| Jamie Dupree |
More Health Amendments
Here is the second installment of amendments that have been filed by both parties in the U.S. Senate Finance Committee, which today begins consideration of a health reform plan put forward by Chairman Sen. Max Baucus (D-MT).
| Rockefeller C1 | Apply health insurance market reforms to the large group and self-insured market effective in 2013 | Capping itemized deductions at 35% |
| Rockefeller C2 | Immediately require a prohibition on pre-existing condition exclusions for children | Capping itemized deductions at 35% |
| Rockefeller C3 | Immediate elimination of annual and lifetime limits for all new policies offered in the exchange and a phase-in of the elimination of annual and lifetime limits on grandfathered/existing plans | Capping itemized deductions at 35% |
| Rockefeller C4 | Universal 24-hour health coverage | None required |
| Rockefeller C5 | Strike state exchanges, multiple competing exchanges, and regional exchanges, and create one national exchange | This amendment should save money |
| Rockefeller C6 | Consumers Health Care Act (S.1278), as modified | None required |
| Rockefeller C7 | Establishment and administration of a public health insurance option as an exchange-qualified health benefits plan | None required |
| Rockefeller C8 | More strictly limit total out-of-pocket costs for all individuals | Capping itemized deductions at 35% |
| Rockefeller C9 | Amend the indexing for premium credit | Capping itemized deductions at 35% |
| Rockefeller C10 | Increase the actuarial value of benefits for plans offered in the exchange | Capping itemized deductions at 35% |
| Rockefeller C11 | Strike health care cooperatives | None required |
| Rockefeller C12 | Insurance transparency and oversight | Capping itemized deductions at 35% |
| Rockefeller C13 | Insurance transparency and oversight | Capping itemized deductions at 35% |
| Rockefeller C14 | Elimination of state mandates | This amendment should save money |
| Rockefeller C15 | Providing a real choice for low-income populations to keep current Medicaid coverage | This amendment should save money |
| Rockefeller C16 | Increase Medicaid eligibility to 150% of poverty | This amendment should save money |
| Rockefeller C17 | Countercyclical Medicaid funding for states | Capping itemized deductions at 35% |
| Rockefeller C18 | Addressing Medicare's liability to state Medicaid programs | Capping itemized deductions at 35% |
| Rockefeller/ Menendez C19 | Restore Medicaid for individuals who are lawfully present in the U.S. | Costs savings derived by ensuring legal immigrants have access to Medicaid and not the exchange |
| Rockefeller C20 | Repeal of the Deficit Reduction Act | This amendment should save money |
| Rockefeller/ Hatch C21 | Remove the Children's Health Insurance Program (CHIP) from the exchange | Elimination of Title I, Subtitle E |
| Rockefeller C22 | Universal coverage for children | This amendment should save money |
| Rockefeller C23 | Require Medicaid managed care provisions to accept in-network payment rates | This amendment should save money |
| Rockefeller C24 | Require the Department of Justice to do an annual evaluation of state compliance with federal Olmstead laws | This amendment should have no scoring impact |
| Rockefeller C25 | Improve the coverage and care-coordination for individuals eligible for both Medicare and Medicaid | None required |
| Rockefeller C26 | Allow early retirees between ages 55 and 64 to buy into Medicare | Capping itemized deductions at 35% |
| Rockefeller C27 | Addition of a new Subtitle J - Advance care planning and compassionate care | Capping itemized deductions at 35% |
| Rockefeller C28 | Addition of a new Subtitle J - Advance care planning and compassionate care | Capping itemized deductions at 35% |
| Rockefeller C29 | Medicare benefit improvements | Capping itemized deductions at 35% |
| Rockefeller C30 | Allowing patients to have more control over their own care | This amendment should save money |
| Rockefeller C31 | Clarifying the definition of medical assistance | No offset necessary |
| Conrad C1 | Immediate premium relief in the small group market | TBD |
| Bingaman C1 | Establishes a coordinated system of eligibility determination for Medicaid, tax credits, and CHIP | A commensurate increase in the annual insurance fee |
| Bingaman C2 | Requires that health insurance provided through the health exchange is adequate to meet the needs of children | If necessary, a commensurate increase in the annual insurance fee |
| Bingaman C3 | Requires states to provide the average level of CHIP cost-sharing provided by states | If necessary, a commensurate increase in the annual insurance fee |
| Bingaman C4 | Requires the Secretary of HHS to establish benchmarks tied to the receipt of enhanced federal payments for Medicaid expansion population | Budget neutral |
| Bingaman C5 | Allows individuals to seek ombudsman services under certain conditions | Budget neutral |
