HR 2300 · 113th Congress 2013–2015, ended

Empowering Patients First Act of 2013

Latest action · Jul 15, 2013 Referred to the Subcommittee on the Constitution and Civil Justice.

Progress

Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.

  1. IntroducedJun 6, 2013
  2. Passed HouseNot reached
  3. Passed SenateNot reached
  4. To the PresidentNot reached
  5. Became lawNot reached

Summary

Empowering Patients First Act of 2013 - Repeals the Patient Protection and Affordable Care Act and the health care provisions of the Health Care and Education and Reconciliation Act of 2010, effective as of their enactment. Restores or revives provisions amended or repealed by such Act or such health care provisions.

Amends the Internal Revenue Code to allow a refundable tax credit for the cost of qualified health insurance costs for low-income taxpayers and a tax deduction for such costs for other taxpayers.

Amends the Public Health Service Act to provide for the establishment and governance of individual and small employer membership associations (IMAs) to make health benefits coverage available to IMA members and their dependents.

Small Business Health Fairness Act of 2013 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for establishment and governance of association health plans, which are group health plans whose sponsors are trade, industry, professional, chamber of commerce, or similar business associations and which meet certain ERISA certification requirements.

Directs that the laws of the state designated by a health insurance issuer (primary state) shall apply to individual health insurance coverage offered by that issuer in the primary state and in any other state (secondary state), but only if the coverage and issuer comply with conditions of this Act.

Amends title XXI (Children's Health Insurance) (CHIP) of the Social Security Act (SSA) to: (1) require a state CHIP plan to specify how it will achieve coverage for 90% of targeted low-income children; and (2) prohibit CHIP payments for children with family income above 300% of the applicable poverty line.

Directs the Secretary of Health and Human Services (HHS) to issue best practice guidelines for the treatment of medical conditions. Sets forth how such guidelines may be used in a health care lawsuit.

Permits a group health plan to vary premiums and cost-sharing by up to 50% of the benefits based on participation (or lack of participation) in a wellness program.

Requires a health insurance issuer to provide claims information, on request, to a plan, plan sponsor, or plan administrator.

Prohibits the Secretary from using comparative effectiveness research or patient-centered outcomes research to deny coverage of an item or service under a federal health care program.

Authorizes a state to establish a Health Plan and Provider Portal website to standardize information on health insurance plans available in the state.

Amends title XVIII (Medicare) of SSA to permit Medicare beneficiaries to contract with a physician or practitioner for health care items or services. Prohibits states from imposing limits on the amount of charges for health care services furnished by an eligible professional.

Sets forth provisions regarding students loans and loan repayment for health care professionals.

Exempts health care professionals from federal and state antitrust laws in connection with negotiations with a health plan regarding contract terms under which the professionals provide health care items or services for which plan benefits are provided.

Establishes discretionary spending limits for FY2022-FY2023 for new budget authority in the nondefense category and revises sequestration discretionary spending limits for FY2014-FY2021.

Cosponsors 58

Members who signed on, in the order they did. Signatures ran from Jun 11, 2013 to Feb 4, 2014.

SeatCosponsorSigned on
R-CODoug LambornJun 11, 2013
R-INLarry BucshonJun 11, 2013
R-GALynn A. WestmorelandJun 11, 2013
R-OHBrad R. WenstrupJun 12, 2013
R-TNDavid P. RoeJun 12, 2013
R-SCJoe WilsonJun 12, 2013
R-MNMichele BachmannJun 12, 2013
R-SCMick MulvaneyJun 12, 2013
R-TXPete OlsonJun 12, 2013
R-NCRobert PittengerJun 12, 2013
R-TNScott DesJarlaisJun 12, 2013
R-MIBill HuizengaJun 14, 2013
R-MIDan BenishekJun 14, 2013
R-WIReid J. RibbleJun 14, 2013
R-AZMatt SalmonJun 17, 2013
R-COMike CoffmanJun 17, 2013
R-NVJoseph J. HeckJun 19, 2013
R-WVDavid B. McKinleyJun 20, 2013
R-NCMark MeadowsJun 20, 2013
R-UTRob BishopJun 20, 2013
R-KSTim HuelskampJun 20, 2013
R-AZTrent FranksJun 20, 2013
R-FLSteve Southerland IIJun 27, 2013
R-OHBill JohnsonJul 8, 2013
R-TXJeb HensarlingJul 8, 2013
R-ARTom CottonJul 8, 2013
R-MITim WalbergJul 9, 2013
R-NCRichard HudsonJul 17, 2013
R-MOVicky HartzlerJul 17, 2013
R-MSAlan NunneleeJul 23, 2013
R-CADoug LaMalfaJul 30, 2013
R-SCTom RiceJul 31, 2013
R-VAE. Scott RigellSep 12, 2013
R-TXRandy K. Weber, Sr.Sep 12, 2013
R-COScott R. TiptonSep 12, 2013
R-PAKeith J. RothfusSep 26, 2013
R-KSKevin YoderSep 26, 2013
R-SCJeff DuncanOct 1, 2013
R-GATom GravesOct 23, 2013
R-VARobert J. WittmanOct 28, 2013
R-MDAndy HarrisDec 4, 2013
R-TNDiane BlackDec 4, 2013
R-TXK. Michael ConawayDec 4, 2013
R-CAKen CalvertDec 4, 2013
R-TXKenny MarchantDec 4, 2013
R-TNMarsha BlackburnDec 4, 2013
R-GARob WoodallDec 4, 2013
R-TXBill FloresDec 5, 2013
R-FLDaniel WebsterDec 5, 2013
R-VABob GoodlatteDec 9, 2013
R-PAGlenn ThompsonDec 9, 2013
R-LACharles W. Boustany, Jr.Dec 12, 2013
R-ILPeter J. RoskamDec 12, 2013
R-TXRalph M. HallDec 12, 2013
R-NCPatrick T. McHenryJan 7, 2014
R-FLJeff MillerJan 9, 2014
R-GAPhil GingreyJan 10, 2014
R-MNJohn KlineFeb 4, 2014

