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S. 466Senate116th Congress (2019-2021)In Committee

Protecting Americans with Pre-existing Conditions Act of 2019

Sponsored by Mark R. WarnerSen. Mark R. Warner (D-VA)
Introduced February 13, 2019

AI-Generated Summary

Updated April 14, 2026 at 1:45 AM UTC

The Protecting Americans with Pre‑existing Conditions Act of 2019 blocks the Department of Health and Human Services and the Treasury from using or issuing guidance that would allow states to obtain “State Relief and Empowerment Waivers” under the Affordable Care Act. By preventing that guidance from taking effect, the bill stops states from using these waivers to modify ACA requirements, which could affect insurance coverage and protections for people with pre‑existing conditions.

Key Provisions

  • Prohibits the HHS and Treasury secretaries from implementing, enforcing, or giving effect to the October 24, 2018 guidance titled “State Relief and Empowerment Waivers.”
  • Bars the secretaries from issuing any substantially similar guidance or rule on state innovation waivers.
  • Sets the effective date of these prohibitions as April 1, 2019.

Legislative Activity

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1 earlier action
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance.

Finance Committee

February 13, 2019

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SenateIntro Referral

Introduced in Senate

February 13, 2019

SenateIntro Referral

Read twice and referred to the Committee on Finance.

Finance Committee

February 13, 2019

Bill Text

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Introduced in SenateIssued February 13, 2019

II

116th CONGRESS

1st Session

S. 466

IN THE SENATE OF THE UNITED STATES

February 13, 2019

Mr. Warner (for himself, Mr. Cardin, Mrs. Shaheen, and Ms. Baldwin) introduced the following bill; which was read twice and referred to the Committee on Finance

A BILL

To provide that certain guidance related to waivers for State innovation under the Patient Protection and Affordable Care Act shall have no force or effect.

1.

Short title

This Act may be cited as the Protecting Americans with Pre-existing Conditions Act of 2019.

2.

Providing that certain guidance related to waivers for State innovation under the Patient Protection and Affordable Care Act shall have no force or effect

Beginning April 1, 2019, the Secretary of Health and Human Services and the Secretary of the Treasury may not take any action to implement, enforce, or otherwise give effect to the guidance entitled State Relief and Empowerment Waivers (83 Fed. Reg. 53575 (October 24, 2018)), and the Secretaries may not promulgate any substantially similar guidance or rule.