| Bingaman C6 | Clarifies that the Secretary of HHS will establish alternative income documentation that may be provided to determine income eligibility for individuals and families who have not filed a tax return in the prior tax year | Anticipated to be budget neutral |
| Bingaman C7 | Removes requirement that individuals must "present" affordability waivers to employers | Budget neutral |
| Bingaman C8 | Ensures that benefit categories described in statue are further defined by the Secretary of HHS to protect against insurance industry abuses in interpreting benefit categories | Budget neutral |
| Bingaman C9 | Allows exchanges to enter into contracts with Medicaid agencies in determining eligibility | Budget neutral or possibly reduces spending |
| Bingaman C10 | Strikes "Section 1937" provision, which would permit states to discriminate in providing benefits to new Medicaid expansion populations | Commensurate increase in annual fee on health insurance providers |
| Bingaman C11 | Clarifies that individuals are permitted to update eligibility information for the purposes of receiving federal healthcare tax credits or Medicaid during the year due to a change in household circumstances within the limits established by the Secretary of HHS | If necessary, a commensurate increase in the annual insurance fee |
| Bingaman C12 | Improves actuarial value of plans, cost sharing protections, and premium tax credits | Proportionately increase the annual fees on health insurance providers; manufacturers and importers of branded drugs; medical devices; and clinical laboratories by an amount commensurate with the cost associated with this amendment |
| Bingaman C13 | Limits the value of the scope of benefits that may receive subsidized coverage within the health insurance exchanges | Potential to reduce spending |
| Kerry/Schumer C1 | Replace the Free Rider provision with an employer mandate | None required |
| Kerry/Snowe/Schumer/Lincoln/Cantwell C2 | Modify the small tax business credit to allow non-profits to be eligible | Offset will be provided when amendment is offered |
| Kerry C3 | Would allow for the establishment of a "Medicaid Global Payments" demo project in those states that are currently providing premium assistance to low-income individuals through a Section 1115 waiver | Will be offset by closing corporate tax loopholes |
| Kerry C4 | Providing an option for medical power of attorney for children aging out of foster care | None required |
| Kerry C5 | Medicare patient access to home IVIG treatment | Will be offset by closing corporate tax loopholes |
| Kerry C6 | Building a successful public/private partnership to assist exchanges | Will be offset by closing corporate tax loopholes |
| Kerry/Stabenow C7 | Reinsurance for early retirees | Will be offset by closing corporate tax loopholes |
| Kerry C8 | Empowering state exchanges to be prudent purchasers | Savings from the amendment will be used to improve the premium subsidy in future years |
| Kerry/Menendez C9 | Making health coverage more affordable to Low-and Moderate-Income individuals and families | Will be offset by closing corporate tax loopholes |
| Kerry C10 | Ensuring that premium tax credits continue to make health insurance affordable | Will be offset by closing corporate tax loopholes |
| Kerry C11 | Adjustment to FMAP language to include individuals covered under section 1115 waivers | Will be offset by closing corporate tax loopholes, if necessary |
| Kerry C12 | Creating an open, transparent, and inclusive process for establishing benefit standards | None required |
| Kerry C13 | Community based outreach for fishermen, farmers, and ranchers | None required |
| Kerry/Hatch C14 | Religious non-discrimination in health care | None required |
| Kerry C15 | Narrow the age rating band | None required |
| Kerry C16 | Improved access to home and community based services under Medicaid | Will be offset by closing corporate tax loopholes |
| Kerry C17 | Expand access to Medicare Advantage for ESRD patients | Will be offset by closing corporate tax loopholes |
| Kerry C18 | Expand access to Medigap for individuals with disabilities and ESRD | Will be offset by closing corporate tax loopholes |
| Kerry/Schumer C19 | Protecting state consumer protections | None required |
| Lincoln C1 | To strike the provision in the Chairman's Mark that would allow for multiple exchanges operating in the same state | To be determined |
| Lincoln C2 | Modification of small business tax credit wage threshold | Offset will be provided when amendment is offered |
| Lincoln C3 | Seasonal worker exclusion | Offset will be provided when amendment is offered |
| Wyden C1 | To ensure affordable access to health insurance exchange plans for all Americans | Free proposal would reduce national health spending by $360 billion over the next 10 years and this reduced health spending would reduce the amount of revenue foregone through the health tax exclusion by $129.5 billion over that 10-year period. Thus, the amendment should raise revenue. |
