CHOICE Arrangement Act

Summary

Custom Health Option and Individual Care Expense Arrangement Act or the CHOICE Arrangement Act This bill provides statutory authority for regulations that allow employers to offer individual coverage health reimbursement arrangements (ICHRAs). Under ICHRAs, employers agree to reimburse employees for incurred medical expenses up to a limit for a specified period (e.g., a calendar year), and employees obtain their own individual coverage that meets certain requirements of the Patient Protection and Affordable Care Act (coverage of preventive services and no annual or lifetime limits). Payments or reimbursements under an ICHRA are tax-exempt and may only be made for medical care provided when the employee was covered by a plan that meets the requirements. Employees may also pair ICHRAs with Medicare coverage. In 2019, the Department of the Treasury, the Department of Labor, and the Department of Health and Human Services issued regulations that allow employers to offer employees ICHRAs if certain conditions are met: (1) the employer offers ICHRAs to all employees in the same class (e.g., all full-time employees) without the choice of an employer-sponsored group health plan, and (2) the employer offers the ICHRA to all employees within the class on the same terms (i.e., the amount of available funds and the terms and conditions of the benefits). The regulations also specify certain notice and verification requirements with respect to ICHRAs. The bill provides statutory authority for these regulations and generally refers to ICHRAs as custom health option and individual care expense arrangements .

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

1. 5 June 2023

   Introduced

   Referred to the House Committee on Ways and Means.

   Source: IntroReferral

2. 5 June 2023

   Introduced

   Introduced in House

   Source: IntroReferral

3. 5 June 2023

   Introduced

   Introduced in House

   Source: IntroReferral

4. 7 June 2023

   Vote

   Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 25 - 18.

   Source: Committee

5. 7 June 2023

   Committee

   Committee Consideration and Mark-up Session Held

   Source: Committee

6. 12 June 2023

   Calendars

   Placed on the Union Calendar, Calendar No. 83.

   Source: Calendars

7. 12 June 2023

   Reported

   Reported (Amended) by the Committee on Ways and Means. H. Rept. 118-107.

   Source: Committee

8. 12 June 2023

   Reported

   Reported (Amended) by the Committee on Ways and Means. H. Rept. 118-107.

   Source: Committee

9. 20 June 2023

   Reported

   Rules Committee Resolution H. Res. 524 Reported to House. Rule provides for consideration of H.R. 3564, H.R. 3799 and H. Res. 461. The resolution provides for consideration of H.R. 3564 under a structured rule with one hour of general debate; H.R. 3799 under a structured rule with eighty minutes of general debate; and H.Res. 461, under a closed rule with one hour of general debate. The resolution provides for a motion to recommit on H.R. 3564 and H.R. 3799.

   Source: Floor

10. 21 June 2023

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: Floor

11. 21 June 2023

    Vote

    On passage Passed by the Yeas and Nays: 220 - 209 (Roll no. 282).

    Source: Floor

12. 21 June 2023

    Vote

    Passed/agreed to in House: On passage Passed by the Yeas and Nays: 220 - 209 (Roll no. 282).

    Source: Floor

13. 21 June 2023

    Vote

    On motion to recommit Failed by the Yeas and Nays: 209 - 220 (Roll no. 281).

    Source: Floor

14. 21 June 2023

    Floor

    The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.

    Source: Floor

15. 21 June 2023

    Floor

    Mr. Doggett moved to recommit to the Committee on Ways and Means. (text: CR H3046)

    Source: Floor

16. 21 June 2023

    Passed

    The House adopted the amendments en gross as agreed to by the Committee of the Whole House on the state of the Union.

    Source: Floor

17. 21 June 2023

    Floor

    The previous question was ordered pursuant to the rule.

    Source: Floor

18. 21 June 2023

    Floor

    The House rose from the Committee of the Whole House on the state of the Union to report H.R. 3799.

    Source: Floor

19. 21 June 2023

    Floor

    The House resolved into Committee of the Whole House on the state of the Union for further consideration.

    Source: Floor

20. 21 June 2023

    Floor

    Considered under the provisions of rule H. Res. 524. (consideration: CR H3022-3036)

    Source: Floor

21. 21 June 2023

    Floor

    Committee of the Whole House on the state of the Union rises leaving H.R. 3799 as unfinished business.

    Source: Floor

22. 21 June 2023

    Passed

    On motion that the committee rise Agreed to by voice vote.

    Source: Floor

23. 21 June 2023

    Floor

    Ms. Foxx moved that the committee rise.

    Source: Floor

24. 21 June 2023

    Floor

    The Speaker designated the Honorable Eric A. "Rick" Crawford to act as Chairman of the Committee.

    Source: Floor

25. 21 June 2023

    Floor

    House resolved itself into the Committee of the Whole House on the state of the Union pursuant to H. Res. 524 and Rule XVIII.

    Source: Floor

26. 21 June 2023

    Floor

    Rule provides for consideration of H.R. 3564, H.R. 3799 and H. Res. 461. The resolution provides for consideration of H.R. 3564 under a structured rule with one hour of general debate; H.R. 3799 under a structured rule with eighty minutes of general debate; and H.Res. 461, under a closed rule with one hour of general debate. The resolution provides for a motion to recommit on H.R. 3564 and H.R. 3799.

    Source: Floor

Votes

Versions

• Engrossed in House · 21 June 2023 · Download file
• Reported in House · 12 June 2023 · Download file
• Introduced in House · 5 June 2023 · Download file

Documents

9 official files

• Engrossed in House (text)

  Engrossed in House · EN · 21 June 2023

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• Engrossed in House (PDF)

  Engrossed in House · EN · 21 June 2023

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• Passed House

  summary · EN · 21 June 2023

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• Reported in House (text)

  Reported in House · EN · 12 June 2023

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• Reported in House (PDF)

  Reported in House · EN · 12 June 2023

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• Reported to House

  summary · EN · 12 June 2023

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• Introduced in House (text)

  Introduced in House · EN · 5 June 2023

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• Introduced in House (PDF)

  Introduced in House · EN · 5 June 2023

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• Introduced in House

  summary · EN · 5 June 2023

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Sponsors

• Rep. Hern, Kevin [R-OK-1] · R · Sponsor
• Rep. Malliotakis, Nicole [R-NY-11] · R · Cosponsor
• · hswm00 · Standing

Related records

• related to → Small Business Flexibility Act
• related to → Self-Insurance Protection Act
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• related to ← Providing for consideration of the bill (H.R. 3564) to cancel recent changes made by the Federal Housing Finance Agency to the up-front loan level pricing adjustments charged by Fannie Mae and Freddie Mac for guarantee of single-family mortgages, and for other purposes; providing for consideration of the bill (H.R. 3799) to amend the Internal Revenue Code of 1986 to provide for health reimbursement arrangements integrated with individual health insurance coverage; and providing for consideration of the resolution (H. Res. 461) condemning the use of elementary and secondary school facilities to provide shelter for aliens who are not admitted to the United States.
• related to ← MEWA Act
• amends ← Amendment sought to delay implementation of H. R. 3799 until the Secretary of Labor certifies that legislation would not result in higher premium rates for older workers.
• amends ← Amendment ensures that the Secretary notifies employers of the availability of tax-advantaged flexible health insurance benefits, with an official focus on small businesses, particularly in rural areas.
• amends ← Amendment expresses the sense of Congress that healthcare freedom is the future of healthcare.