S.Amdt. 4577
What it does: 8 changes: replaces text, strikes text in 2 places, adds a section, inserts text in 4 places
Sen. Ron Wyden (D-OR)What it changes
8 changes to S. 334 · 2 shown in the bill's text
Change 1: Replaces the period on page 7, line 18 with “or an employer-sponsored health coverage plan described under section 103 offered by an e…”
ReplacesPrinted page…
[struck: .][inserted: or an employer-sponsored health coverage plan described under section 103 offered by an employer.]Original wording
On page 7, line 18, strike the period and insert the following: “or an employer-sponsored health coverage plan described under section 103 offered by an employer.”.
Change 2: Strikes “offered through the HHA of the adult individual's State of residence”
Struck: offered through the HHA of the adult individual's State of residence
Original wording
On page 11, beginning on line 3, strike “offered through the HHA of the adult individual's State of residence”.
Change 3: Strikes “offered through the HHA of the adult individual's State of residence”
Struck: offered through the HHA of the adult individual's State of residence
Original wording
On page 12, beginning on line 4, strike “offered through the HHA of the adult individual's State of residence”.
Change 4: Adds SEC. 103. HEALTH COVERAGE PLANS OFFERED BY EMPLOYERS on page 16, between lines 3 and 4
Adds a sectionPrinted pageInserted: SEC. 103. HEALTH COVERAGE PLANS OFFERED BY EMPLOYERS.
Inserted: (a) Plan Requirements.--
Inserted: (1) In general.--A health coverage plan described in section 105(h)(6) of the Internal Revenue Code of 1986 (relating to self-insured plans) that is offered by an employer shall be subject to--
Inserted: (A) the requirements of subtitle B (except for subsections (a), (d)(2), and (d)(4) of section 111); and
Inserted: (B) a risk-adjustment mechanism used to spread risk across all health plans.
Inserted: (2) Other plans.--A health coverage plan that is not described in section 105(h)(6) of the Internal Revenue Code of 1986 that is offered by an employer shall be subject to the requirements of subtitle B (except for subsection (a) of section 111).
Inserted: (b) Distribution of Information.--Employers that offer an employer-sponsored health coverage plan shall distribute to employees standardized, unbiased information on HAPI plans and supplemental health insurance options provided by the State HHA under section 502(b).
Inserted: (c) Plans Offered Through Employers.--An employer-sponsored health coverage plan shall be offered by an employer and not through the applicable State HHA.
Original wording
On page 16, between lines 3 and 4, insert the following:
Change 5: Inserts “(including a risk-adjustment mechanism)” after “rating principals”
In S. 334 · Introduced in Senate
(D) Coverage of a married couple or domestic partnership (as determined by a State) with 1 or more dependent children.
(2) Determinations of premiums.--With respect to each class of coverage described in paragraph (1), a health insurance issuer shall determine the premium amount for a HAPI plan using adjusted community rating principals[inserted: (including a risk-adjustment mechanism)], as described in paragraphs (3) and (4) established by the State. States may permit premium variations based only on geography, tobacco use, and family size. A State may determine to have no variation.
(3) Rewards.--A State shall permit a health insurance issuer to provide premium discounts and other incentives to enrollees based on the participation of such enrollees in wellness, chronic disease management, and other programs designed to improve the health of the enrollees.
Original wording
On page 22, on line 13, insert “(including a risk-adjustment mechanism)” after “rating principals”.
Change 6: Inserts “The preceding sentence shall not apply to any employer who has less than 10 employees.” after “when paid.”
In S. 334 · Introduced in Senate
"SEC. 3422. DEDUCTION OF INDIVIDUAL SHARED RESPONSIBILITY PAYMENT FROM WAGES.
"(a) In General.--The individual shared responsibility payment imposed by section 3421 shall be collected by the employer by deducting the amount of the payment from the wages as and when paid.[inserted: The preceding sentence shall not apply to any employer who has less than 10 employees.]
"(b) Nondeductibility by Employer.--The individual shared responsibility payment deducted and withheld by the employer under subsection (a) shall not be allowed as a deduction to the employer in computing taxable income under subtitle A.
Original wording
On page 102, line 19, insert “The preceding sentence shall not apply to any employer who has less than 10 employees.” after “when paid.”.
Change 7: Inserts “(except for employer-sponsored health coverage plans described under section 103 offered…” after “HHA”
…HHA[inserted: (except for employer-sponsored health coverage plans described under section 103 offered by employers)]…
Original wording
On page 117, line 9, insert “(except for employer-sponsored health coverage plans described under section 103 offered by employers)” after “HHA”.
Change 8: Inserts new text on page 117, between lines 15 and 16
InsertsPrinted pageInserted: (4) make risk-adjusted payments to all health insurance issuers and employers offering a HAPI plan in such State to account for the specific population covered by the plan, in accordance with guidelines established by the Secretary;
Original wording
On page 117, between lines 15 and 16, insert the following:
Read automatically from the Congressional Record. Check the original before relying on it.
As printed
SA 4577. Mr. WYDEN (for himself, Mr. Bennett, Mr. Grassley, and Ms. Stabenow) submitted an amendment intended to be proposed by him to the bill S. 334, to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away; which was referred to the Committee on Finance; as follows:
On page 7, line 18, strike the period and insert the following: “or an employer-sponsored health coverage plan described under section 103 offered by an employer.”.
On page 11, beginning on line 3, strike “offered through the HHA of the adult individual's State of residence”.
On page 12, beginning on line 4, strike “offered through the HHA of the adult individual's State of residence”.
On page 16, between lines 3 and 4, insert the following:
SEC. 103. HEALTH COVERAGE PLANS OFFERED BY EMPLOYERS.
(a) Plan Requirements.--
(1) In general.--A health coverage plan described in section 105(h)(6) of the Internal Revenue Code of 1986 (relating to self-insured plans) that is offered by an employer shall be subject to--
(A) the requirements of subtitle B (except for subsections (a), (d)(2), and (d)(4) of section 111); and
(B) a risk-adjustment mechanism used to spread risk across all health plans.
(2) Other plans.--A health coverage plan that is not described in section 105(h)(6) of the Internal Revenue Code of 1986 that is offered by an employer shall be subject to the requirements of subtitle B (except for subsection (a) of section 111).
(b) Distribution of Information.--Employers that offer an employer-sponsored health coverage plan shall distribute to employees standardized, unbiased information on HAPI plans and supplemental health insurance options provided by the State HHA under section 502(b).
(c) Plans Offered Through Employers.--An employer-sponsored health coverage plan shall be offered by an employer and not through the applicable State HHA.
On page 22, on line 13, insert “(including a risk-adjustment mechanism)” after “rating principals”.
On page 102, line 19, insert “The preceding sentence shall not apply to any employer who has less than 10 employees.” after “when paid.”.
On page 117, line 9, insert “(except for employer-sponsored health coverage plans described under section 103 offered by employers)” after “HHA”.
On page 117, between lines 15 and 16, insert the following:
(4) make risk-adjusted payments to all health insurance issuers and employers offering a HAPI plan in such State to account for the specific population covered by the plan, in accordance with guidelines established by the Secretary;
Legislative Activity
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Senate amendment submitted
April 24, 2008
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Senate amendment submitted
April 24, 2008
Referred to the Committee on Finance.
April 24, 2008