| Wyden C2 | To increase low-income subsidies to 400% of the Federal Poverty Level and lower cost-sharing | Tax revenue related to Internet gaming authorized to be collected under the Internet Gambling Regulation, Consumer Protection and Enforcement Act |
| Wyden C3 | Exchange plans as good as Members of Congress | None required |
| Wyden C4 | Seamless portability: exchange plans for life | None required |
| Wyden C5 | Seamless portability - no need for COBRA | None required |
| Wyden C6 | Equal access to Congressional health benefits for working families to guarantee affordability | None required |
| Wyden C7 | Slashing administrative costs of health insurance | None required |
| Wyden C8 | Empowering states to be innovative | None required |
| Wyden C9 | To limit insurance rating based on age in the individual and group markets | Allow increased the limit on variation of premiums for tobacco use to be increased as necessary |
| Wyden C10 | Expanding states access to Home and Community Based-Care | None required |
| Wyden C11 | Helping states with extraordinary long waiting lists for Medicaid | None required |
| Wyden C12 | Employer fair share contribution | Will result in net savings to Federal government |
| Schumer C1 | Level the playing field public option | Increase annual fee on for-profit health insurance providers by amount necessary to offset the increase in spending |
| Schumer/ Cantwell C2 | Public option as passed by HELP Committee | None required |
| Schumer C3 | Hardship waiver at 7% | No cost anticipated, any savings should be directed to improving affordability in the exchange |
| Schumer C4 | Hardship waiver at 5% | No cost anticipated, any savings should be directed to improving affordability in the exchange |
| Schumer C5 | Hardship waiver at 3% | No cost anticipated, any savings should be directed to improving affordability in the exchange |
| Schumer C6 | Modifications to the penalty for not maintaining insurance | Increase annual fee on manufacturers and importers of branded drugs by amount necessary to offset the increase in spending |
| Schumer C7 | Protecting state consumer protections | None required |
| Schumer/ Menendez/ Bingaman C8 | Inclusion of Puerto Rico and the territories in the exchange | Increase annual fee on for-profit health insurance providers by amount necessary to offset the increase in spending |
| Schumer C9 | Changes to Medicaid DSH reductions and addition of Medicaid DSH report | Increase annual fee on for-profit health insurance providers by amount necessary to offset the increase in spending |
| Schumer C10 | Changes to definition of "Newly Eligible" populations to be covered under Medicaid program payments | Increase annual fee on for-profit health insurance providers by amount necessary to offset the increase in spending |
| Schumer C11 | Eligibility verification | To be determined |
| Schumer C12 | Ensuring availability of innovative health insurance plans | To be determined |
| Schumer C13 | Community first choice option | To be determined |
| Stabenow C1 | To make insurance affordable for middle-class families | Would both expand the individual portion of the Medicare tax to cover limited investment income, it exempts the first $10,000 of investment income for singles ($20,000 for joint filers) |
| Stabenow/ Wyden/Kerry C2 | To ensure parity for mental health services within the exchange | No offset needed |
| Stabenow C3 | Give states the option of including family planning as part of their Medicaid programs | Budget neutral |
| Stabenow C4 | Help our nation's most vulnerable children have access to health and human services | Same language was adopted by the House Energy and Commerce Committee and did not score |
| Stabenow C5 | Ensure every American purchasing a plan through the exchange has access to health care provider | Not expected, but if needed the fee on brand-name drug companies would be increased an appropriate amount |
| Stabenow C6 | Ensure high quality, specialized care for children and youth with special medical, psychological, social and emotional needs who can accept and respond to the close relationship within a family setting, but whose special needs require more intensive or therapeutic services than are found in traditional foster care | To be determined, same language was included by the House Energy and Commerce Committee |
| Stabenow C7 | Allow stand-alone dental and vision plans to offer the required pediatric dental and vision services to be offered in the individual and small group markets including within the insurance exchanges | No cost anticipated |
| Stabenow C8 | Ensure all insurance plans conform to the same consumer protections and market rules | No cost anticipated |
| Stabenow/ Menendez C9 | Requires that the more than 13 million children enrolled I the CHIP in 2013 are not moved to the exchanges unless it is clear that they will secure coverage that it at least comparable or better to what they have in CHIP so that they are not left worse off by health reform | To the extent necessary, the insurers' fee will be increased |
