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![Official portrait of Rep. Himes, James A. [D-CT-4]](https://www.congress.gov/img/member/h001047_200.jpg)
United States · Official source
2,658 records where Rep. Himes, James A. [D-CT-4] is listed as a sponsor, author, or other actor. Search with topics and years
United States · United States Congress · 14 March 2019
This resolution condemns all forms of violence against children and urges the United States to implement a comprehensive strategy to combat child abuse globally.
United States · United States Congress · 14 March 2019
Partner with Korea Act This bill creates an E-4 treaty trader visa category for up to 15,000 nationals of South Korea each fiscal year who are coming to the United States solely to perform specialty occupation services, subject to various requirements. The 15,000 limit shall only apply to principal aliens and not the spouses or children of such aliens. A specialty occupation is one that requires the theoretical and practical application of highly specialized knowledge and a bachelor's degree or higher.
United States · United States Congress · 14 March 2019
This resolution expresses the sense that federal funds shall not be used to train or arm school personnel with firearms.
United States · United States Congress · 14 March 2019
This resolution recognizes Nowruz (the Iranian New Year) and expresses support for Iranian Americans.
United States · United States Congress · 14 March 2019
This bill repeals the limitation on the amount of distilled spirits excise taxes covered over (paid) to the treasuries of the Virgin Islands and Puerto Rico. The bill also requires the Department of the Treasury to transfer a portion of the amount required to be covered over to Puerto Rico to the Puerto Rico Conservation Trust Fund.
United States · United States Congress · 14 March 2019
Healthy Families Act This bill provides for paid and unpaid sick leave for employees to meet their own medical needs and those of their families. It requires employers with 15 or more employees to provide their employees with at least one hour of earned paid sick leave for every 30 hours worked, up to a maximum of 56 hours of paid sick leave in a year. An employer with fewer than 15 employees may also provide the same amount of paid sick leave, but may opt out of such requirement, in which case such employer must provide its employees at least 56 hours of unpaid leave in a year. An employee may use sick leave for absences (1) resulting from a physical or mental illness, injury or medical condition; (2) resulting from obtaining professional medical diagnosis or care, or preventive medical care; (3) to care for a child, parent, spouse, a domestic partner, or other blood or close relative; and (4) resulting from domestic violence, sexual assault, or stalking. The bill makes it unlawful for any employer to interfere with, restrain, or deny the exercise of an employee's right to accrue sick leave as provided by this bill. An employee may take legal action to enforce the right to sick leave granted by this bill and the Department of Labor must investigate complaints of violations of the requirements of this bill. Labor is authorized to conduct a public awareness campaign to educate and inform the public of the requirements for paid sick leave provided by this bill.
United States · United States Congress · 14 March 2019
College Transparency Act This bill requires the National Center for Education Statistics to establish a secure and privacy-protected data system that contains information about postsecondary students. Specifically, the data system must evaluate student enrollment patterns, progression, completion, and postcollegiate outcomes, and higher education costs and financial aid; provide complete and customizable information for students and families making decisions about postsecondary education; reduce the requirements for reporting by institutions of higher education; and periodically match with other federal systems of data. The bill also establishes a postsecondary student data system advisory committee.
United States · United States Congress · 14 March 2019
This resolution expresses support for the designation of Pi Day.
United States · United States Congress · 13 March 2019
Cybersecurity Disclosure Act of 2019 This bill directs the Securities and Exchange Commission to issue final rules requiring a registered issuer to disclose in its mandatory annual report or annual proxy statement whether any member of its governing body has expertise or experience in cybersecurity; and if no member has such expertise or experience, describe what other company cybersecurity aspects were taken into account by the persons responsible for identifying and evaluating nominees for the governing body.
United States · United States Congress · 13 March 2019
Scientific Integrity Act This bill revises provisions regarding the release of scientific research results by federal agencies. The bill prohibits specified federal employees and contractors of an agency that funds, conducts, or oversees scientific research from engaging in scientific or research misconduct or manipulating communication of scientific or technical findings. A covered individual may disseminate scientific or technical findings by (1) participating in scientific conferences; and (2) seeking publication through peer-reviewed, professional, or scholarly journals. The bill specifies the kinds of scientific community activities covered individuals may participate and engage in, including the reviewing of public statements and responding to media interview requests. Each covered agency must develop, adopt, and enforce a scientific integrity policy and also must submit it to the Office of Science and Technology Policy (OSTP) and Congress; appoint a Scientific Integrity Officer; and adopt and implement an administrative process and administrative appeal for dispute resolution and a training program that, among other things, provides regular scientific integrity and ethics training to employees and contractors. OSTP must collate, organize, and publicly share all information it receives under each scientific integrity policy on its website.
