I 116th CONGRESS 1st Session H. R. 5291 IN THE HOUSE OF REPRESENTATIVES December 3, 2019 Mr. Van Drew (for himself, Ms. Matsui , and Mr. Horsford ) 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 to require the Secretary of Health and Human Services to set forth a method of determining annual updates to premium tax credit eligibility and maximum out-of-pocket limits.

1. Short title This Act may be cited as the Fair Indexing for Health Care Affordability Act . 2. Premium adjustment percentage Section 1302(c)(4) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18022(c)(4) ) is amended by striking calendar year) and inserting calendar year, based on estimates and projections for the applicable calendar year of the percentage (if any) by which the average per enrollee premium for eligible employer-sponsored health plans (as defined in section 5000A(f)(2) of the Internal Revenue Code of 1986) exceeds such average per enrollee premium for the preceding calendar year, as published in the National Health Expenditure Accounts) .