II 115th CONGRESS 1st Session S. 191 IN THE SENATE OF THE UNITED STATES January 23, 2017 Mr. Cassidy (for himself, Ms. Collins , Mrs. Capito , and Mr. Isakson ) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To improve patient choice by allowing States to adopt market-based alternatives to the Affordable Care Act that increase access to affordable health insurance and reduce costs while ensuring important consumer protections and improving patient care.