United States · United States Congress · 13 March 2019
This resolution recognizes the importance of alliances in advancing U.S. interests and urges the President to reaffirm the United States' commitment to alliances.
United States · United States Congress · 13 March 2019
This resolution reaffirms the United States' commitment to supporting democracy and human rights both domestically and internationally. The resolution also calls on the U.S. government to uphold all relevant international human rights agreements ratified by the United States.
United States · United States Congress · 13 March 2019
This resolution recognizes the roles that development and diplomacy play in advancing the national security objectives of the United States and expresses support for a substantial U.S. international affairs budget.
United States · United States Congress · 13 March 2019
Jaime's Law This bill establishes background check requirements for the sale and transfer of ammunition. Specifically, the bill prohibits a licensed importer, manufacturer, or dealer from transferring ammunition to an unlicensed individual prior to submitting a background check through the National Instant Criminal Background Check System. It also establishes penalties for violations. (Currently, background checks are required under these circumstances for the transfer of firearms, but not for ammunition.) Additionally, it prohibits an ammunition transfer between private parties (i.e., unlicensed individuals) unless a licensed importer, manufacturer, or dealer first takes possession of the ammunition to conduct a background check. However, this prohibition does not apply to certain ammunition transfers, such as a gift between spouses in good faith.
United States · United States Congress · 13 March 2019
Cancer Drug Parity Act of 2019 This bill requires health plans that cover anticancer medications administered by a health care provider to provide no less favorable cost sharing for patient-administered anticancer medications. This requirement applies to medications that are (1) approved by the Food and Drug Administration; (2) medically necessary for the cancer treatment; and (3) clinically appropriate in terms of type, frequency, extent site, and duration. To comply with this requirement, health plans may not, with respect to anticancer medications (1) change or replace benefits to increase out-of-pocket costs, (2) reclassify benefits to increase costs, or (3) apply more restrictive limitations to orally administered medications than to intravenously administered or injected medications.
United States · United States Congress · 13 March 2019
CHampioning Apprenticeships for New Careers and Employees in TECHnology Act or the CHANCE in TECH Act This bill requires the Department of Labor to enter into contracts with industry intermediaries to promote the development of and access to apprenticeships in the technology sector. The Department of Education (ED) may issue CHANCE in TECH Awards for 21st Century Schools to secondary schools or junior or community colleges that demonstrate high achievement in providing students necessary skills to compete in the 21st century workforce. In making an award, ED must consider the availability of science, technology, engineering, and mathematics (STEM), career and technical education, and computer technology courses at the schools.
United States · United States Congress · 13 March 2019
Veterans Healthcare Improvement Act This bill requires the Government Accountability Office to review and report on the budget requests for Department of Veterans Affairs medical care accounts in the President's submitted budgets for FY2020-FY2022. Medical care accounts are the following accounts of the Veterans Health Administration: Medical Services, Medical Support and Compliance, Medical Facilities, and Medical Community Care.
United States · United States Congress · 13 March 2019
Lonnie Kilpatrick Central Pacific Relief Act This bill provides a presumption of service-connection for diseases associated with exposure to certain herbicide agents to veterans who served on (1) Guam or American Samoa, or in the territorial waters thereof between January 9, 1962, and July 31, 1980; or (2) Johnston Atoll or a ship that went to Johnston Atoll between January 1, 1972, and September 30, 1977. Under a presumption of service-connection, specific diseases diagnosed in certain veterans are presumed to have been caused by the circumstances of their military service. Health care benefits and disability compensation may then be awarded. Additionally, the bill expands eligibility for hospital care, medical services, and nursing home care to veterans with a disability associated with exposure to certain herbicides during specified times of military service on Guam, American Samoa, or Johnston Atoll.
