Sec. 2. Preserving State option to implement health care marketplaces
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/bill/116/hr/1385/ih/section-2A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Section 1311 of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18031 ) is amended— in subsection (a)— in paragraph (4)(B), by striking under this subsection and inserting under this paragraph or paragraph
(1); and by adding at the end the following new paragraph: There shall be appropriated to the Secretary, out of any moneys in the Treasury not otherwise appropriated, $200,000,000 to award grants to eligible States for the uses described in paragraph (3). A grant awarded under subparagraph
(A)shall be for a period of two years and may not be renewed. A grant may not be awarded under subparagraph
(A)after December 31, 2022. For purposes of this paragraph, the term eligible State means a State that, as of the date of the enactment of this paragraph, is not operating an Exchange. ; and in subsection (d)(5)(A)— by striking In establishing an Exchange under this section and inserting ; and In establishing an Exchange under this section (other than in establishing an Exchange pursuant to subsection (a)(6))
(i)I n general.— by adding at the end the following: In establishing an Exchange pursuant to subsection (a)(6), the State shall ensure that such Exchange is self-sustaining beginning on January 1, 2024, including allowing the Exchange to charge assessments or user fees to participating health insurance issuers, or to otherwise generate funding, to support its operations. . Section 1321(c) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18041(c) ) is amended— in paragraph (1), by striking If and inserting Subject to paragraph (3), if ; and by adding at the end the following new paragraph: This subsection shall not apply in the case of a State that elects to apply the requirements described in subsection
(a)and satisfies the requirement described in subsection
(b)on or after January 1, 2014. .
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