Sec. 102. State health insurance options
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/bill/115/s/191/is/section-102A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Each State may elect, through written notice to the Secretary after the date of the enactment of this Act and in accordance with this title, 1 of the following 3 options in relation to the implementation of title I of the Patient Protection and Affordable Care Act after the date of enactment of this Act: The State continuing— the Federal premium and cost-sharing subsidies for coverage offered under title I of PPACA (and the amendments made thereby), reduced for qualified residents of such State for any year by the amount (if any) by which such subsidies would exceed the amount of contributions that would have been made under section 103(b) to all such residents for such year if the State had elected the option under paragraph (3); and all other requirements under such title.
The State implementing the alternative option described in section 103, which includes— the waiver of most requirements imposed under such title I; and the provision of a new, Roth HSA- and market-based deposit system for individuals who do not otherwise qualify for Federal or State subsidies for health benefits coverage. The State rejecting title I of PPACA (and the amendments made thereby), except as otherwise required in this title. If a State fails to make an election described in this subsection during the 1-year period beginning on the date of enactment of this Act, the State shall be deemed to have made the election described in paragraph (2).
A State may, through written notice to the Secretary, change an election previously made under this subsection. Nothing in this section shall be construed to change the option of a State with respect to the implementation of Medicaid ACA coverage under section 1902(a)(10)(A)(i)(VIII) of the Social Security Act ( 42 U.S.C. 1396a(a)(10)(A)(i)(VIII) ), except that a State that elects not to provide medical assistance to individuals under such section may make such individuals deposit qualifying residents under this title.
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Sec. 102
State health insurance options
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