Quote:Here are the highlights from the full 1,500 word bill condensed down to the most consequential provisions:Repealing Obamacare
Individual and employer mandates, community rating restrictions, rate review, essential health benefits requirement, medical loss ratio, and other insurance mandates.
Protecting Individuals with Pre-Existing Conditions
Provides a two-year open-enrollment period under which individuals with pre-existing conditions can obtain coverage.
Restores HIPAA protections which guarantee those within the group market could obtain continuous health coverage regardless of preexisting conditions.
Equalize the Tax Treatment of Health Insurance
All individuals are able to exclude the premium amount from their taxable income (previously only individuals who received health insurance through an employer were able to).
Universal deduction on both income and payroll taxes regardless of how an individual obtains their health insurance.
Expansion of Health Savings Accounts
Provides individuals the option of a tax credit of up to $5,000 per taxpayer for contributions to an HSA and removes the maximum allowable annual contribution.
Eliminates the requirement that a participant in an HSA be enrolled in a high deductible health care plan
Allows prescription and OTC drug costs to be treated as allowable expenses of HSAs.
Allow purchase of Health Insurance from HSA Account
Allows qualified expenses incurred prior to HSA establishment to be reimbursed from an HSA as long as the account is established prior to tax filing.
Allows an account holder’s HSA to rollover to a child, parent, or grandparent, in addition to a spouse.
Creates Bankruptcy Protections for HSAs as Retirement Funds
Expands allowable HSA expenses to include equipment for physical exercise or health coaching, including weight loss programs and dietary and nutritional supplements
Allows HSA funds to be used for periodic fees paid to medical practitioners for access to medical care and pre-paid physician fees
Pool Reform for the Individual Market
Establishes Independent Health Pools (IHPs) in order to allow individuals to pool together for the purposes of purchasing insurance.
Amends the Public Health Service Act (PHSA) to allow individuals to pool together to provide for health benefits coverage through Individual Health Pools (IHPs). These can include non-profit organizations so long as the organization does not condition membership on any health status-related factor.
Requires that the IHP will provide insurance through contracts with health insurance issuers in fully insured plans and not assume insurance risk with respect to such coverage. Allows the IHP to provide administrative services to members, including accounting, billings, and enrollment information.
Interstate Market for Health Insurance
Allowing insurers licensed to sell policies in one state to offer them to residents of any other state.
Exempts issuers from secondary state laws that would prohibit or regulate their operation in the secondary state
Association Health Plans
AHPs allow small businesses to pool together across state lines through their membership in a trade or professional association to purchase health coverage for their employees and their families.
Amends ERISA to define AHPs and allow for their treatment as if they were large group single employer health plans
Increasing State Flexibility to Conduct Medicaid Waivers
Provides new flexibilities to states in their Medicaid plan design, through existing waiver authority in current law.
This provision would allow states to make changes to their Medicaid plans without interference from Washington.
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