United States · United States Congress · 13 March 2019
Bank on Students Emergency Loan Refinancing Act This bill revises requirements concerning student loan debt. Specifically, the bill establishes a program that allows eligible individuals with federal or private student loans to refinance them down to the lower rates offered to new federal borrowers in the 2016-2017 school year under certain circumstances. In addition, the bill requires an individual taxpayer whose adjusted gross income exceeds $1 million to pay a minimum tax rate of 30% of the excess of the taxpayer's adjusted gross income over the taxpayer's modified charitable contribution deduction for the taxable year (commonly known as the tentative fair share tax).
United States · United States Congress · 13 March 2019
Equality Act This bill prohibits discrimination based on sex, sexual orientation, and gender identity in areas including public accommodations and facilities, education, federal funding, employment, housing, credit, and the jury system. Specifically, the bill defines and includes sex, sexual orientation, and gender identity among the prohibited categories of discrimination or segregation. The bill expands the definition of public accommodations to include places or establishments that provide (1) exhibitions, recreation, exercise, amusement, gatherings, or displays; (2) goods, services, or programs; and (3) transportation services. The bill allows the Department of Justice to intervene in equal protection actions in federal court on account of sexual orientation or gender identity. The bill prohibits an individual from being denied access to a shared facility, including a restroom, a locker room, and a dressing room, that is in accordance with the individual's gender identity.
United States · United States Congress · 12 March 2019
Native American Voting Rights Act of 2019 This bill modifies the voting rights of Native American and Alaska Native voters. Changes made by the bill include the following: expanding the types of facilities that can be used as voter registration agencies, increasing polling site accessibility, providing enforcement power to citizens and attorneys general, requiring approval for actions like moving a polling place, validating certain tribal identification for voting or registering, and expanding requirements for bilingual voting accessibility. The bill also establishes a Native American voting task force grant program for the purpose of increasing voter outreach, education, registration, turnout, and accessibility for Native American communities.
United States · United States Congress · 12 March 2019
Equal Access to Abortion Coverage in Health Insurance (EACH Woman) Act of 2019 This bill requires coverage for abortion care through public health insurance programs, including Medicaid, Medicare, and the Children’s Health Insurance Program, as well as insurance plans for federal employees. Further, abortion care must be available at federal, and federally supported, health care facilities to individuals eligible for services at such facilities. Additionally, the bill prohibits federal, state, or local governments from restricting coverage for abortion care available through private health insurance plans.
United States · United States Congress · 12 March 2019
Improving Access to Medicare Coverage Act of 2019 This bill deems an individual receiving outpatient observation services in a hospital as an inpatient for purposes of satisfying the three-day inpatient hospital-stay requirement with respect to Medicare coverage of skilled nursing facility services.
United States · United States Congress · 12 March 2019
Community Services Block Grant Reauthorization Act of 2019 This bill reauthorizes the Community Services Block Grant program through FY2028 and makes other changes to the program, including with respect to administration and leadership; performance measurement; and minimum and maximum allotments to states and territories.
United States · United States Congress · 12 March 2019
American Dream and Promise Act of 2019 This bill cancels and prohibits removal proceedings against certain aliens and provides such aliens with a path toward permanent resident status. The Department of Homeland Security (DHS) or the Department of Justice (DOJ) shall cancel removal proceedings against certain aliens who entered the United States as minors and grant such aliens conditional permanent residence status for 10 years. The bill imposes various qualification requirements, such as the alien being continuously physically present in the United States and being enrolled in or having completed certain educational programs. Aliens who were eligible for Deferred Action for Childhood Arrivals (DACA) status and not disqualified for renewal also qualify. DHS shall remove the conditional permanent resident status granted to such aliens, if the alien applies and meets certain requirements, such as completing certain programs at an educational institution or serving at least two years in the Uniformed Services and being discharged honorably. This bill also repeals a restriction that bars states from providing higher education benefits to undocumented aliens unless those benefits are available to all U.S. citizens. DHS or DOJ shall cancel removal proceedings against certain aliens who qualified for temporary protected status or Deferred Enforced Departure status on certain past dates (both statuses temporarily protect covered aliens from removal). For such aliens who apply, DHS shall grant permanent residence status. When DHS eliminates temporary protected status for nationals of a foreign country, it shall report to Congress its reasons for doing so.
United States · United States Congress · 11 March 2019
This resolution expresses support for (1) researching new interventions to prevent and treat malaria; and (2) sustained or enhanced efforts so that once malaria is eliminated in a country, it does not return.
