I 115th CONGRESS 1st Session H. R. 4225 IN THE HOUSE OF REPRESENTATIVES November 2, 2017 Mr. Hudson introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange.

1. Prohibiting state exchanges from imposing assessments or fees on excepted benefits and standalone dental plans not sold through an Exchange (a) In general Section 1311(d)(5) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18031(d)(5) ) is amended— (1) in subparagraph (A), by inserting , subject to subparagraph (C) after its operations ; and (2) by adding at the end the following new subparagraph: (C) Limitation For purposes of subparagraph (A), a State, with respect to an Exchange within such State, may not charge a health insurance issuer an assessment, user fee, tax, or any other fee— (i) on excepted benefits coverage within the meaning of section 2791(c) of the Public Health Service Act that is not sold on an Exchange; or (ii) on standalone dental plans described in paragraph (2)(B)(ii) that are not sold on an Exchange. . (b) Effective date The amendments made by subsection (a) shall apply to assessments, user fees, taxes, and other fees imposed, assessed, or collected on or after January 1, 2018.