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HR 5475 109th Congress House

HSA Accessibility and Portability Act of 2006

Official title: To amend title XXVII of the Public Health Service Act to permit a health insurance issuer an alternative to guaranteed issue of health insurance coverage in th… Show full official titleShow less

Official title: To amend title XXVII of the Public Health Service Act to permit a health insurance issuer an alternative to guaranteed issue of health insurance coverage in the small group market in order to promote affordable access to portable health insurance coverage.

Introduced: May 24, 2006 See on congress.gov
Health Access to health careCommerceCongressCongressional reporting requirements
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Finance and Financial SectorHealth insuranceHealth insurance continuationHealth insurance portabilityInsurance premiumsSmall businessSunset legislation
This bill died when the 109th Congress ended
It never became law before the 109th Congress (2005–2006) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 3 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jun 5, 2006
Referred to the Subcommittee on Health.
May 24, 2006
Referred to the House Committee on Energy and Commerce.
May 24, 2006
Introduced in House
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 Latest action June 5, 2006

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

HSA Accessibility and Portability Act of 2006 - Amends the Public Health Service Act to authorize a health insurance issuer to elect, instead of complying with the guaranteed issue requirements (that require a health insurance issuer offering coverage in the small group market in a state to accept every small employer that applies and to accept all eligible individuals without certain restrictions), to: (1) guarantee continuation of coverage through individual health insurance for an individual who no longer qualifies as an eligible individual of the employer at a rate that does not exceed 150% of the standard individual rate applicable to individual coverage in the state; and (2) furnish information for the Secretary of Health and Human Services to monitor the impact of such election on access to, and affordability of, health insurance coverage in the small group market and in the individual market.

Requires such an election to apply to all eligible individuals of that small employer at the time of such election, but does not require applicability to an individual who becomes eligible after such election. Allows an election under this Act to be made only with respect to coverage of a small employer under health insurance coverage that consists of a high deductible health plan and a contribution to a health savings account.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 2
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APA
U.S. Congress. (2026). H.R. 5475: HSA Accessibility and Portability Act of 2006. 109th Congress. Open America. https://openamerica.io/bill/109-HR-5475/
MLA
"H.R. 5475: HSA Accessibility and Portability Act of 2006." 109th Congress, 2026, Open America, https://openamerica.io/bill/109-HR-5475/.
Bluebook (legal)
H.R. 5475, 109th Cong. (2026), https://openamerica.io/bill/109-HR-5475/.
Markdown link
[H.R. 5475: HSA Accessibility and Portability Act of 2006](https://openamerica.io/bill/109-HR-5475/)
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