| Cantwell C1 | Incentives for states to offer Home and Community Based Services (HCBS) as a Long-term care alternative to nursing homes for the Medicaid population | A 1.45% surtax on short-term capital gains |
| Cantwell C2 | Pharmacy Benefit manager (PBM) transparency for health plans operating in the health insurance exchanges | No offset expected, a sufficient offset to ensure that it is revenue neutral will be provided if necessary |
| Cantwell C3 | Increase authorized funding to allow for full national implementation of Aging and Disability Resource Centers (ARDC) | Authorizes funding and therefore does not require an offset |
| Cantwell C4 | Provide mandatory funding to allow for full national implementation of Aging and Disability Resource Centers (ADRC) | Necessary offsets will be provided to ensure budget neutrality |
| Cantwell C5 | Authorize funding for national implementation of evidence-based wellness and disease prevention programs for older Americans reduce the necessity of institutional care | Amendment authorizes funding and therefore does not require an offset |
| Cantwell C6 | Provide for mandatory funding for national implementation of evidence based wellness and disease prevention programs for older Americans to reduce the necessity of institutional care | Necessary offsets will be provided to ensure budget neutrality |
| Cantwell C7 | National implementation of current Administration on Aging (AoA) and CMS nursing home diversion projects | Amendment authorizes funding and therefore does not require an offset |
| Cantwell C8 | National implementation of current Administration on Aging (AoA) and CMS nursing home diversion projects | Necessary offsets will be provided to ensure budget neutrality |
| Cantwell C9 | Provide for coverage in a direct primary care medical home plan, provided that plan is coupled with a quality wrap-around insurance program to cover non-primary care services | None required |
| Cantwell C10 | Allow state with "mature co-ops" to apply for federal start-up funding currently authorized in the Mark | None required |
| Cantwell C11 | Requires national plans to abide by all state insurance regulations | None required |
| Cantwell C12 | Allow manufacturers to provide assistance to individuals enrolled in a Medicare Part D plan | None required |
| Cantwell C13 | Clarify the definition of full-time employee for purposes of determining the employer assessment | Assumed in Chairman's Mark |
| Cantwell C14 | Reduce the amount of the "Free Rider" penalty by employer contributions into a Health Reimbursement Arrangement | Cost should be negligible, but an appropriate offset will be provided if needed |
| Cantwell C15 | Basic health plan | An appropriate offset will be provided if needed |
| Nelson/Kerry C1 | Strike Interstate sale of insurance | Budget neutral |
| Nelson C2 | Medicaid disproportionate share hospital payments | Budget neutral |
| Nelson/Snowe/Grassley C3 | An amendment to clarify how certain provisions in the Chairman's Mark apply to professional employer organizations | Believed to be budget neutral, if not offset will be provided |
| Menendez/ Kerry/ Bingaman/ Schumer C1 | Making premiums more affordable | Increase annual fee on health insurance providers by amount necessary to offset the increase in spending |
| Menendez/ Bingaman C2 | To allow citizen and lawfully present immigrant children to get affordable health coverage while ensuring that undocumented immigrants do not benefit from the tax credit subsidy | No cost anticipated |
| Menendez C3 | Ensuring that FQHCs would not lose revenue when treating newly insured patients gaining coverage through the new Health Insurance Exchanges | No cost anticipated |
| Menendez C4 | Ensure and clarify that children qualify as exchange eligible individuals and that there shall be the option of a child-only health insurance option and subsidies in the exchanges | No cost anticipated |
| Menendez C5 | Strengthening the insurance appeals process in order to better protect consumers | Increase annual fee on health insurance providers by amount necessary to offset the increase in spending |
| Menendez C6 | Protecting consumers in an emergency | No cost anticipated |
| Menendez C7 | Providing help with internal appeals | No cost anticipated |
| Menendez C8 | Providing help with tax credit appeals | No cost anticipated |
| Menendez C9 | Ensuring quality health care for those with autism and other behavioral health conditions | No cost anticipated |
| Menendez C10 | Consolidating Medicare coverage of adult vaccines into Part B | Increase annual fee on health insurance providers by amount necessary to offset the increase in spending |
| Menendez C11 | To guarantee access to maternity care for young adults who are enrolled in Young Invincible Plans | Increase annual fee on health insurance providers by amount necessary to offset the increase in spending |
