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HR 346 112th Congress House

Health Care Choice Act of 2011

Official title: To amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce.

Introduced: January 19, 2011 See on congress.gov
Health Accounting and auditingGovernment information and archivesHealth care costs and insuranceInsurance industry and regulation
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Intergovernmental relationsState and local government operations
This bill died when the 112th Congress ended
It never became law before the 112th Congress (2011–2012) 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
Feb 1, 2011
Referred to the Subcommittee on Health.
Jan 19, 2011
Referred to the House Committee on Energy and Commerce.
Jan 19, 2011
Introduced in House
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 Latest action February 1, 2011

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

Health Care Choice Act of 2011 - Amends the Public Health Service Act to 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.

Exempts issuers from any secondary state's laws that would prohibit or regulate the operation of the issuer in such state, subject to certain restrictions imposed by such state.

Specifies the notice that an issuer must provide in any insurance coverage offered in a secondary state and at renewal of the policy.

Requires each issuer issuing individual health insurance coverage in both primary and secondary states to submit to the insurance commissioners of such states: (1) a copy of the plan of operation or feasibility study; (2) written notice of any change in its designation of its primary state and of its compliance with all the laws of the primary state; and (3) a quarterly financial statement.

Prohibits an issuer from offering, selling, or issuing individual health insurance coverage in a secondary state if the state insurance commissioner does not use a risk-based capital formula for the determination of capital and surplus requirements for all issuers.

Gives sole jurisdiction to the primary state to enforce the primary state's covered laws in the primary state and any secondary state.

Requires the Comptroller General to study the effect of this Act on specified health insurance issues.

 Related & companion bills 2
 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. 346: Health Care Choice Act of 2011. 112th Congress. Open America. https://openamerica.io/bill/112-HR-346/
MLA
"H.R. 346: Health Care Choice Act of 2011." 112th Congress, 2026, Open America, https://openamerica.io/bill/112-HR-346/.
Bluebook (legal)
H.R. 346, 112th Cong. (2026), https://openamerica.io/bill/112-HR-346/.
Markdown link
[H.R. 346: Health Care Choice Act of 2011](https://openamerica.io/bill/112-HR-346/)
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