United States · United States Congress · 8 March 2019
Helping Emergency Responders Overcome Act of 2019 or the HERO Act of 2019 This bill establishes a series of programs relating to the behavioral health of public-safety officers (e.g., law-enforcement officers, firefighters, ambulance crew members, and 9-1-1 operators). For example, the bill establishes (1) a public-safety officer suicide-reporting system at the Centers for Disease Control and Prevention, and (2) a grant program for peer-support behavioral health and wellness programs within fire departments and emergency medical services agencies.
United States · United States Congress · 8 March 2019
Save the Internet Act of 2019 This bill updates the regulatory framework for broadband access. Specifically, the bill repeals a 2017 order adopted by the Federal Communications Commission (FCC) that classifies broadband internet access service as an information service, therefore placing it under Federal Trade Commission authority. The order also expands the public transparency rules and preempts local and state laws that conflict with the regulatory framework. The bill restores a 2015 FCC order, which classifies both mobile and fixed broadband internet access services as telecommunications services, therefore placing the services under FCC authority. Additionally, the bill would create a general conduct standard and restore regulations, including those that prohibit blocking, throttling, and paid prioritization.
United States · United States Congress · 8 March 2019
Let Everyone Get Involved in Opportunities for National Service Act This bill authorizes The American Legion to expand membership eligibility to include veterans and service members who served during times that were not designated periods of war. Currently, only veterans and service members who served during periods of time specified by Congress are eligible to join The American Legion.
United States · United States Congress · 8 March 2019
Veteran Education Empowerment Act This bill requires the Department of Veterans Affairs to make grants to institutions of higher education (IHEs) or consortia of IHEs for the establishment, maintenance, improvement, and operation of veteran student centers. A veteran student center is a dedicated space on a campus that provides students who are veterans or members of the Armed Forces with (1) a lounge or meeting space for themselves, their spouses or partners, their children, and veterans in the community; (2) a centralized office for veteran student services that serves as a single point of contact to coordinate veterans support services; and (3) comprehensive academic and tutoring services to veterans.
United States · United States Congress · 7 March 2019
Commission on the Social Status of Black Men and Boys Act This bill establishes the Commission on the Social Status of Black Men and Boys within the U.S. Commission on Civil Rights Office of the Staff Director to make a systematic study of the conditions affecting black men and boys.
United States · United States Congress · 7 March 2019
This resolution expresses support for increased U.S. efforts to combat malnutrition among women and children and acknowledges the contributions of the U.S. Agency for International Development in addressing global nutritional needs.
United States · United States Congress · 7 March 2019
Secure and Fair Enforcement Banking Act of 2019 or the SAFE Banking Act of 2019 This bill generally prohibits a federal banking regulator from penalizing a depository institution for providing banking services to a legitimate marijuana-related business. Specifically, the bill prohibits a federal banking regulator from (1) terminating or limiting the deposit insurance or share insurance of a depository institution solely because the institution provides financial services to a legitimate marijuana-related business; (2) prohibiting or otherwise discouraging a depository institution from offering financial services to such a business; (3) recommending, incentivizing, or encouraging a depository institution not to offer financial services to an account holder solely because the account holder is affiliated with such a business; (4) taking any adverse or corrective supervisory action on a loan made to a person solely because the person either owns such a business or owns real estate or equipment leased or sold to such a business; or (5) penalizing a depository institution for processing or collecting payments for such a business. As specified by the bill, a depository institution shall not, under federal law, be liable or subject to forfeiture for providing a loan or other financial services to a legitimate marijuana-related business.
United States · United States Congress · 7 March 2019
Guatemala Rule of Law Accountability Act This bill directs the President to impose visa- and property-blocking sanctions on certain foreign persons that have engaged in corruption, money laundering, or other specified activities in Guatemala. Specifically, the sanctions shall apply to a current or former Guatemalan official, or a foreign person acting in cooperation with such an official, that knowingly (1) committed or facilitated acts of significant corruption, money laundering, or narcotics trafficking; (2) obstructed investigations into any of those acts; (3) misued equipment provided by the Department of State or Department of Defense to Guatemala's military or national police for the purpose of combating drug trafficking or securing Guatemala's border; or (4) disobeyed rulings of the Guatemalan Constitutional Court. The President shall report to Congress on the implementation of such sanctions. In agreements to transfer equipment to Guatemala's military or national police, the State Department shall include a provision allowing the United States to recover such equipment if it is used in a way that violates an end-use agreement.
