S.Amdt. 418

SA 418. Mr. CRUZ (for himself and Mr. Heller) submitted an amendment
intended to be proposed to amendment SA 267 proposed by Mr. McConnell
to the bill H.R. 1628, to provide for reconciliation pursuant to title
II of the concurrent resolution on the budget for fiscal year 2017;
which was ordered to lie on the table; as follows:

At the appropriate place, insert the following:

SEC. ___. HEALTH INSURANCE COVERAGE OFFERED ACROSS STATE
LINES.

Subpart I of part B of title XXVII of the Public Health
Service Act (42 U.S.C. 300gg-41 et seq.) is amended by adding
at the end the following:

``SEC. 2746. HEALTH INSURANCE COVERAGE OFFERED ACROSS STATE
LINES.

``(a) In General.--A health insurance issuer that is
licensed in, and qualified to offer health insurance coverage
in, a primary State may offer such health insurance coverage
in a secondary State regardless of whether the issuer is
licensed to sell insurance in such secondary State. In
offering such health insurance coverage in the secondary
State, all laws governing health insurance coverage of the
primary State shall apply and the laws governing health
insurance coverage of the secondary State shall not apply.
``(b) Definitions.--For purposes of this section:
``(1) Primary state.--The term `primary State' means, with
respect to health insurance coverage offered by a health
insurance issuer, the State designated by the issuer as the
State whose covered laws shall govern the health insurance
issuer in the sale of such coverage under this title. An
issuer, with respect to a particular policy, may designate
only one such State as its primary State with respect to all
such coverage it offers. Such an issuer may not change the
designated primary State with respect to health insurance
coverage once the policy is issued, except that such a change
may be made upon renewal of the policy. With respect to such
designated State, the issuer is deemed to be doing business
in that State.
``(2) Secondary state.--The term `secondary State' means,
with respect to health insurance coverage offered by a health
insurance issuer, any State that is not the primary State. In
the case of a health insurance issuer that is selling a
policy in, or to a resident of, a secondary State, the issuer
is deemed to be doing business in that secondary State.
``(3) State.--The term `State' means the 50 States and
includes the District of Columbia, Puerto Rico, the Virgin
Islands, Guam, American Samoa, and the Northern Mariana
Islands.''.
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