Withdrew 1 Eric A. "Rick" Crawford R-AR Jul 11, 2013

Committees 10

Where it was sent and what each committee and subcommittee did with it, in order.

ChamberCommitteeWhat it did
HouseEnergy and Commerce Committee
Referred Jun 6, 2013
Health Subcommittee
Referred Jun 7, 2013
HouseEducation and Workforce Committee
Referred Jun 6, 2013
Workforce Protections Subcommittee
Referred Jul 8, 2013
HouseWays and Means Committee
Referred Jun 6, 2013
HouseJudiciary Committee
Referred Jun 6, 2013
Constitution and Limited Government Subcommittee
Referred Jul 15, 2013
HouseNatural Resources Committee
Referred Jun 6, 2013
Indian and Insular Affairs Subcommittee
Referred Jun 20, 2013
HouseCommittee on House Administration
Referred Jun 6, 2013
HouseRules Committee
Referred Jun 6, 2013
HouseAppropriations Committee
Referred Jun 6, 2013
HouseBudget Committee
Referred Jun 6, 2013
HouseOversight and Government Reform Committee
Referred Jun 6, 2013

Actions 6

Everything that happened, newest first.

  1. Jul 15, 2013Referred to the Subcommittee on the Constitution and Civil Justice.
  2. Jul 8, 2013Referred to the Subcommittee on Workforce Protections.
  3. Jun 20, 2013Referred to the Subcommittee Indian and Alaska Native Affairs.
  4. Jun 7, 2013Referred to the Subcommittee on Health.
  5. Jun 6, 2013Introduced in House

In the Congressional Record 5

Days the Record’s own index lists this bill, newest first, with the pages and the members it names. Pages starting H are the House, S the Senate, E Extensions of Remarks.

WhereIn the RecordMembersDate
HouseDebate and remarks H2011, H2013Scott R. Tipton R-CO, Tim Walberg R-MIFeb 27, 2014
HouseDebate and remarks H1585Phil Gingrey R-GAFeb 4, 2014
HouseDebate and remarks H7437Larry Bucshon R-INDec 3, 2013
HouseDebate and remarks H7082Keith J. Rothfus R-PANov 14, 2013
HouseDebate and remarks H5371Tom Price R-GAAug 2, 2013

Research

What has been written about this bill: committee reports, cost estimates, the sponsor’s authority statement, printed hearings and the Congressional Research Service’s work.

Constitutional authority

Congress has the power to enact this legislation pursuant to the following: Consistent with the original understanding of the commerce clause, the authority to enact this legislation is found in Clause 3 of Section 8, Article 1 of the Constitution. The bill repeals the Patient Protection and Affordable Care Act, which exceeds the authority vested in Congress by the Constitution. Finally, the bill removed government intrusion into the doctor-patient relationship, which is protected by the Ninth and Tenth Amendments to the Constitution.

The sponsor’s statement, as printed in the page H3252.

Printed hearings 5

Hearings whose printed record names this bill, newest first: hearings on it, and wider hearings where it came up.

NumberHearingCommitteeHeld
—THE CHALLENGES OF THE AFFORDABLE CARE ACT76 pagesWays and Means CommitteeDec 4, 2013
—THE STATUS OF THE AFFORDABLE CARE ACT IMPLEMENTATION92 pagesWays and Means CommitteeAug 1, 2013
Serial No. 113-28THE EMPLOYER MANDATE: EXAMINING THE DELAY AND ITS EFFECT ON WORKPLACES161 pagesEducation and Workforce CommitteeJul 23, 2013
—THE DELAY OF THE EMPLOYER MANDATE94 pagesWays and Means CommitteeJul 10, 2013
—THE 2013 MEDICARE TRUSTEES REPORT60 pagesWays and Means CommitteeJun 20, 2013

Related bills 5

Companion bills and other measures the record links to this one.

BillTitleRelationshipLatest action
S 236Medicare Patient Empowerment ActRelated billFeb 7, 2013
HR 762Health Care Choice Act of 2013Related billApr 23, 2013
HR 1310Medicare Patient Empowerment Act of 2013Related billApr 10, 2013
S 1851Empowering Patients First Act of 2013Identical billDec 18, 2013
HR 4077Quality Health Care Coalition Act of 2014Related billMar 20, 2014

Titles 3

Every title it has carried, official and short, at each stage.

Official Title as Introduced
To provide for incentives to encourage health insurance coverage, and for other purposes.
Short Titles as Introduced
Empowering Patients First Act of 2013
Short Titles as Introduced for portions of this bill
Small Business Health Fairness Act of 2013

Subjects

Assigned by the Library of Congress. Policy area: Health.

Text 1

Each version as it was printed, newest first.

  1. Jun 6, 2013Introduced in House

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Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.