Us Congress 2023-2024 Regular Session

Us Congress Senate Bill SB8 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	II
2	2	118THCONGRESS
3	3	1
4	4	STSESSION S. 8
5	5	To amend the Internal Revenue Code of 1986 to expand eligibility for the
6	6	refundable credit for coverage under a qualified health plan, to improve
7	7	cost-sharing subsidies under the Patient Protection and Affordable Care
8	8	Act, and for other purposes.
9	9	IN THE SENATE OF THE UNITED STATES
10	10	JANUARY23 (legislative day, JANUARY3), 2023
11	11	Mrs. S
12	12	HAHEEN(for herself, Mr. BLUMENTHAL, Ms. SMITH, Ms. BALDWIN,
13	13	Mr. K
14	14	AINE, Mr. REED, Mr. CASEY, Ms. STABENOW, Ms. KLOBUCHAR,
15	15	Mr. C
16	16	ARDIN, Ms. HASSAN, Mr. BENNET, Ms. CORTEZMASTO, and Mrs.
17	17	G
18	18	ILLIBRAND) introduced the following bill; which was read twice and re-
19	19	ferred to the Committee on Finance
20	20	A BILL
21	21	To amend the Internal Revenue Code of 1986 to expand
22	22	eligibility for the refundable credit for coverage under
23	23	a qualified health plan, to improve cost-sharing subsidies
24	24	under the Patient Protection and Affordable Care Act,
25	25	and for other purposes.
26	26	Be it enacted by the Senate and House of Representa-1
27	27	tives of the United States of America in Congress assembled, 2
28	28	SECTION 1. SHORT TITLE. 3
29	29	This Act may be cited as the ‘‘Improving Health In-4
30	30	surance Affordability Act of 2023’’. 5
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34	34	SEC. 2. INCREASE IN ELIGIBILITY FOR CREDIT. 1
35	35	(a) I
36	36	NGENERAL.—Subparagraph (A) of section 2
37	37	36B(c)(1) of the Internal Revenue Code of 1986 is amend-3
38	38	ed by striking ‘‘but does not exceed 400 percent’’. 4
39	39	(b) A
40	40	PPLICABLEPERCENTAGES.— 5
41	41	(1) I
42	42	N GENERAL.—Subparagraph (A) of section 6
43	43	36B(b)(3) of the Internal Revenue Code of 1986 is 7
44	44	amended to read as follows: 8
45	45	‘‘(A) A
46	46	PPLICABLE PERCENTAGE .—The ap-9
47	47	plicable percentage for any taxable year shall be 10
48	48	the percentage such that the applicable percent-11
49	49	age for any taxpayer whose household income is 12
50	50	within an income tier specified in the following 13
51	51	table shall increase, on a sliding scale in a lin-14
52	52	ear manner, from the initial premium percent-15
53	53	age to the final premium percentage specified in 16
54	54	such table for such income tier: 17
55	55	‘‘In the case of household income
56	56	(expressed as a percent of poverty line)
57	57	within the following income tier:
58	58	The initial
59	59	premium
60	60	percentage
61	61	is—
62	62	The final
63	63	premium
64	64	percentage
65	65	is—
66	66	Up to 150 percent .................................................. 0 0
67	67	150 percent up to 200 percent ............................... 0 2.0
68	68	200 percent up to 250 percent ............................... 2.0 4.0
69	69	250 percent up to 300 percent ............................... 4.0 6.0
70	70	300 percent up to 400 percent ............................... 6.0 8.5
71	71	400 percent and up ................................................ 8.5 8.5.’’.
72	72	(2) CONFORMING AMENDMENTS RELATING TO 18
73	73	AFFORDABILITY OF COVERAGE .— 19
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77	77	(A) Subparagraph (C) of section 36B(c)(2) 1
78	78	of such Code is amended by striking clause (iv). 2
79	79	(B) Paragraph (4) of section 36B(c) of 3
80	80	such Code is amended by striking subparagraph 4
81	81	(F). 5
82	82	(c) L
83	83	IMITATION ONRECAPTURE.—Clause (i) of sec-6
84	84	tion 36B(f)(2)(B) of the Internal Revenue Code of 1986 7
85	85	is amended— 8
86	86	(1) by striking ‘‘400 percent’’ and inserting 9
87	87	‘‘800 percent’’; 10
88	88	(2) by striking the period at the end of the last 11
89	89	row of the table; and 12
90	90	(3) by adding at the end of the table the fol-13
91	91	lowing new rows: 14
92	92	‘‘At least 400 percent but less than 600 percent ........................... $3,500
93	93	At least 600 percent but less than 800 percent ............................ $4,500.’’.
