HR 5184 IH
106th CONGRESS
2d Session
H. R. 5184
To amend the Internal Revenue Code of 1986 to provide tax incentives
to encourage small business health plans, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
September 14, 2000
Mr. MOORE (for himself, Mr. STENHOLM, Mr. BERRY, Mr. TANNER, Mr. MINGE, Mr.
SANDLIN, Mr. PHELPS, Mrs. TAUSCHER, Mr. SISISKY, Mr. HOLDEN, Mr. TAYLOR of
Mississippi, Ms. DANNER, Ms. SANCHEZ, Mr. THOMPSON of California, Mr. BOYD, and
Mr. LUCAS of Kentucky) introduced the following bill; which was referred to the
Committee on Ways and Means, and in addition to the Committee on Commerce, 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
A BILL
To amend the Internal Revenue Code of 1986 to provide tax incentives
to encourage small business health plans, and for other purposes.
Be it enacted by the Senate and House of Representatives of the United
States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the `Small Business Health Insurance Expansion
Act of 2000'.
SEC. 2. DEDUCTION FOR 100 PERCENT OF HEALTH INSURANCE COSTS OF SELF-EMPLOYED
INDIVIDUALS.
(a) IN GENERAL- Paragraph (1) of section 162(l) is amended to read as
follows:
`(1) ALLOWANCE OF DEDUCTION- In the case of an individual who is an
employee within the meaning of section 401(c)(1), there shall be allowed as
a deduction under this section an amount equal to 100 percent of the amount
paid during the taxable year for insurance which constitutes medical care
for the taxpayer and the taxpayer's spouse and dependents.'.
(b) EFFECTIVE DATE- The amendment made by this section shall apply to
taxable years beginning after December 31, 2000.
SEC. 3. CREDIT FOR HEALTH INSURANCE EXPENSES OF SMALL BUSINESSES.
(a) IN GENERAL- Subpart D of part IV of subchapter A of chapter 1 of the
Internal Revenue Code of 1986 (relating to business-related credits) is
amended by adding at the end the following:
`SEC. 45D. SMALL BUSINESS HEALTH INSURANCE EXPENSES.
`(a) GENERAL RULE- For purposes of section 38, in the case of a small
employer, the health insurance credit determined under this section for the
taxable year is an amount equal to the applicable percentage of the expenses
paid by the taxpayer during the taxable year for health insurance coverage for
such year provided under a new health plan for employees of such employer.
`(b) APPLICABLE PERCENTAGE- For purposes of subsection (a), the applicable
percentage is--
`(1) in the case of insurance purchased as a member of a qualified
health benefit purchasing coalition (as defined in section 9841), 30
percent, and
`(2) in the case of insurance not described in paragraph (1), 20
percent.
`(1) PER EMPLOYEE DOLLAR LIMITATION- The amount of expenses taken into
account under subsection (a) with respect to any employee for any taxable
year shall not exceed--
`(A) $2,000 in the case of self-only coverage, and
`(B) $5,000 in the case of family coverage.
In the case of an employee who is covered by a new health plan of the
employer for only a portion of such taxable year, the limitation under the
preceding sentence shall be an amount which bears the same ratio to such
limitation (determined without regard to this sentence) as such portion
bears to the entire taxable year.
`(2) PERIOD OF COVERAGE- Expenses may be taken into account under
subsection (a) only with respect to coverage for the 4-year period beginning
on the date the employer establishes a new health plan.
`(d) DEFINITIONS- For purposes of this section--
`(1) HEALTH INSURANCE COVERAGE- The term `health insurance coverage' has
the meaning given such term by section 9832(b)(1).
`(A) IN GENERAL- The term `new health plan' means any arrangement of
the employer which provides health insurance coverage to employees
if--
`(i) such employer (and any predecessor employer) did not establish
or maintain such arrangement (or any similar arrangement) at any time
during the 2 taxable years ending prior to the taxable year in which the
credit under this section is first allowed, and
`(ii) such arrangement provides health insurance coverage to at
least 70 percent of the qualified employees of such
employer.
`(i) IN GENERAL- The term `qualified employee' means any employee of
an employer if the annual rate of such employee's compensation (as
defined in section 414(s)) exceeds $10,000.
