An amendment numbered 4 printed in House Report 112-70 to require GAO to report on benefits of funding in setting up state run exchanges that reflect that state's marketplace, as opposed to state exchanges established and operated by the federal government.

1. Inserts new text at the end of section 1

   Inserts

   Inserted: (c) GAO Report on Impacts That Funding Would Have on States Establishing Exchanges, if Not Repealed and Rescinded.--

   Inserted: (1) Study.--The Comptroller General of the United States shall conduct a study to determine the impacts that expenditures by States, using the funding made available under subsection (a) of section 1311 of the Patient Protection and Affordable Care Act (42 U.S.C. 18031), would have in establishing State-run American Health Benefit Exchanges (as described in subsection (b) of such section) that reflect the marketplace of the specific State (as opposed to State exchanges established and operated by the Federal Government), if such funding were not repealed and rescinded under subsections (a) and (b) of this section. In determining such impacts, the Comptroller General shall at a minimum address--

   Inserted: (A) whether employers with over 50 employees are permitted in such Exchanges to purchase insurance over time;

   Inserted: (B) what type financing mechanisms will be used to operate such Exchanges;

   Inserted: (C) whether such Exchanges will be active negotiators in selecting health plans to obtain the best price and quality for citizens;

   Inserted: (D) whether States will operate such Exchanges together with one or more other States; and

   Inserted: (E) whether there will be more than one such Exchange (subsidiary exchanges), each serving a geographically distinct area, in some States.

   Inserted: (2) Report.--Not later than 1 year after the date of the enactment of this Act, the Comptroller General shall submit to the Congress a report setting forth the results and conclusions of the study under paragraph (1).

   Original wording

   In section 1, add at the end the following:

Read automatically from the Congressional Record. Check the original before relying on it.

As printed