94	94	(d) PREMIUMCOSTSTANDARD.— 15
95	95	(1) I
96	96	N GENERAL.—The following provisions of 16
97	97	section 36B of the Internal Revenue Code of 1986 17
98	98	are each amended by striking ‘‘silver’’ each place it 18
99	99	appears and inserting ‘‘gold’’: 19
100	100	(A) Paragraphs (2)(B)(i), (3)(B), and 20
101	101	(3)(C) of subsection (b). 21
102	102	(B) The heading of subparagraph (B) of 22
103	103	subsection (b)(3). 23
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107	107	(C) Subsection (c)(4)(C)(i)(I). 1
108	108	(2) C
109	109	ONFORMING AMENDMENTS TO REDUCED 2
110	110	COST-SHARING.—Section 1402(b)(1) of the Patient 3
111	111	Protection and Affordable Care Act (42 U.S.C. 4
112	112	18071(b)(1)) is amended by striking ‘‘silver’’ and in-5
113	113	serting ‘‘gold’’. 6
114	114	(e) E
115	115	FFECTIVEDATE.—The amendments made by 7
116	116	this section shall apply to taxable years beginning after 8
117	117	December 31, 2023. 9
118	118	SEC. 3. ENHANCEMENTS FOR REDUCED COST-SHARING. 10
119	119	(a) M
120	120	ODIFICATION OFAMOUNT.— 11
121	121	(1) I
122	122	N GENERAL.—Section 1402(c)(2) of the 12
123	123	Patient Protection and Affordable Care Act (42 13
124	124	U.S.C. 18071(c)(2)) is amended— 14
125	125	(A) by striking ‘‘150 percent’’ in subpara-15
126	126	graph (A) and inserting ‘‘200 percent’’, 16
127	127	(B) by striking ‘‘94 percent’’ in subpara-17
128	128	graph (A) and inserting ‘‘95 percent’’, 18
129	129	(C) by striking ‘‘150 percent but not more 19
130	130	than 200 percent’’ in subparagraph (B) and in-20
131	131	serting ‘‘200 percent but not more than 300 21
132	132	percent’’, 22
133	133	(D) by striking ‘‘87 percent’’ in subpara-23
134	134	graph (B) and inserting ‘‘90 percent’’, 24
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138	138	(E) by striking ‘‘200 percent’’ in subpara-1
139	139	graph (C) and inserting ‘‘300 percent’’, 2
140	140	(F) by striking ‘‘250 percent’’ in subpara-3
141	141	graph (C) and inserting ‘‘400 percent’’, and 4
142	142	(G) by striking ‘‘73 percent’’ in subpara-5
143	143	graph (C) and inserting ‘‘85 percent’’. 6
144	144	(2) C
145	145	ONFORMING AMENDMENT .—Clause (i) of 7
146	146	section 1402(c)(1)(B) of such Act (42 U.S.C. 8
147	147	18071(c)(1)(B)) is amended to read as follows: 9
148	148	‘‘(i) I
149	149	N GENERAL.—The Secretary 10
150	150	shall ensure the reduction under this para-11
151	151	graph shall not result in an increase in the 12
152	152	plan’s share of the total allowed costs of 13
153	153	benefits provided under the plan above— 14
154	154	‘‘(I) 95 percent in the case of an 15
155	155	eligible insured described in para-16
156	156	graph (2)(A); 17
157	157	‘‘(II) 90 percent in the case of an 18
158	158	eligible insured described in para-19
159	159	graph (2)(B); and 20
160	160	‘‘(III) 85 percent in the case of 21
161	161	an eligible insured described in para-22
162	162	graph (2)(C).’’. 23
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166	166	(3) EFFECTIVE DATE.—The amendments made 1
167	167	by this subsection shall apply to plan years begin-2
168	168	ning after December 31, 2023. 3
169	169	(b) F
170	170	UNDING.—Section 1402 of the Patient Protec-4
171	171	tion and Affordable Care Act (42 U.S.C. 18071) is amend-5
172	172	ed by adding at the end the following new subsection: 6
173	173	‘‘(g) F
174	174	UNDING.—Out of any funds in the Treasury 7
175	175	not otherwise appropriated, there are appropriated to the 8
176	176	Secretary such sums as may be necessary for payments 9
177	177	under this section.’’. 10
178	178	Æ
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