`(ii) TREATMENT OF CERTAIN EMPLOYEES- The term `employee' shall
include a leased employee within the meaning of section
414(n).
`(3) SMALL EMPLOYER- The term `small employer' has the meaning given to
such term by section 4980D(d)(2); except that only qualified employees shall
be taken into account.
`(1) CERTAIN RULES MADE APPLICABLE- For purposes of this section, rules
similar to the rules of section 52 shall apply.
`(2) AMOUNTS PAID UNDER SALARY REDUCTION ARRANGEMENTS- No amount paid or
incurred pursuant to a salary reduction arrangement shall be taken into
account under subsection (a).
`(f) TERMINATION- This section shall not apply to expenses paid or
incurred by an employer with respect to any arrangement established on or
after January 1, 2009.'.
(b) CREDIT TO BE PART OF GENERAL BUSINESS CREDIT- Section 38(b) of such
Code (relating to current year business credit) is amended by striking `plus'
at the end of paragraph (11), by striking the period at the end of paragraph
(12) and inserting `, plus', and by adding at the end the following:
`(13) in the case of a small employer (as defined in section 45D(d)(3)),
the health insurance credit determined under section 45D(a).'
(c) NO CARRYBACKS- Subsection (d) of section 39 of such Code (relating to
carryback and carryforward of unused credits) is amended by adding at the end
the following:
`(9) NO CARRYBACK OF SECTION 45D CREDIT BEFORE EFFECTIVE DATE- No
portion of the unused business credit for any taxable year which is
attributable to the employee health insurance expenses credit determined
under section 45D may be carried back to a taxable year ending before the
date of the enactment of section 45D.'
(d) DENIAL OF DOUBLE BENEFIT- Section 280C of such Code is amended by
adding at the end the following new subsection:
`(d) CREDIT FOR SMALL BUSINESS HEALTH INSURANCE EXPENSES-
`(1) IN GENERAL- No deduction shall be allowed for that portion of the
expenses (otherwise allowable as a deduction) taken into account in
determining the credit under section 45D for the taxable year which is equal
to the amount of the credit determined for such taxable year under section
45D(a).
`(2) CONTROLLED GROUPS- Persons treated as a single employer under
subsection (a) or (b) of section 52 shall be treated as 1 person for
purposes of this section.'
(e) CLERICAL AMENDMENT- The table of sections for subpart D of part IV of
subchapter A of chapter 1 of such Code is amended by adding at the end the
following:
`Sec. 45D. Small business health insurance expenses.'
(f) EFFECTIVE DATE- The amendments made by this section shall apply to
amounts paid or incurred in taxable years beginning after December 31, 2000,
for arrangements established after the date of the enactment of this Act.
SEC. 4. CERTAIN GRANTS BY PRIVATE FOUNDATIONS TO QUALIFIED HEALTH BENEFIT
PURCHASING COALITIONS.
(a) IN GENERAL- Section 4942 of the Internal Revenue Code of 1986
(relating to taxes on failure to distribute income) is amended by adding at
the end the following:
`(k) CERTAIN QUALIFIED HEALTH BENEFIT PURCHASING COALITION
DISTRIBUTIONS-
`(1) IN GENERAL- For purposes of subsection (g), sections 170, 501, 507,
509, and 2522, and this chapter, a qualified health benefit purchasing
coalition distribution by a private foundation shall be considered to be a
distribution for a charitable purpose.
`(2) QUALIFIED HEALTH BENEFIT PURCHASING COALITION DISTRIBUTION- For
purposes of paragraph (1)--
`(A) IN GENERAL- The term `qualified health benefit purchasing
coalition distribution' means any amount paid or incurred by a private
foundation to or on behalf of a qualified health benefit purchasing
coalition (as defined in section 9841) for purposes of payment or
reimbursement of amounts paid or incurred in connection with the
establishment and maintenance of such coalition.
`(B) EXCLUSIONS- Such term shall not include any amount used by a
qualified health benefit purchasing coalition (as so defined)--
`(i) for the purchase of real property,
`(ii) as payment to, or for the benefit of, members (or employees or
affiliates of such members) of such coalition, or
`(iii) for any expense paid or incurred more than 48 months after
the date of establishment of such coalition.
