| 1 | 1 | | II |
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| 2 | 2 | | 118THCONGRESS |
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| 3 | 3 | | 2 |
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| 4 | 4 | | DSESSION S. 5194 |
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| 5 | 5 | | To amend the Internal Revenue Code of 1986 to expand eligibility for the |
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| 6 | 6 | | refundable credit for coverage under a qualified health plan. |
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| 7 | 7 | | IN THE SENATE OF THE UNITED STATES |
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| 8 | 8 | | SEPTEMBER25, 2024 |
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| 9 | 9 | | Mrs. S |
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| 10 | 10 | | HAHEEN(for herself, Ms. BALDWIN, Mr. SCHUMER, Mr. WYDEN, Mr. |
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| 11 | 11 | | R |
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| 12 | 12 | | EED, Mr. MERKLEY, Mr. BROWN, Mr. BLUMENTHAL, Mr. FETTERMAN, |
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| 13 | 13 | | Ms. R |
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| 14 | 14 | | OSEN, Mr. KAINE, Ms. KLOBUCHAR, Mrs. GILLIBRAND, Ms. |
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| 15 | 15 | | S |
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| 16 | 16 | | MITH, Mr. WHITEHOUSE, Mr. HICKENLOOPER, Ms. HIRONO, Mr. |
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| 17 | 17 | | L |
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| 18 | 18 | | UJA´N, Mr. WELCH, Mr. BENNET, Ms. BUTLER, Mr. TESTER, Mr. VAN |
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| 19 | 19 | | H |
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| 20 | 20 | | OLLEN, Mr. WARNER, Ms. WARREN, Mr. COONS, Mr. PETERS, Mr. |
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| 21 | 21 | | D |
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| 22 | 22 | | URBIN, Ms. DUCKWORTH, Mr. SCHATZ, Mr. CARPER, Mr. CASEY, Mr. |
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| 23 | 23 | | B |
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| 24 | 24 | | OOKER, Mr. KING, Ms. HASSAN, Ms. CORTEZMASTO, Mr. MARKEY, |
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| 25 | 25 | | Mr. K |
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| 26 | 26 | | ELLY, Mr. HELMY, Mr. CARDIN, Ms. STABENOW, Mrs. MURRAY, |
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| 27 | 27 | | Mr. W |
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| 28 | 28 | | ARNOCK, Mr. MURPHY, Mr. HEINRICH, and Mr. PADILLA) intro- |
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| 29 | 29 | | duced the following bill; which was read twice and referred to the Com- |
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| 30 | 30 | | mittee on Finance |
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| 31 | 31 | | A BILL |
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| 32 | 32 | | To amend the Internal Revenue Code of 1986 to expand |
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| 33 | 33 | | eligibility for the refundable credit for coverage under |
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| 34 | 34 | | a qualified health plan. |
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| 35 | 35 | | Be it enacted by the Senate and House of Representa-1 |
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| 36 | 36 | | tives of the United States of America in Congress assembled, 2 |
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| 37 | 37 | | SECTION 1. SHORT TITLE. 3 |
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| 38 | 38 | | This Act may be cited as the ‘‘Health Care Afford-4 |
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| 39 | 39 | | ability Act of 2024’’. 5 |
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| 40 | 40 | | VerDate Sep 11 2014 19:37 Oct 09, 2024 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S5194.IS S5194 |
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| 41 | 41 | | ssavage on LAPJG3WLY3PROD with BILLS 2 |
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| 42 | 42 | | •S 5194 IS |
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| 43 | 43 | | SEC. 2. INCREASE IN ELIGIBILITY FOR CREDIT. 1 |
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| 44 | 44 | | (a) I |
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| 45 | 45 | | NGENERAL.—Subparagraph (A) of section 2 |
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| 46 | 46 | | 36B(c)(1) of the Internal Revenue Code of 1986 is amend-3 |
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| 47 | 47 | | ed by striking ‘‘but does not exceed 400 percent’’. 4 |
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| 48 | 48 | | (b) A |
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| 49 | 49 | | PPLICABLEPERCENTAGES.— 5 |
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| 50 | 50 | | (1) I |
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| 51 | 51 | | N GENERAL.—Subparagraph (A) of section 6 |
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| 52 | 52 | | 36B(b)(3) of the Internal Revenue Code of 1986 is 7 |
