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Titles Actions Overview All Actions Cosponsors Committees Related Bills Subjects Latest Summary All Summaries

Titles (2)

Short Titles

Short Titles - House of Representatives

Short Title(s) as Introduced

State Health Care Premium Reduction Act of 2021

Official Titles

Official Titles - House of Representatives

Official Title as Introduced

To amend the Patient Protection and Affordable Care Act to establish a health insurance affordability fund, and for other purposes.


Actions Overview (1)

Date Actions Overview
03/12/2021Introduced in House

All Actions (3)

Date All Actions
03/16/2021Referred to the Subcommittee on Health.
Action By: Committee on Energy and Commerce
03/12/2021Referred to the House Committee on Energy and Commerce.
Action By: House of Representatives
03/12/2021Introduced in House
Action By: House of Representatives

Cosponsors (9)


Committees (1)

Committees, subcommittees and links to reports associated with this bill are listed here, as well as the nature and date of committee activity and Congressional report number.

Committee / Subcommittee Date Activity Related Documents
House Energy and Commerce03/12/2021 Referred to
House Energy and Commerce Subcommittee on Health03/16/2021 Referred to

A related bill may be a companion measure, an identical bill, a procedurally-related measure, or one with text similarities. Bill relationships are identified by the House, the Senate, or CRS, and refer only to same-congress measures.


Subjects (1)


Latest Summary (1)

There is one summary for H.R.1878. View summaries

Shown Here:
Introduced in House (03/12/2021)

State Health Care Premium Reduction Act of 2021

This bill establishes and provides funding for the Improve Health Insurance Affordability Fund. States must use allocated funds to (1) issue reinsurance payments to health insurers (i.e., reimbursements to protect insurers against exceedingly high claims) for individual health insurance coverage, or (2) provide other assistance to reduce out-of-pocket costs (e.g., copayments, coinsurance, and deductibles) for qualified health plans offered in the individual market through an exchange.

Reinsurance payments using such funds may not be applied to (1) grandfathered health plans in place on March 23, 2010, (2) non-grandfathered transitional plans meeting specified requirements identified by the Centers for Medicare & Medicaid Services (CMS), or (3) student health insurance plans provided by institutions of higher education.

The bill appropriates $10 billion per year for the fund, which the CMS must distribute to states in accordance with a specified methodology based on the estimated amount of reinsurance payments for individuals in a state during the given year, subject to specified deductions. Additionally, states must submit applications explaining how they will use such funds. In the event that a state does not submit an application, the bill directs the CMS to allocate the calculated funding amount to reinsurance programs in that state.