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HR 4677 113th Congress House

State Exchange Accountability Act

Official title: To amend the Patient Protection and Affordable Care Act to require States with failed American Health Benefit Exchanges to reimburse the Federal Government for… Show full official titleShow less

Official title: To amend the Patient Protection and Affordable Care Act to require States with failed American Health Benefit Exchanges to reimburse the Federal Government for amounts provided under grants for the establishment and operation of such Exchanges.

Introduced: May 19, 2014 See on congress.gov
Health Budget deficits and national debtComprehensive health careHealth care costs and insuranceHealth care coverage and access
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Health programs administration and fundingIntergovernmental relationsMedicaidState and local government operations
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This bill died when the 113th Congress ended
It never became law before the 113th Congress (2013–2014) 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
May 23, 2014
Referred to the Subcommittee on Health.
May 19, 2014
Referred to the House Committee on Energy and Commerce.
May 19, 2014
Introduced in House
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 Latest action May 23, 2014

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

State Exchange Accountability Act - Amends the Patient Protection and Affordable Care Act to require a state to reimburse the federal government for the amount of establishment or early innovator grants the state received to operate a health care exchange if it operated an exchange in 2014 but subsequently elected to provide for enrollment in qualified health plans solely through the federal health care exchange.

Requires that: (1) reimbursement be made in full within 10 years of such election, pursuant to an agreement with the Department of Health and Human Services (HHS); and (2) in case of failure to enter such an agreement, the Secretary of HHS shall reduce the state's Medicaid funding for 10 fiscal years in an aggregate amount equal to the reimbursement amount.

 Related & companion bills 1
  • S 2339 Identical bill State Exchange Accountability Act
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 2
 Cosponsors 8
All 8 Republican 1
Bachmann, Michele
· Jul 3, 2014
DUNCAN, JOHN
· Jul 3, 2014
Renacci, James
· Jun 9, 2014
Woodall, Rob
· Jun 9, 2014
Black, Diane
· May 19, 2014
Jenkins, Lynn
· May 19, 2014
 R
Scalise, Steve
Louisiana · May 19, 2014
TIBERI, PATRICK
· May 19, 2014
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 4677: State Exchange Accountability Act. 113th Congress. Open America. https://openamerica.io/bill/113-HR-4677/
MLA
"H.R. 4677: State Exchange Accountability Act." 113th Congress, 2026, Open America, https://openamerica.io/bill/113-HR-4677/.
Bluebook (legal)
H.R. 4677, 113th Cong. (2026), https://openamerica.io/bill/113-HR-4677/.
Markdown link
[H.R. 4677: State Exchange Accountability Act](https://openamerica.io/bill/113-HR-4677/)
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