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| 53 | 53 | | amended to read as follows: 8 |
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| 54 | 54 | | ‘‘(A) A |
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| 55 | 55 | | PPLICABLE PERCENTAGE .—The ap-9 |
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| 56 | 56 | | plicable percentage for any taxable year shall be 10 |
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| 57 | 57 | | the percentage such that the applicable percent-11 |
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| 58 | 58 | | age for any taxpayer whose household income is 12 |
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| 59 | 59 | | within an income tier specified in the following 13 |
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| 60 | 60 | | table shall increase, on a sliding scale in a lin-14 |
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| 61 | 61 | | ear manner, from the initial premium percent-15 |
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| 62 | 62 | | age to the final premium percentage specified in 16 |
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| 63 | 63 | | such table for such income tier: 17 |
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| 64 | 64 | | ‘‘In the case of household income |
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| 65 | 65 | | (expressed as a percent of poverty line) |
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| 66 | 66 | | within the following income tier: |
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| 67 | 67 | | The initial |
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| 68 | 68 | | premium |
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| 69 | 69 | | percentage |
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| 70 | 70 | | is— |
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| 71 | 71 | | The final |
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| 72 | 72 | | premium |
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| 73 | 73 | | percentage |
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| 74 | 74 | | is— |
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| 75 | 75 | | Up to 150 percent .................................................. 0 0 |
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| 76 | 76 | | 150 percent up to 200 percent ............................... 0 2.0 |
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| 77 | 77 | | 200 percent up to 250 percent ............................... 2.0 4.0 |
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| 78 | 78 | | 250 percent up to 300 percent ............................... 4.0 6.0 |
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| 79 | 79 | | 300 percent up to 400 percent ............................... 6.0 8.5 |
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| 80 | 80 | | 400 percent and higher .......................................... 8.5 8.5.’’. |
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| 81 | 81 | | (2) CONFORMING AMENDMENTS RELATING TO 18 |
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| 82 | 82 | | AFFORDABILITY OF COVERAGE .— 19 |
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| 83 | 83 | | VerDate Sep 11 2014 19:37 Oct 09, 2024 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S5194.IS S5194 |
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| 84 | 84 | | ssavage on LAPJG3WLY3PROD with BILLS 3 |
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| 85 | 85 | | •S 5194 IS |
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| 86 | 86 | | (A) Paragraph (1) of section 36B(c) of 1 |
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| 87 | 87 | | such Code is amended by striking subparagraph 2 |
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| 88 | 88 | | (E). 3 |
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| 89 | 89 | | (B) Subparagraph (C) of section 36B(c)(2) 4 |
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| 90 | 90 | | of such Code is amended by striking clause (iv). 5 |
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| 91 | 91 | | (C) Paragraph (4) of section 36B(c) of 6 |
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| 92 | 92 | | such Code is amended by striking subparagraph 7 |
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| 93 | 93 | | (F). 8 |
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| 94 | 94 | | (c) E |
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| 95 | 95 | | FFECTIVEDATE.—The amendments made by 9 |
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| 96 | 96 | | this section shall apply to taxable years beginning after 10 |
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| 97 | 97 | | December 31, 2025. 11 |
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| 98 | 98 | | Æ |
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| 99 | 99 | | VerDate Sep 11 2014 19:37 Oct 09, 2024 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6301 E:\BILLS\S5194.IS S5194 |
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| 100 | 100 | | ssavage on LAPJG3WLY3PROD with BILLS |
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