Protecting Americans with Preexisting Conditions Act of 2019
This bill nullifies the Department of the Treasury and the Department of Health and Human Services guidance titled "State Relief and Empowerment Waivers," published on October 24, 2018. The guidance pertains to Section 1332 waivers (also known as State Innovation Waivers or State Relief and Empowerment Waivers), which allow states to forego certain requirements of the Patient Protection and Affordable Care Act in order to implement experimental plans for health care coverage, as long as the resulting coverage meets certain statutory criteria.
The guidance, which supersedes earlier guidance from 2015, alters agency interpretation of how states may satisfy the statutory criteria for waiver approval. For example, the guidance (1) redefines acceptable coverage under such waivers to include short-term, limited-duration insurance and association health plans; (2) allows the comprehensiveness and affordability of coverage under such waivers to be assessed based on projected availability, rather than enrollment; and (3) allows the level of coverage to be assessed based on the effects over the entire course of the waiver, rather than per year.
| Action Date | Type | Text | Source |
|---|---|---|---|
| 2019-05-15 | Calendars | Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 90. | Senate |
| 2019-05-14 | Calendars | Received in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time. | Senate |
| 2019-05-09 | Floor | Motion to reconsider laid on the table Agreed to without objection. | House floor actions |
| 2019-05-09 | Vote | On passage Passed by recorded vote: 230 - 183, 1 Present (Roll no. 196). | House floor actions |
| 2019-05-09 | Vote | On motion to recommit with instructions Failed by recorded vote: 182 - 231 (Roll no. 195). | House floor actions |
| 2019-05-09 | Floor | The previous question on the motion to recommit with instructions was ordered without objection. | House floor actions |
| 2019-05-09 | Floor | DEBATE - The House proceeded with 10 minutes of debate on the Walden motion to recommit with instructions. The instructions contained in the motion seek to require the bill to be reported back to the House with an amendment to prohibit the Secretary of HHS to waive protections for individuals with preexisting conditions, including guaranteed availablity and renewability of health insurance, the prohibition on using health status to vary premiums, and the prohibition on preexisting conditions exclusions. | House floor actions |
| 2019-05-09 | Floor | Mr. Walden moved to recommit with instructions to the Committee on Energy and Commerce. (text: CR H3548) | House floor actions |
| 2019-05-09 | Floor | The previous question was ordered pursuant to the rule. | House floor actions |
| 2019-05-09 | Floor | The House rose from the Committee of the Whole House on the state of the Union to report H.R. 986. | House floor actions |
| 2019-05-09 | Floor | POSTPONED PROCEEDINGS - At the conclusion of debate on the Wild amendment, the Chair put the question on the amendment and by voice vote, announced that the ayes had prevailed. Ms. Wild demanded a recorded vote and the Chair postponed further proceedings on agreeing to the amendment until a time to be announced. | House floor actions |
| 2019-05-09 | Floor | DEBATE - Pursuant to the provisions of H. Res. 357, the Committee of the Whole proceeded with 10 minutes of debate on the Wild amendment No. 12. | House floor actions |
| 2019-05-09 | Floor | POSTPONED PROCEEDINGS - At the conclusion of debate on the Malinowski amendment, the Chair put the question on the amendment and by voice vote, announced that the ayes had prevailed. Mr. Malinowski demanded a recorded vote and the Chair postponed further proceedings on agreeing to the amendment until a time to be announced. | House floor actions |
| 2019-05-09 | Floor | DEBATE - Pursuant to the provisions of H. Res. 357, the Committee of the Whole proceeded with 10 minutes of debate on the Malinowski amendment No. 11. | House floor actions |
| 2019-05-09 | Floor | DEBATE - Pursuant to the provisions of H. Res. 357, the Committee of the Whole proceeded with 10 minutes of debate on the Rouda amendment No. 10. | House floor actions |
| 2019-05-09 | Floor | DEBATE - Pursuant to the provisions of H. Res. 357, the Committee of the Whole proceeded with 10 minutes of debate on the Pappas amendment No. 9. | House floor actions |
