I 115th CONGRESS 1st Session H. R. 4619 IN THE HOUSE OF REPRESENTATIVES December 12, 2017 Mr. Curbelo of Florida (for himself, Mrs. Murphy of Florida , and Miss González-Colón of Puerto Rico ) introduced the following bill; which was referred to the Committee on Ways and Means , and in addition to the Committee on Energy and 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 Patient Protection and Affordable Care Act to provide temporary relief from the annual fee imposed on health insurance providers, to the extent that such fee is due to Puerto Rican health insurance.

1. Temporary relief from annual fee on health insurance providers in Puerto Rico (a) In general Section 9010 of the Patient Protection and Affordable Care Act is amended by adding at the end the following new subsection: (k) Temporary relief for Puerto Rico For calendar years 2018 and 2019, the fee described in subsection (a)(1) for a covered entity shall be reduced by the portion of such fee that such entity demonstrates to the satisfaction of the Secretary of the Treasury is the portion attributable to net premiums written for health insurance regulated by the Commonwealth of Puerto Rico. . (b) Conforming amendment Paragraph (1) of section 9010(b) of the Patient Protection and Affordable Care Act is amended by striking the fee under this section and inserting the amount determined under this subsection .