United States · United States Congress · 7 March 2019
Violence Against Women Reauthorization Act of 2019 This bill modifies and reauthorizes through FY2024 programs and activities under the Violence Against Women Act that seek to prevent and respond to domestic violence, sexual assault, dating violence, and stalking. Among other things, the bill also authorizes new programs, makes changes to federal firearms laws, and establishes new protections to promote housing stability and economic security for victims of domestic violence, sexual assault, dating violence, and stalking.
United States · United States Congress · 7 March 2019
Kittens In Traumatic Testing Ends Now Act of 2019 or the KITTEN Act of 2019 This bill prohibits the Department of Agriculture from using cats in experiments that may cause pain or stress, unless the pain or stress is a result of a physical exam or training program.
United States · United States Congress · 7 March 2019
National Nurse Act of 2019 This bill requires the Department of Health and Human Services to designate the Chief Nurse Officer of the Public Health Service as the National Nurse for Public Health. The position includes the authority to (1) provide leadership and coordination of Public Health Service nursing professional affairs for the Office of the Surgeon General and other agencies of the Public Health Service, (2) conduct outreach and education, and (3) provide guidance and leadership for activities that will increase public safety and emergency preparedness. The National Nurse for Public Health must (1) participate in identification of national health priorities, (2) encourage volunteerism of nurses and strengthen the relationship between government agencies and health-related national organizations, and (3) promote the dissemination of evidence-based practice in educating the public on health promotion and disease prevention activities.
United States · United States Congress · 7 March 2019
21st Century STEM for Girls and Underrepresented Minorities Act This bill directs the Department of Education to make grants to local educational agencies to pay the costs of carrying out STEM (science, technology, engineering, and mathematics) education activities for girls and underrepresented minorities.
United States · United States Congress · 7 March 2019
Reproductive Rights are Human Rights Act of 2019 This bill directs the Department of State to include in its annual reports on human rights in countries receiving U.S. development and security assistance a discussion of the status of reproductive rights in each country, including whether a country has adopted and enforced policies to (1) promote access to contraception and accurate family planning information, (2) provide services to ensure safe and healthy pregnancy and childbirth, (3) expand or restrict access to safe abortion services, (4) prevent maternal deaths, and (5) prevent and treat sexually transmitted diseases. For each country, the reports shall also contain (1) data related to maternal deaths, and (2) a description of the nature and extent of discrimination and violence against women and girls in health care settings and the relevant government's response to such actions.
United States · United States Congress · 6 March 2019
Removing Barriers to Colorectal Cancer Screening Act of 2019 This bill waives Medicare coinsurance requirements with respect to colorectal cancer screening tests, regardless of the code billed for a resulting diagnosis or procedure.
United States · United States Congress · 6 March 2019
Botanical Sciences and Native Plant Materials Research, Restoration, and Promotion Act This bill directs the Bureau of Land Management (BLM), the U.S. Geological Survey, the U.S. Fish and Wildlife Service, the National Park Service, and other appropriate entities to support a program of intramural and extramural botanical science research to support the land management responsibilities of the Department of the Interior. Interior may hire additional personnel to augment its expertise in the botanical sciences. Interior's land management agencies and the Forest Service shall give preference to using locally adapted native plant materials when undertaking land management activities on lands under their respective jurisdictions. Specified federal agencies shall collaborate regarding land use responsibility when undertaking specified activities, including the development of genetically appropriate seed, related to native plant materials. The bill authorizes the BLM to undertake specified activities for the development and use of native plant materials, including the protection of rare plants on public lands. The National Fish and Wildlife Foundation shall ensure that a program of activities which is focused on conservation and protection of native plants is incorporated into its existing programs and activities.
United States · United States Congress · 6 March 2019
Quality Care for Moms and Babies Act This bill directs the Centers for Medicare & Medicaid Services (CMS) to take a series of actions relating to the quality of maternal and infant care under Medicaid, the Children's Health Insurance Program (CHIP), and other health programs. Specifically, the CMS must identify and publish a recommended core set of maternal and infant quality measures for women and children, as specified by the bill; publish an initial core set of any such measures applicable to mothers and infants eligible under Medicaid or CHIP; establish a Maternal and Infant Quality Measurement Program; and establish an online clearinghouse of resources for entities working to improve maternity and infant care quality. The CMS may also make grants to eligible entities (e.g., state Medicaid programs, health departments, and provider organizations) to develop or expand maternity and infant care quality collaboratives or initiatives.