`(3) TERMINATION- This subsection shall not apply--
`(A) to qualified health benefit purchasing coalition distributions
paid or incurred after December 31, 2008, and
`(B) with respect to start-up costs of a coalition which are paid or
incurred after December 31, 2010.'.
(b) QUALIFIED HEALTH BENEFIT PURCHASING COALITION-
(1) IN GENERAL- Chapter 100 of such Code (relating to group health plan
requirements) is amended by adding at the end the following new
subchapter:
`Subchapter D--Qualified Health Benefit Purchasing Coalition
`Sec. 9841. Qualified health benefit purchasing coalition.
`SEC. 9841. QUALIFIED HEALTH BENEFIT PURCHASING COALITION.
`(a) IN GENERAL- A qualified health benefit purchasing coalition is a
private not-for-profit corporation which--
`(1) sells health insurance through State licensed health insurance
issuers in the State in which the employers to which such coalition is
providing insurance are located, and
`(2) establishes to the Secretary, under State certification procedures
or other procedures as the Secretary may provide by regulation, that such
coalition meets the requirements of this section.
`(1) IN GENERAL- Each purchasing coalition under this section shall be
governed by a Board of Directors.
`(2) ELECTION- The Secretary shall establish procedures governing
election of such Board.
`(3) MEMBERSHIP- The Board of Directors shall--
`(A) be composed of representatives of the members of the coalition,
in equal number, including small employers and employee representatives of
such employers, but
`(B) not include other interested parties, such as service providers,
health insurers, or insurance agents or brokers which may have a conflict
of interest with the purposes of the coalition.
`(c) MEMBERSHIP OF COALITION-
`(1) IN GENERAL- A purchasing coalition shall accept all small employers
residing within the area served by the coalition as members if such
employers request such membership.
`(2) OTHER MEMBERS- The coalition, at the discretion of its Board of
Directors, may be open to individuals and large employers.
`(3) VOTING- Members of a purchasing coalition shall have voting rights
consistent with the rules established by the State.
`(d) DUTIES OF PURCHASING COALITIONS- Each purchasing coalition shall--
`(1) enter into agreements with small employers (and, at the discretion
of its Board, with individuals and other employers) to provide health
insurance benefits to employees and retirees of such employers,
`(2) where feasible, enter into agreements with 3 or more unaffiliated,
qualified licensed health plans, to offer benefits to members,
`(3) offer to members at least 1 open enrollment period of at least 30
days per calendar year,
`(4) serve a significant geographical area and market to all eligible
members in that area, and
`(5) carry out other functions provided for under this section.
`(e) LIMITATION ON ACTIVITIES- A purchasing coalition shall not--
`(1) perform any activity (including certification or enforcement)
relating to compliance or licensing of health plans,
`(2) assume insurance or financial risk in relation to any health plan,
or
`(3) perform other activities identified by the State as being
inconsistent with the performance of its duties under this section.
`(f) ADDITIONAL REQUIREMENTS FOR PURCHASING COALITIONS- As provided by the
Secretary in regulations, a purchasing coalition shall be subject to
requirements similar to the requirements of a group health plan under this
chapter.
`(g) RELATION TO OTHER LAWS-
`(1) PREEMPTION OF STATE FICTITIOUS GROUP LAWS- Requirements (commonly
referred to as fictitious group laws) relating to grouping and similar
requirements for health insurance coverage are preempted to the extent such
requirements impede the establishment and operation of qualified health
benefit purchasing coalitions.
`(2) ALLOWING SAVINGS TO BE PASSED THROUGH- Any State law that prohibits
health insurance issuers from reducing premiums on health insurance coverage
sold through a qualified health benefit purchasing coalition to reflect
administrative savings is preempted. This paragraph shall not be construed
to preempt State laws that impose restrictions on premiums based on health
status, claims history, industry, age, gender, or other underwriting
factors.
`(3) NO WAIVER OF HIPAA REQUIREMENTS- Nothing in this section shall be
construed to change the obligation of health insurance issuers to comply
with the requirements of title XXVII of the Public Health Service Act with
respect to health insurance coverage offered to small employers in the small
group market through a qualified health benefit purchasing coalition.
