; or (B) is for a waiver that is the same or substantially similar to a waiver that the Secretary already has approved for another State. . 5. Employer mandate adjustment (a) Increasing the size of applicable large employers Paragraph (2) of section 4980H(c) of the Internal Revenue Code of 1986 is amended by striking 50 and inserting 500 each place such term appears. (b) Increasing the hours required To qualify as full-Time employees (1) In general Subparagraph (A) of section 4980H(c)(4) of the Internal Revenue Code of 1986 is amended by striking 30 and inserting 40 . (2) Full-Time equivalents Subparagraph (E) of section 4980H(c)(2) of the Internal Revenue Code of 1986 is amended by striking 120 and inserting 160 . (c) Effective date The amendments made by this section shall apply to months beginning after December 31, 2017. 6. Repeal of medical device excise tax Section 4191 is amended by adding at the end the following new subsection: (d) Applicability The tax imposed under subsection (a) shall not apply to sales after December 31, 2017. . 7. Offering health plans in more than one State Not later than 1 year after the date of enactment of this Act, the Secretary of Health and Human Services, in consultation with the National Association of Insurance Commissioners, shall issue regulations for the implementation of health care choice compacts established under section 1333 of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18053 ) to allow for the offering of health plans in more than one State. 8. Sense of Congress It is the sense of Congress that the provisions of this Act should not increase the deficit, and any projected costs of such provisions should be offset with policies to negate any projected deficit increase.