United States · United States Congress · 6 March 2019
American Family Act of 2019 This bill modifies the child tax credit to (1) make the credit fully refundable, (2) increase the amount of the credit and allow an additional credit for children who are under six years of age, (3) require the amount of the credit to be adjusted annually for inflation, and (4) require the Department of the Treasury to establish a program for making advance payments of the credit on a monthly basis.
United States · United States Congress · 5 March 2019
Consumers First Act This bill revises provisions related to the administration of the Consumer Financial Protection Bureau (CFPB), including establishing requirements for staffing levels, political appointees, and the publication of consumer complaints regarding consumer financial products or services. The bill specifically states the duties of the Office of Fair Lending and Equal Opportunity (under current law, these are delegated by the CFPB Director). It also adds the duty to implement enforcement and supervisory authority regarding the fair lending laws. Specified units, offices, and boards of the CFPB must perform their assigned duties and may not be renamed or reorganized. The bill amends all statutory references to the "Bureau of Consumer Financial Protection" to refer instead to the "Consumer Financial Protection Bureau." Membership and meeting requirements for the Consumer Advisory Board are also revised.
United States · United States Congress · 5 March 2019
Combating Illicit Fentanyl Act of 2019 This bill directs the Department of State and the Department of the Treasury to annually report to Congress identifying each person in China, including government officials, involved in fentanyl production and its trafficking into the United States.
United States · United States Congress · 5 March 2019
Treat and Reduce Obesity Act of 2019 This bill expands Medicare coverage of intensive behavioral therapy for obesity. Specifically, the bill allows coverage for therapy that is provided by (1) a physician who is not a primary care physician; or (2) other health care providers (e.g., physician assistants and nurse practitioners) and approved counseling programs, if provided upon a referral from, and in coordination with, a physician or primary care practitioner. Currently, such therapy is covered only if provided by a primary care practitioner. The bill also allows coverage under Medicare's prescription drug benefit of drugs used for the treatment of obesity or for weight loss management for individuals who are overweight.
United States · United States Congress · 5 March 2019
Connecting Opportunities through Mobility Metric and Unlocking Transportation Efficiencies Act or the COMMUTE Act This bill directs the Department of Transportation to carry out an accessibility data pilot program. The purpose of the pilot program is to develop or make available an accessibility data set for states and metropolitan or rural planning organizations to improve their transportation planning by measuring the level of access to important destinations such as jobs, health care facilities, child care services, educational and workforce training facilities, affordable housing, and food sources.
United States · United States Congress · 4 March 2019
Child Care Workforce and Facilities Act of 2019 This bill requires the Department of Health and Human Services to provide states and tribal entities with grants to increase access to licensed child care services. The grants may be used to develop and expand the child care workforce or child care facilities in locations with insufficient available child care. Specifically, grants cover 50% of the cost of programs to support the education and training of caregivers or projects to build, expand, or renovate child care facilities in these areas.
United States · United States Congress · 4 March 2019
Computer Science for All Act of 2019 This bill establishes a program through which the Department of Education (ED) shall award grants to states, local educational agencies, and eligible tribal schools to serve as models for national replication of computer education expansion efforts. A grant recipient shall use the grant funds to train teachers to teach computer science; expand access to high-quality learning materials and online learning options; create plans for expanding overall access to science, technology, engineering, arts, and mathematics (STEAM) classes; utilize computer science as a catalyst for increased interest in STEAM more broadly; reduce course equity gaps for all students; and ensure additional support and resources. A grantee may also use grant funds to build effective regional collaborations, recruit and hire instructional personnel, prepare for effectively sustaining project activities after the grant period ends, and disseminate information about effective practices. At least semiannually, a grantee must report to ED on specified data related to the number of students served through program activities.
United States · United States Congress · 28 February 2019
State Health Care Premium Reduction Act This bill establishes 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. The Centers for Medicare & Medicaid Services must distribute funding to states in accordance with a specified methodology.