Us Congress 2023-2024 Regular Session

Us Congress House Bill HB3799

Introduced
6/5/23  
Refer
6/5/23  

Caption

CHOICE Arrangement Act Custom Health Option and Individual Care Expense Arrangement Act

Impact

If enacted, HB 3799 would have significant implications for how group health plans are structured under the Employee Retirement Income Security Act (ERISA). The bill would allow employer associations, even those not necessarily within the same industry, to come together to offer health benefits to their employees. This change intends to increase the number of individuals with access to health benefits and streamline the administrative burdens associated with small business health insurance offerings. Moreover, it proposes flexibility in premium rates and allows for the pooling of risk among members, which could lower costs for smaller employers.

Summary

House Bill 3799, known as the 'CHOICE Arrangement Act,' focuses on reforms related to health reimbursement arrangements integrated with individual health insurance coverage. This legislation amends the Internal Revenue Code to facilitate the establishment of health reimbursement arrangements which can be utilized by small businesses and associations of employers. Primarily aimed at enhancing the flexibility of health insurance benefits for employers, the bill is designed to create a more accessible and cost-effective healthcare option for many Americans, specifically benefiting self-employed individuals and small business employees.

Sentiment

The sentiment surrounding HB 3799 appears to be mixed. Proponents argue that the bill addresses critical challenges faced by small businesses in obtaining affordable health coverage. They advocate that by allowing more flexible health insurance options, the bill can empower employers and enhance employee satisfaction. Conversely, opponents express concerns regarding potential deregulations that may arise under this bill which could undermine existing protections for employees and increase disparities in health insurance access based on employment status and business size. The debate showcases a fundamental divide over how best to ensure affordable healthcare while maintaining adequate consumer protections.

Contention

Key points of contention within HB 3799 center around the potential loss of regulatory oversight that protects employees from discrimination and poor coverage options. Critics worry that the ability for employers to set their own health plans without stricter state-level regulations might lead to inconsistencies in coverage and benefits, particularly for vulnerable employee groups. Supporters of the bill, however, argue that it increases choices for employers and employees alike, ultimately fostering a more dynamic and competitive landscape for health insurance.

Companion Bills

US HB2813

Related Self-Insurance Protection Act

US HB2868

Related Association Health Plans Act

US HB3798

Related Small Business Flexibility Act

US HR524

Related Providing for consideration of the bill (H.R. 3564) to cancel recent changes made by the Federal Housing Finance Agency to the up-front loan level pricing adjustments charged by Fannie Mae and Freddie Mac for guarantee of single-family mortgages, and for other purposes; providing for consideration of the bill (H.R. 3799) to amend the Internal Revenue Code of 1986 to provide for health reimbursement arrangements integrated with individual health insurance coverage; and providing for consideration of the resolution (H. Res. 461) condemning the use of elementary and secondary school facilities to provide shelter for aliens who are not admitted to the United States.

US SB3167

Related MEWA Act Multiple Employer Welfare Arrangement Act

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