H.R. 3799 · 118th Congress

Puts association health plans and other employer coverage options into federal law

Official title: CHOICE Arrangement Act1

Did not become lawHealth insurance system

§1What it does

Why this matters: A plain-English description of the bill as it was voted on, written by us from the official summary and text.

Drafted by AI from the public sources cited. Each sentence links to its source.

The version of this bill that passed the House combined the original measure, on employer health reimbursement arrangements, with several other bills that write into federal law alternatives to traditional employer group health plans.2,3 It would let association health plans, through which groups of small employers or individuals buy coverage together, be treated as a single large employer under federal benefits law if they meet set conditions, and would put into law 2019 rules that let employers reimburse workers tax-free, up to a set limit, for medical costs when the workers have their own individual health insurance.3 It would also specify that stop-loss insurance, which self-insured employers buy to cover unusually large medical claims, is not health insurance under federal benefits law, and that state laws preventing employers from buying it do not apply.3 The bill would also direct the IRS to tell employers, especially small businesses in rural areas, about these reimbursement arrangements, a similar arrangement for employers with fewer than 50 full-time workers, and the small business health care tax credit, and would cut fiscal year 2024 funding for the Prevention and Public Health Fund.3

§2Status

StatusLatest action, June 21, 2023: Motion to reconsider laid on the table Agreed to without objection.1
IntroducedJune 5, 2023
SponsorRep. Hern, Kevin [R-OK-1]
Cosponsors1 cosponsor (1 Republican)
Official recordH.R. 3799 on Congress.gov

§3How Congress voted

Why this matters: The official count.

House, June 21, 2023

On Passage: Passed — 220 yes, 209 no, 5 not voting.4