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H.R. 5421 111th Congress House

To repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, repeal the 7.5 percent threshold on the deduction for medical expenses, provide…

Official title: To repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, repeal the 7.5 percent threshold on the … Show full official titleShow less

Official title: To repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, repeal the 7.5 percent threshold on the deduction for medical expenses, provide for increased funding for high-risk pools, allow acquiring health insurance across State lines, and allow for the creation of association health plans.

Introduced: May 27, 2010 See on congress.gov
Health Comprehensive health careEmployee benefits and pensionsGovernment trust fundsHealth care costs and insurance
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Health care coverage and accessHealth programs administration and fundingIncome tax deductionsIntergovernmental relationsState and local government operationsState and local taxation
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 11 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jun 29, 2010
Referred to the Subcommittee on Health, Employment, Labor, and Pensions.
May 27, 2010
Referred to House Administration
May 27, 2010
Referred to House Rules
May 27, 2010
Referred to House Natural Resources
May 27, 2010
Referred to House Judiciary
May 27, 2010
Referred to House Education and Labor
May 27, 2010
Referred to House Ways and Means
May 27, 2010
Referred to House Appropriations
May 27, 2010
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Appropriations, Ways and Means, Education and Labor, the Judiciary, Natural Resources, Rules, and House Administration, 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.
May 27, 2010
Referred to House Energy and Commerce
May 27, 2010
Introduced in House
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 Latest action June 29, 2010

Referred to the Subcommittee on Health, Employment, Labor, and Pensions.

 Plain-English summary Congressional Research Service

Repeals the Patient Protection and Affordable Care Act (PPACA) and the Health Care and Education Reconciliation Act of 2010, effective as of their enactment. Restores provisions of law amended by such Acts.

Amends the Internal Revenue Code to allow the tax deduction for medical expenses without the gross income percentage limitation.

Amends the Public Health Service Act to: (1) authorize appropriations for FY2011-FY2015 for grants to states for the creation and operation of qualified high risk health insurance pools; and (2) provide that the laws of the state designated by a health insurance issuer (primary state) shall apply to individual health insurance coverage offered by that issuer in the primary state and in any other state (secondary state), but only if the coverage and issuer comply with the conditions of this Act.

Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for establishment and governance of association health plans (AHPs), which are privately-sponsored group health plans that meet certain ERISA certification requirements.

Establishes the Association Health Plan Fund to be used by the Secretary of Labor to make payments to an insurer to maintain coverage for a plan if there is a reasonable expectation that, without such payments, claims would not be satisfied by reason of termination of coverage.

Allows a state to impose a contribution tax on an association health plan that commences operations in such state after the enactment of this Act.

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 9
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 5421: To repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, repeal the 7.5 percent threshold on the deduction for medical expenses, provide for increased funding for high-risk pools, allow acquiring health insurance across State lines, and allow for the creation of association health plans.. 111th Congress. Open America. https://openamerica.io/bill/111-HR-5421/
MLA
"H.R. 5421: To repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, repeal the 7.5 percent threshold on the deduction for medical expenses, provide for increased funding for high-risk pools, allow acquiring health insurance across State lines, and allow for the creation of association health plans.." 111th Congress, 2026, Open America, https://openamerica.io/bill/111-HR-5421/.
Bluebook (legal)
H.R. 5421, 111th Cong. (2026), https://openamerica.io/bill/111-HR-5421/.
Markdown link
[H.R. 5421: To repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, repeal the 7.5 percent threshold on the deduction for medical expenses, provide for increased funding for high-risk pools, allow acquiring health insurance across State lines, and allow for the creation of association health plans.](https://openamerica.io/bill/111-HR-5421/)
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