is am5d$ by add+ at ! end ! foll[+ new subsection3 7i7 ,excess contributions to univ]sal sav+s acc\nts ,= purposes ( ?is section-- 7#a7 ,9 g5]al ,9 ! case ( ,univ]sal ,sav+s ,acc\nts 7)9 ! mean+ ( section #ecj,u71 ! t]m excess contributions means ! sum (-- 7,a7 ! am\nt 7if any7 by :i* ! am\nt contribut$ = ! taxable ye> to su* acc\nts 7o!r ?an qualifi$ rollov] contributions 7z def9$ 9 section #ecj,u7d777 exce$s ! contribution limit "u section #ecj,u7c77#b7 = su* taxable ye>1 & 7,b7 ! am\nt det]m9$ "u ?is subsection = ! prec$+ taxable ye>1 r$uc$ by ! sum (-- 7i7 ! di/ributions out ( ! acc\nt = ! taxable ye>1 & 7ii7 ! am\nt 7if any7 by :i* ! maximum am\nt all[able z a contribution "u section #ecj,u7c77#b7 = ! taxable ye> exce$s ! am\nt contribut$ to ! acc\nts = ! taxable ye>4 7#b7 ,special rule ,a contribution %all n be tak5 into acc\nt "u p>agraph 7#a7 if su* contribution 7toge!r ) ! am\nt ( net income attributable to su* contribution7 is di/ribut$ to ! acc\nt hold] on or be=e ! due date ( ! acc\nt hold]'s return ( tax = su* taxable ye>4 4 7c7 ,tax on excess contributions 7#a7 ,9 g5]al ,subsection 7a7 ( section #digc ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by /rik+ or at ! end ( p>agraph 7#e71 by ins]t+ or at ! end ( p>agraph 7#f71 & by ins]t+ aft] p>agraph 7#f7 ! foll[+ new p>agraph3 7#g7 a ,univ]sal ,sav+s ,acc\nt 7z def9$ 9 section #ecj;,a71 4 7#b7 ,excess contribution ,section #digc ( su* ,code is am5d$ by add+ at ! end ! foll[+ new subsection3 7i7 ,excess contributions to ,univ]sal ,sav+s ,acc\nts ,= purposes ( ?is section-- 7#a7 ,9 g5]al ,9 ! case ( ,univ]sal ,sav+s ,acc\nts 7)9 ! mean+ ( section #ecj;,a71 ! t]m excess contributions means ! sum (-- 7,a7 ! am\nt 7if any7 by :i* ! am\nt contribut$ = ! taxable ye> to su* acc\nts 7o!r ?an qualifi$ rollov] contributions 7z def9$ 9 section #ecj;,a7d777 exce$s ! contribution limit "u section #ecj;,a7c77#a7 = su* taxable ye>1 & 7,b7 ! am\nt det]m9$ "u ?is subsection = ! prec$+ taxable ye>1 r$uc$ by ! sum (-- 7i7 ! di/ributions out ( ! acc\nt = ! taxable ye>1 & 7ii7 ! am\nt 7if any7 by :i* ! maximum am\nt all[able z a contribution "u section #ecj;,a7c77#a7 = ! taxable ye> exce$s ! am\nt contribut$ to ! acc\nts = ! taxable ye>4 7#b7 ,special rule ,a contribution %all n be tak5 into acc\nt "u p>agraph 7#a7 if su* contribution 7toge!r ) ! am\nt ( net income attributable to su* contribution7 is di/ribut$ to ! acc\nt hold] on or be=e ! due date ( ! acc\nt hold]'s return ( tax = su* taxable ye>4 4 7d7 ,tax on prohibit$ transactions ,section #dige7;e77#a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by /rik+ or at ! end ( subp>agraph 7,f71 by /rik+ ! p]iod at ! end ( subp>agraph 7,g7 & ins]t+ 1 or1 & by add+ at ! end ! foll[+ new subp>agraph3 7,h7 a ,univ]sal ,sav+s ,acc\nt 7z def9$ 9 section #ecj;,a74 4 7e7 ,failure ,to provide reports on ,univ]sal ,sav+s ,acc\nts ,p>agraph 7#b7 ( section #ffic7;a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by /rik+ & at ! end ( subp>agraph 7,e71 by /rik+ ! p]iod at ! end ( subp>agraph 7,f7 & ins]t+ 1 &1 & by add+ at ! end ! foll[+ new subp>agraph3 7,g7 section #ecj;,a7g7 7relat+ to ,univ]sal ,sav+s ,acc\nts74 4 7f7 ,con=m+ am5dm5t ,! table ( p>ts = sub*apt] ,f ( *apt] #a ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new item3 ,"p ,,ix4 ,univ]sal ,sav+s ,acc\nts 4 7g7 ,effective date ,! am5dm5ts made by ?is section %all apply to taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjbd4 #c4 ,transp>5cy 7a7 ,requirem5ts relat+ to provision ( prior au?orization approval or d5ial ,subp>t ,,ii ( "p ,a ( title ,,xxvii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#aa et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #bgcj4 ,requirem5ts relat+ to provision ( prior au?orization approval or d5ial ,a gr\p heal? plan & a heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age t receives a reque/ to au?orize a proc$ure or ! provision ( a s]vice or item "u ! plan or cov]age %all-- 7#a7 issue ! approval or d5ial ( ! reque/-- 7,a7 9 writ+ to ! m$ical provid] & pati5t2 7,b7 ?r\gh a secure portal2 & 7,c7 )9 #cj days aft] receipt ( ! reque/2 & 7#b7 9 ! case a proc$ure or provision ( s]vice is d5i$ & a pe] to pe] review is invok$1 %all provide a pe] t is 9 ! same specialty z ! m$ical provid]4 4 7b7 ,prohibition on *ang+ ! ti] li/ ( a drug ,to be m re/rictive1 or a s]vice n cov]$ by ! insur] ,subp>t ,,ii ( "p ,a ( title ,,xxvii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#aa et seq47 is fur!r am5d$ by add+ at ! end ! foll[+ new section3 #bgca4 ,prohibition on *ang+ ! ti] li/ ( a drug to be m re/rictive1 or a s]vice n cov]$ by ! insur] ,a gr\p heal? plan & a heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age may n1 dur+ ! t]m ( ! cov]age1 *ange-- 7#a7 ! ti] 9 :i* a prescription drug is li/$ to be m re/rictive2 or 7#b7 ! li/ ( s]vices n cov]$ by ! plan or cov]age4 4 7c7 ,in=mation requir$ ,to be provid$ ) insurance contract ,subp>t ,,ii ( "p ,a ( title ,,xxvii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#aa et seq47 is fur!r am5d$ by add+ at ! end ! foll[+ new section3 #bgcb4 ,in=mation requir$ to be provid$ ) insurance contract ,a gr\p heal? plan & a heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age %all include1 ) any copy ( ! contract ( insurance or b5efits t is provid$ by ! plan or issu] to any p]son1 ! foll[+3 7#a7 ,! proc$ure code = ea* proc$ure cov]$ by ! plan or cov]age4 7#b7 ,! am\nt ! plan or cov]age w *>ge = ea* su* proc$ure4 7#c7 ,a full li/ ( ! s]vices & proc$ures cov]$ by ! plan or cov]age4 4 #d4 ,competition 7a7 ,requir+ equival5t reimbursem5t rates = 9-,network & out-(-,network provid]s ,subp>t ,,ii ( "p ,a ( title ,,xxvii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#aa et seq47 is fur!r am5d$ by add+ at ! end ! foll[+ new section3 #bgcc4 ,requir+ equival5t reimbursem5t rates = 9-network & out-(-network provid]s ,a gr\p heal? plan & a heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age-- 7#a7 may n re/rict ! ability ( p>ticipat+ provid]s to furni% items or s]vices to individuals :o are n enroll$ 9 ! plan or cov]age2 & 7#b7 9 ! case t a nonp>ticipat+ provid] furni%es items or s]vices = :i* b5efits are provid$ "u ! plan or cov]age to an individual enroll$ 9 ! plan or cov]age1 %all pay su* provid] ) respect to su* items or s]vices 9 an am\nt t is n less ?an ! am\nt t ! plan or issu] w\ld h paid if su* items or s]vices _h be5 furni%$ by a p>ticipat+ provid]4 4 7b7 ,exemption ( cata/rophic heal? plans f ,f$]al regulation 7#a7 ,9 g5]al ,section #acjb7;e7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahjbb7 is am5d$ to read z foll[s3 7e7 ,basic plans ,a heal? plan n provid+ a bronze1 silv]1 gold1 or plat9um level ( cov]age %all be treat$ z meet+ ! requirem5ts ( subsection 7d7 ) respect to any plan ye> if ! plan provides-- 7#a7 cov]age = at lea/ #c prim>y c>e visits2 & 7#b7 no o!r b5efits 9 any plan ye> until ! individual has incurr$ co/-%>+ exp5ses 9 an am\nt equal to ! annual limitation 9 effect "u subsection 7c77#a7 ( ?is section = ! plan ye>1 except z provid$ = 9 section #bgac ( ! ,public ,heal? ,s]vice ,act4 4 7#b7 ,con=m+ am5dm5t ,section #acab7;d77#c77;,c7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahjcb7;c77#c77;,c77 is am5d$ by /rik+ 1 except t 9 ! case ( a cata/rophic plan describ$ 9 section #acjb7;e71 a qualifi$ individual may enroll 9 ! plan only if ! individual is eligible to enroll 9 ! plan "u section #acjb7;e77#b74 7#c7 ,effective date ,! am5dm5ts made by ?is subsection %all take effect ) respect to plans & cov]age beg9n+ 9 cal5d> ye> #bjbg4 #e4 ,pati5t rights 7a7 ,requirem5t ,to provide enrollees ) po9t ( contact in=mation ,subp>t ,,ii ( "p ,a ( title ,,xxvii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#aa et seq47 is fur!r am5d$ by add+ at ! end ! foll[+ new section3 #bgcd4 ,requirem5t to provide enrollees ) po9t ( contact in=mation ,a gr\p heal? plan & a heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age %all provide ea* individual enroll$ 9 ! plan or cov]age ) ! id5tity ( at lea/ #a & at mo/ #c individuals :o w s]ve z ! po9t ( contact = ! individual ) ! plan or cov]age1 ea* ( :om %all be bas$ 9 ! ,unit$ ,/ates & pr(ici5t 9 ,engli%4 4 7b7 ,requirem5t ,to provide monet>y comp5sation = bill+ errors ,subp>t ,,ii ( "p ,a ( title ,,xxvii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#aa et seq47 is fur!r am5d$ by add+ at ! end ! foll[+ new section3 #bgce4 ,requirem5t to provide monet>y comp5sation = bill+ errors ,a gr\p heal? plan a heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age1 & a heal? c>e provid] %all provide monet>y comp5sation to an individual enroll$ 9 ! plan or cov]age = any error made by ! plan1 issu]1 or provid]1 respectively1 9 bill+ ! individual m ?an ! correct am\nt ow$ by ! individual4 ,su* comp5sation %all be equal to #aaj p]c5t ( ! excess *>ge if ! am\nt is return$ to ! individual )9 #cj days1 #aej p]c5t ( su* excess if ! am\nt is return$ to ! individual aft] #cj days b be=e #fj days1 & #aej p]c5t plus a numb] ( p]c5tage po9ts equal to ! product ( #be & ! numb] ( #cj-;day p]iods occurr+ aft] #fj days4 ,! ,secret>y %all be regulation prescrib$ p5alties 9 ! case ( a heal? c>e provid] t fails to comply ) ! prec$+ s5t5ce4 4 #f4 ,effective date ,except z o!rwise provid$ 9 ?is ,act1 ! am5dm5ts made by ?is ,act %all take effect on ,janu>y #a1 #bjbi4