| Menendez/ Rockefeller C12 | Covering all lawfully present children and pregnant women | Increase annual fee on health insurance providers by amount necessary to offset the increase in spending |
| Menendez C13 | Providing a reduction in the out-of-pocket maximum for those between 300%-400% of poverty | No cost anticipated |
| Menendez C14 | Support, education, and research for postpartum depression | Increase annual fee on health insurance providers by amount necessary to offset the increase in spending |
| Menendez C15 | Applicability of Systematic Alien Verification for Entitlements (SAVE) and ensuring data accuracy to protect U.S. citizens and legal residents | No cost anticipated |
| Menendez C16 | To authorize a pilot project for state-based innovations to reduce medical errors | Authorization for discretionary sums that are not yet determined |
| Menendez/ Stabenow C17 | Increasing CHIP wrap to 275% of the poverty level | To be determined |
| Carper C1 | To Provide workplace wellness tax credits | This amendment shall adjust the AGI threshold upwards by an amount necessary to offset the increase in spending. |
| Carper C2 | Encouraging employer-sponsored wellness programs under HIPAA by increasing the premium discount that employers can use to reward employees for participating in wellness programs | None required |
| Carper C3 | To establish a virtual health coach program for chronic diseases in Medicaid with demonstration grant program | Increase market basket reduction for all providers by amount necessary to offset the increase in spending |
| Carper C4 | To require CMS to increase its public outreach and guidance to states and health care providers regarding Medicaid's coverage of obesity-related services | None required |
| Carper C5 | To conduct a study on methods that health plans within the exchange can use to encourage increased meaningful use of electronic health records by health care providers | None required |
| Carper C6 | To allow agents and brokers, including existing health exchanges, to play an immediate complementary role to any state or regional based exchange | None required |
| Carper C7 | Replace the relevant language in Title I Subtitle C (Benefit Options) and Title I Subtitle D (Personal Responsibility Requirement) with language consistent with requirements established in Title II Subtitle B (Medicaid) | None required |
| Carper C8 | To pay for expanded affordability credits by increasing the total value of employer-sponsored health coverage that is subject to the excise tax on high cost insurance | Establishes a threshold amount of the excise tax on high cost insurance of $6,800 for individual coverage and $17,500 for family coverage for 2013. Retains for other provisions in the Chairman's Mark relating to the excise tax on high cost insurance. |
| Carper C9 | To pay for expanded affordability credits by eliminating the excise tax on high cost insurance and enacting a limit on the value of excludable high-cost employer provided health premiums | Would eliminate the excise tax on high cost insurance by creating new thresholds and may be adjusted to ensure that it raises an amount of revenue equal to the additional cost of this amendment's expansion of premium credits |
| Grassley C1 | Preventing increases in health insurance costs | None required |
| Grassley C2 | Guarantee the independence of health care co-ops from federal government interference | None required |
| Grassley C3 | Require that elected officials and all federal employees purchase coverage through exchanges | None required |
| Grassley C4 | Providing consumers with the same health insurance options as Members of Congress | Any savings achieved by this recalculation would be used to lower the overall cost of the entire proposal |
| Grassley C5 | Protecting access to Medicare Advantage for rural beneficiaries | None required |
| Grassley C6 | Promoting coverage without the use of a government requirement to purchase insurance | Any savings achieved through this amendment are redirected towards other provisions in the Chairman's Mark |
| Grassley C7 | Promoting coverage without the use of a government requirement to purchase insurance | Any savings achieved through this amendment are redirected towards other provisions in the Chairman's Mark |
| Grassley C8 | Require presentation of identification in applying for Medicaid benefits | None required |
| Grassley C9 | Improve access to care for children in Medicaid | Additional cost is paid for by eliminating subsidies provided in the bill to people over 300% of poverty and lowering the overall subsidy amount to a sufficient amount to make up the difference |
| Grassley C10 | Guarantee access in Medicaid for children | None required |
| Grassley C11 | Protect state budgets from the maintenance of effort mandate | None required |
