I 116th CONGRESS 2d Session H. R. 6545 IN THE HOUSE OF REPRESENTATIVES April 17, 2020 Mrs. Murphy of Florida (for herself, Ms. Shalala , and Mr. Soto ) introduced the following bill; which was referred to the Committee on Ways and Means A BILL To amend the Internal Revenue Code of 1986 to provide an age rating adjustment to the applicable percentage used to determine the credit for coverage under qualified health plans.

1. Short title This Act may be cited as the Health Insurance Marketplace Affordability Act of 2020 . 2. Age rating adjustment to applicable percentage used to determine the credit for coverage under qualified health plans (a) In general Section 36B(b)(3)(A) of the Internal Revenue Code of 1986 is amended by adding at the end the following new clause: (iii) Age rating adjustment For purposes of this subparagraph— (I) In general The applicable percentage otherwise determined under clause (i) shall be multiplied by the age adjustment value determined under subclause (II). (II) Age adjustment value The age adjustment value for any taxpayer is the average of the age rate adjustments for all individuals which have coverage described in paragraph (2)(A) with respect to the taxpayer, divided by the maximum age rate adjustment allowed under section 2701(a)(1)(A)(iii) of the Public Health Service Act. (III) Age rate adjustment The age rate adjustment for any individual shall be determined using a single national age rating curve which shall be specified in guidance by the Secretary of Health and Human Services and shall reflect market patterns in the individual market in accordance with section 2701(a)(1)(A)(iii) of the Public Health Service Act. . (b) Effective date The amendment made by this section shall apply to taxable years beginning after the date on which the single national age rating curve referred to in section 36B(b)(3)(A)(iii)(III) of the Internal Revenue Code of 1986 (as added by this section) is specified by the Secretary of Health and Human Services.