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HR 3218 111th Congress House Health Administrative law and regulatory procedures Congressional oversight Department of Health and Human Services Health care costs and insurance Health care coverage and access Income tax credits Tax administration and collection, taxpayers

Improving Health Care for All Americans Act

Introduced: July 14, 2009 See on congress.gov
This bill died when the 111th Congress ended
It never became law before the 111th Congress (2009–2010) 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 5 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jul 15, 2009
Referred to the Subcommittee on Health.
Jul 14, 2009
Referred to House Ways and Means
Jul 14, 2009
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Jul 14, 2009
Referred to House Energy and Commerce
Jul 14, 2009
Introduced in House
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 Plain-English summary Congressional Research Service

Improving Health Care for All Americans Act - Amends the Internal Revenue Code to allow a tax credit for the amount paid by the taxpayer for qualified health insurance coverage, excluding any employer subsidized coverage, and for medical care.

Amends the Public Health Service Act to provide for the establishment and governance of individual membership associations (IMAs) to make available health benefits coverage to all members of the IMA. Requires an IMA to be operated under the direction of an association which: (1) has been actively in existence for at least five years; (2) has been formed and maintained in good faith for purposes other than obtaining insurance; and (3) does not condition membership in the association on any health status-related factor relating to an individual.

Prohibits an IMA from offering health benefits coverage to a member of an IMA unless the same coverage is offered to all members of the IMA.

Sets forth requirements for health benefits coverage offered through an IMA, including that such coverage must be: (1) provided only through contracts with health insurance issuers with no risk assumed by the IMAs; and (2) underwritten by a health insurance issuer that is licensed and in compliance with state law.

Supersedes specified state laws related to health benefits coverage made available through an IMA.

Gives funds to states for a high-risk pool, a reinsurance pool, or other risk-adjustment mechanism used for the purpose of subsidizing the purchase of health insurance coverage for the high-risk population.

What's happening now July 15, 2009

Referred to the Subcommittee on Health.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 3
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 3218: Improving Health Care for All Americans Act. 111th Congress. Open America. https://openamerica.io/bill/111-HR-3218/
MLA
"H.R. 3218: Improving Health Care for All Americans Act." 111th Congress, 2026, Open America, https://openamerica.io/bill/111-HR-3218/.
Bluebook (legal)
H.R. 3218, 111th Cong. (2026), https://openamerica.io/bill/111-HR-3218/.
Markdown link
[H.R. 3218: Improving Health Care for All Americans Act](https://openamerica.io/bill/111-HR-3218/)
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