| Grassley C12 | Suspend any employer penalties proposed in Title I Subtitle D of the Chairman's Mark for two years whenever the National Bureau of Economic Research declares an economic recession is occurring | Eliminating any subsidies in the Chairman's Mark for individuals and families between 300 and 400 % of federal poverty level ($66,150 to $88,200 for a family of four) |
| Grassley C13 | Make sure Medicare beneficiaries do not see a reduction in benefits as a result of the policies proposed in the Chairman's Mark | None required |
| Grassley C14 | Reduce federal spending | Any savings achieved by this recalculation would be used to lower the overall cost of the entire proposal |
| Grassley C15 | Promoting state flexibility and individual freedom | None required |
| Grassley C16 | Promoting state flexibility and innovation | None required |
| Hatch C1 | Ensure Americans can keep the coverage they have by keeping premiums affordable | None required |
| Hatch C2 | Ensure Americans can keep the coverage they have | None required |
| Hatch C3 | Ensure health care savings for American families | None required |
| Hatch C4 | Strike the new federally imposed individual mandate and replace it with a state option | Proportionate reduction as needed in spending in the Chairman's Mark |
| Hatch C5 | Protect and promote employment for low-income Americans | Proportionate reduction as needed in spending in the Chairman's Mark |
| Hatch C6 | Protect and promote employment for low-income Americans | None required |
| Hatch C7 | Strike the Federal government-funded Health Care Cooperative under Title I, Subtitle E and direct savings to reduce the deficit | Proportionate reduction as needed in spending in the Chairman's Mark |
| Hatch C8 | Automatic enrollment of Members of Congress voting for the Federal government-funded Health Care Cooperative | None required |
| Hatch C9 | Create a level-playing field for health care cooperatives | None required |
| Hatch C10 | Restoration of funding for abstinence education | Proportionate reduction as needed in spending in the Chairman's Mark |
| Hatch C11 | Strike Medicaid Expansion | Proportionate reduction as needed in spending in the Chairman's Mark |
| Hatch C12 | Prohibits federal funds under this Mark from being used to pay for assisted suicide and offers conscience protection to providers or plans refusing to offer assisted suicide services | None required |
| Hatch C13 | Non-discrimination on abortion and respect for right of conscience | None required |
| Hatch C14 | Prohibits authorized or appropriated federal funds under this Mark from being used for elective abortions and plans that cover such abortions | None required |
| Snowe C1 | Provision of safety net fallback plan to ensure access to affordable coverage | To be provided |
| Snowe C2 | Scale firewall affordability test to protect low income individuals | To be provided at a later date |
| Snowe/Lincoln C3 | Expand small business participation in the SHOP exchange | None required |
| Snowe C4 | Medicaid expansion phase in option | None required |
| Snowe C5 | Medicaid early expansion state maintenance of effort | None required |
| Snowe C6 | Set maximum deductible for ESI coverage to ensure individuals access to timely care | No score, and no significant cost anticipated |
| Snowe C7 | Expedite insurance market reforms in small group market | None required |
| Snowe C8 | Expediting larger employer participation in the SHOP exchanges | None required |
| Snowe C9 | Small business health education and awareness grants | None |
| Snowe C10 | Continuation of small business participation | No cost anticipated |
| Snowe C11 | Require plans in the exchange to cover EPSDT | None required |
| Snowe C12 | Change definition of newly eligible | To be provided |
| Kyl C1 | Eliminate the Consumer Operated and Oriented Plan (CO-OP) program | None required |
| Kyl C2 | Eliminate Federal Funding of the Consumer Operated and Oriented Plan (CO-OP) program | None required |
| Kyl C3 | Eliminate the federal advisory board | None required |
| Kyl C4 | Prohibit the federal government's takeover of health care | None required |
| Kyl C5 | Prohibit the federal government's takeover of health care | None required |
| Kyl C6 | Ensuring state flexibility | None required |
| Kyl C7 | Creating a web-based marketplace | None required |
| Kyl C8 | Increasing consumer choice of insurance options | None required |
| Kyl C9 | Ensuring consumer access to catastrophic coverage options | None required |
| Kyl C10 | Ensuring consumer choice of health care benefits | None required |
| Kyl C11 | Ensuring consumers' choice of insurance options that best meet their health care needs | None required |
| Kyl C12 | Establishing a level playing field for grandfathered plans | Would tie the premium tax credit to the lowest cost bronze plan, also eliminate the ability for legal immigrants subject to a five-year waiting period under Medicaid or CHIP to access a tax credit until the waiting period's expiration |