`(h) DEFINITION OF SMALL EMPLOYER- For purposes of this section--
`(1) IN GENERAL- The term `small employer' means, with respect to any
calendar year, any employer if such employer employed an average of at least
2 and not more than 50 qualified employees on business days during either of
the 2 preceding calendar years. For purposes of the preceding sentence, a
preceding calendar year may be taken into account only if the employer was
in existence throughout such year.
`(2) EMPLOYERS NOT IN EXISTENCE IN PRECEDING YEAR- In the case of an
employer which was not in existence throughout the 1st preceding calendar
year, the determination under paragraph (1) shall be based on the average
number of qualified employees that it is reasonably expected such employer
will employ on business days in the current calendar year.'.
(2) CONFORMING AMENDMENT- The table of subchapters for chapter 100 of
such Code is amended by adding at the end the following item:
`Subchapter D. Qualified health benefit purchasing coalition.'.
(c) EFFECTIVE DATE- The amendment made by subsection (a) shall apply to
taxable years beginning after December 31, 2000.
SEC. 5. STATE GRANT PROGRAM FOR MARKET INNOVATION.
(a) IN GENERAL- The Secretary of Health and Human Services (in this
section referred to as the `Secretary') shall establish a program (in this
section referred to as the `program') to award demonstration grants under this
section to States to allow States to demonstrate the effectiveness of
innovative ways to increase access to health insurance through market reforms
and other innovative means. Such innovative means may include (and are not
limited to) any of the following:
(1) Alternative group purchasing or pooling arrangements, such as a
purchasing cooperatives for small businesses, reinsurance pools, or high
risk pools.
(2) Individual or small group market reforms.
(3) Consumer education and outreach.
(4) Subsidies to individuals, employers, or both, in obtaining health
insurance.
(b) SCOPE; DURATION- The program shall be limited to not more than 10
States and to a total period of 5 years, beginning on the date the first
demonstration grant is made.
(c) CONDITIONS FOR DEMONSTRATION GRANTS-
(1) IN GENERAL- The Secretary may not provide for a demonstration grant
to a State under the program unless the Secretary finds that under the
proposed demonstration grant--
(A) the State will provide for demonstrated increase of access for
some portion of the existing uninsured population through a market
innovation (other than merely through a financial expansion of a program
initiated before the date of the enactment of this Act);
(B) the State will comply with applicable Federal laws;
(C) the State will not discriminate among participants on the basis of
any health status-related factor (as defined in section 2791(d)(9) of the
Public Health Service Act), except to the extent a State wishes to focus
on populations that otherwise would not obtain health insurance because of
such factors; and
(D) the State will provide for such evaluation, in coordination with
the evaluation required under subsection (d), as the Secretary may
specify.
(2) APPLICATION- The Secretary shall not provide a demonstration grant
under the program to a State unless--
(A) the State submits to the Secretary such an application, in such a
form and manner, as the Secretary specifies;
(B) the application includes information regarding how the
demonstration grant will address issues such as governance, targeted
population, expected cost, and the continuation after the completion of
the demonstration grant period; and
(B) the Secretary determines that the demonstration grant will be used
consistent with this section.
(3) FOCUS- A demonstration grant proposal under section need not cover
all uninsured individuals in a State or all health care benefits with
respect to such individuals.
(d) EVALUATION- The Secretary shall enter into a contract with an
appropriate entity outside the Department of Health and Human Services to
conduct an overall evaluation of the program at the end of the program period.
Such evaluation shall include an analysis of improvements in access, costs,
quality of care, or choice of coverage, under different demonstration
grants.
(e) OPTION TO PROVIDE FOR INITIAL PLANNING GRANTS- Notwithstanding the
previous provisions of this section, under the program the Secretary may
provide for a portion of the amounts appropriated under subsection (f) (not to
exceed $5,000,000) to be made available to any State for initial planning
grants to permit States to develop demonstration grant proposals under the
previous provisions of this section.
(f) AUTHORIZATION OF APPROPRIATIONS- There are authorized to be
appropriated $100,000,000 for each fiscal year to carry out this section.
Amounts appropriated under this subsection shall remain available until
expended.
(g) STATE DEFINED- For purposes of this section, the term `State' has the
meaning given such term for purposes of title XIX of the Social Security
Act.
END