| 2019-05-09 | Floor | DEBATE - Pursuant to the provisions of H. Res. 357, the Committee of the Whole proceeded with 10 minutes of debate on the Porter amendment No. 8. | House floor actions |
| 2019-05-09 | Floor | POSTPONED PROCEEDINGS - At the conclusion of debate on the Holding amendment No. 7, the Chair put the question on the amendment and by voice vote, announced that the noes had prevailed. Mr. Pallone demanded a recorded vote and the Chair postponed further proceedings on agreeing to the amendment until a time to be announced. | House floor actions |
| 2019-05-09 | Floor | DEBATE - Pursuant to the provisions of H. Res. 357, the Committee of the Whole proceeded with 10 minutes of debate on the Holding amendment No. 7. | House floor actions |
| 2019-05-09 | Floor | DEBATE - Pursuant to the provisions of H. Res. 357, the Committee of the Whole proceeded with 10 minutes of debate on the Walden amendment No. 5. | House floor actions |
| 2019-05-09 | Floor | DEBATE - Pursuant to the provisions of H. Res. 357, the Committee of the Whole proceeded with 10 minutes of debate on the Harder amendment No. 4. | House floor actions |
| 2019-05-09 | Floor | DEBATE - Pursuant to the provisions of H. Res. 357, the Committee of the Whole proceeded with 10 minutes of debate on the Pressley amendment No. 3. | House floor actions |
| 2019-05-09 | Floor | POSTPONED PROCEEDINGS - At the conclusion of debate on the Brown (MD) amendment, the Chair put the question on the amendment and by voice vote, announced that the ayes had prevailed. Mr. Brown (MD) demanded a recorded vote and the Chair postponed further proceedings on agreeing to the amendment until a time to be announced. | House floor actions |
| 2019-05-09 | Floor | DEBATE - Pursuant to the provisions of H. Res. 357, the Committee of the Whole proceeded with 10 minutes of debate on the Brown (MD) amendment No. 2. | House floor actions |
| 2019-05-09 | Floor | DEBATE - Pursuant to the provisions of H. Res. 357, the Committee of the Whole proceeded with 10 minutes of debate on the Langevin amendment No. 1. | House floor actions |
| 2019-05-09 | Floor | GENERAL DEBATE - The Committee of the Whole proceeded with one hour of general debate on H.R. 986. | House floor actions |
| 2019-05-09 | Floor | House resolved itself into the Committee of the Whole House on the state of the Union pursuant to H. Res. 357 and Rule XVIII. | House floor actions |
| 2019-05-09 | Floor | The Speaker designated the Honorable Jesus G. "Chuy" Garcia to act as Chairman of the Committee. | House floor actions |
| 2019-05-09 | Floor | Rule provides for consideration of H.R. 986 and H.R. 2157. Specified amendments are in order. Provides for consideration of H.R. 986 and H.R. 2157 both under structured rules. One hour of general debate provided for each measure. | House floor actions |
| 2019-05-09 | Floor | Considered under the provisions of rule H. Res. 357. (consideration: CR H3519-3550) | House floor actions |
| 2019-05-07 | Floor | Rules Committee Resolution H. Res. 357 Reported to House. Rule provides for consideration of H.R. 986 and H.R. 2157. Specified amendments are in order. Provides for consideration of H.R. 986 and H.R. 2157 both under structured rules. One hour of general debate provided for each measure. | House floor actions |
| 2019-04-30 | Calendars | Placed on the Union Calendar, Calendar No. 22. | House floor actions |
| 2019-04-30 | Discharge | Committee on Ways and Means discharged. | House floor actions |
| 2019-04-30 | Committee | Reported by the Committee on Energy and Commerce. H. Rept. 116-44, Part I. | House floor actions |
| 2019-04-03 | Committee | Ordered to be Reported by Voice Vote. | House committee actions |
| 2019-04-03 | Committee | Committee Consideration and Mark-up Session Held. | House committee actions |
| 2019-03-27 | Committee | Forwarded by Subcommittee to Full Committee by the Yeas and Nays: 19 - 13 . | House committee actions |
| 2019-03-27 | Committee | Subcommittee Consideration and Mark-up Session Held. | House committee actions |
| 2019-02-07 | Committee | Referred to the Subcommittee on Health. | House committee actions |
| 2019-02-06 | Committee | Referred to the Subcommittee on Health. | House committee actions |
| 2019-02-06 | IntroReferral | Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. | House floor actions |
| 2019-02-06 | IntroReferral | Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. | House floor actions |
| 2019-02-06 | IntroReferral | Introduced in House | Library of Congress |