| Kyl C13 | Make permanent the Small Business Tax Credit | Would tie the premium tax credit to the lowest cost bronze plan |
| Kyl C14 | Clarification that legal immigrants must reside in the U.S. for at least five years in order to be eligible for the tax credit available through the state exchanges | None required |
| Kyl C15 | Clarification that real-time information sharing, with appropriate privacy protections, is required among the SSA, DHS and IRS | None required |
| Kyl C16 | Allowing the purchase of health insurance across state lines | None required |
| Kyl C17 | Increase current limits on HSA contributions | Would tie the premium tax credit to the lowest cost bronze plan |
| Kyl C18 | Improved opportunities to rollover funds from Flexible Spending Arrangements (FSA) and Health Reimbursement Arrangements (HRAs) to fund Health Savings Accounts (HSAs) | Would tie the premium tax credit to the lowest cost bronze plan |
| Kyl C19 | Catch-up contributions by spouses may be made to one Health Savings Account (HSA) | Would tie the premium tax credit to the lowest cost bronze plan |
| Kyl C20 | Expanded definition of "preventive" drugs | Would tie the premium tax credit to the lowest cost bronze plan |
| Kyl C21 | Greater flexibility using HSA account to pay expenses | Would tie the premium tax credit to the lowest cost bronze plan |
| Kyl C22 | Expanded definition of "qualified medical expenses" | Would tie the premium tax credit to the lowest cost bronze plan |
| Kyl C23 | Improve Women's Access to health care services and providers | None required |
| Kyl C24 | Improve access to Emergency room services | None required |
| Kyl C25 | Medical Liability reform | None required |
| Kyl C26 | Ensure that any state receiving funding under Medicaid has requirements for preliminary expert witness testimony and expert qualifications | None required |
| Bunning C1 | Equal access to affordable healthcare amendment | Reduce the federal poverty level threshold for premium credits in the bill by the amount necessary, starting with the premium credit for individuals between 300% and 400% of poverty |
| Bunning C2 | CO-OP amendment | If needed, amendment will be paid for by reducing the federal poverty level threshold for premium credits in the bill by the amount necessary, starting with the premium credit for individuals between 300% and 400% of poverty |
| Bunning C3 | Excise tax exemption | Reduce the federal poverty level threshold for premium credits in the bill by the amount necessary, starting with the premium credit for individuals between 300% and 400% of poverty |
| Bunning C4 | Transparency amendment | None required |
| Crapo/Roberts C1 | To amend the employer shared responsibility requirement and protect small business | To be provided |
| Crapo/Roberts C2 | To prohibit unfunded federal mandates on states | To be provided |
| Ensign C1 | Maintain current limits on federal benefits | None required |
| Ensign C2 | Ensure that illegal immigrants do not fraudulently receive federal health care tax credits | None required |
| Ensign C3 | Protect taxpayers by ensuring that immigrants do not become public charges by requiring an immigrant sponsor's accountable under affidavits of support | None required |
| Ensign C4 | Lymphedema amendment | None required |
| Ensign C5 | Health account balance protection act | None required |
| Ensign C6 | Health savings account coverage protection | None required |
| Ensign C7 | Building efforts for wellness and encouraging longer lives #1 amendment | None required |
| Ensign C8 | Building efforts for wellness and encouraging longer lives Amendment #2 | None required |
| Ensign C9 | Ensure that non-smokers are not forced to subsidize smokers | None required |
| Ensign C10 | Transparency in Czars | None required |
| Ensign C11 | Protect health care for veterans and military service officers | None required |
| Ensign C12 | Skin in the Game | None required |
| Ensign C13 | Require a CBO certification that "costs will go down by as much as $2,500 per year," before Chairman's bill takes effect | Offset to be derived from proportionate decrease in certain provisions in the Chairman's bill except for Medicare spending |
| Ensign C14 | Protecting states from an unfunded mandate | Offset to be derived from proportionate decrease in certain provisions in the Chairman's bill except for Medicare spending |
| Ensign C15 | Protecting states from forced Medicaid expansion | Offset to be derived from proportionate decrease in certain provisions in the Chairman's bill except for Medicare spending |
| Enzi C1 | Lowering the cost of health care increasing benefit flexibility | None required |
| Enzi C2 | Lowering the cost of health care by increasing benefit flexibility | None required |
| Enzi C3 | Ensure American workers are protected from lower wages and job loss | None required |
| Enzi C4 | Ensuring Americans are protected from dramatic cost increases | None required |
| Enzi C5 | Lowering the cost of health insurance by increasing premium variability | None required |
| Enzi C6 | To provide additional choices to individuals who would otherwise be enrolled in Medicaid through expansions in this bill | Reduce exchange subsidies as much as necessary to make this amendment budget neutral starting with subsidies awarded to individuals earning 400% of poverty |
| Enzi C7 | Congressional enrollment in Medicaid | None required |
| Enzi C8 | Ensure that Medicaid expansions will not take effect until state Medicaid programs can guarantee that enough physicians in the state will actually accept and treat Medicaid patients | None required |
| Enzi C9 | To exempt any state that the State's revenue have declined for 2 consecutive fiscal year quarters from any mandatory Medicaid expansions | None required |
| Enzi C10 | Prohibit a state from expanding its Medicaid program until it implements program integrity and quality improvement measures | None required |
| Enzi C11 | Terminates Medicaid expansions that results in increased costs for a state | None required |
| Enzi C12 | To ensure that no mandates on Abortions are prohibited | None required |
| Enzi C13 | To ensure that abortions are not paid for with federal funds and for the purchase of supplemental abortion coverage without federal funds | None required |
| Enzi C14 | To ensure state abortion laws and regulations are not preempted by provisions in the underlying bill | None required |
| Enzi C15 | To ensure that conscience protections are applied | None required |
| Cornyn C1 | Ensuring that nothing requires individuals or employers to change the coverage they have | If needed, will be provided at markup |
| Cornyn C2 | Promoting personal responsibility | If needed, will be provided at markup |
| Cornyn C3 | Ensuring that nothing requires individuals or employers to change the coverage they have | None required |
| Cornyn C4 | Promoting Affordable Choices in coverage | None required |
| Cornyn C5 | Promoting Affordable Choices in coverage | Request sent to CBO |
| Cornyn C6 | Promoting Affordable Choices in coverage | To be provided at markup |
| Cornyn C7 | Ensuring the accuracy of punitive taxes | If needed, will be provided at markup |
| Cornyn C8 | Limiting the growth of Washington bureaucracy | None required |
| Cornyn C9 | Preserving the right of individuals to access quality plans | None required |
| Cornyn C10 | Preserving the right of individuals to access innovative plans | None required |
| Cornyn C11 | Rewarding healthy behaviors | If needed, will be provided at markup |
| Cornyn C12 | Promoting Individual Choice | Reduction in government spending |
| Cornyn C13 | Reducing Health Insurance Premiums | If needed, will be provided at markup |
| Cornyn C14 | Reducing political influence on the health care cooperatives | None required |
| Cornyn C15 | Reducing the political influence with regard to health care cooperatives | None required |
| Cornyn C16 | Improving health care cooperatives | None required |
| Cornyn C17 | Ensuring the solvency of health care cooperatives | None required |
| Cornyn C18 | Ensuring fair competition | None required |
| Cornyn C19 | Targeting federal dollars to create affordable choices | None required |
| Cornyn C20 | Ensuring fair competition | None required |
| Cornyn C21 | Providing choice of health benefits for low-income Americans | Reduce spending on wealthier individuals under the Mark |
| Cornyn C22 | Encouraging personal responsibility for all Americans | None required |
| Cornyn C23 | Promoting equality between low-income Americans and their elected officials | Reduction in spending |
| Cornyn C24 | Promoting equality between low-income Americans and their elected officials | Reduction in spending |
| Cornyn C25 | Ensuring that states are able to invest adequate resources in education | None required |
| Cornyn C26 | Ensuring that states are able to invest adequate resources in law enforcement | None required |
| Cornyn C27 | Ensuring states are able to invest adequate resources to education and law enforcement | None required |
| Cornyn C28 | Promoting access to employer-based coverage for Medicaid beneficiaries | If needed, will be provided at markup |
| Cornyn C29 | Giving states flexibility to expand their Medicaid programs in a fiscally responsible manner | Request sent to CBO |
| Cornyn C30 | Reducing waste, fraud, and abuse in the Medicaid program | None required |
| Cornyn C31 | Protecting competition and fighting monopoly in health care | None required |
| Cornyn C32 | Preserving American Jobs | None required |
| Cornyn C33 | Prohibiting inappropriate business interests in the cooperatives | None required |
| Cornyn C34 | Prohibiting inappropriate business interests in the cooperatives | Estimated to save taxpayer dollars |
| Cornyn C35 | Allow American families to choose the health insurance that best fits their needs | None required |
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