Skip to main content
HR 5447 114th Congress House

Small Business Health Care Relief Act of 2016

Official title: To provide an exception from certain group health plan requirements for qualified small employer health reimbursement arrangements.

Introduced: June 15, 2016 See on congress.gov
Taxation Employee benefits and pensionsHealth care costs and insuranceHealth care coverage and accessIncome tax exclusion
More subjectsShow fewer subjects
Small businessTax administration and collection, taxpayers
This bill died when the 114th Congress ended
It never became law before the 114th Congress (2015–2016) 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 18 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Sep 19, 2016
Referred to the Subcommittee on Health, Employment, Labor, and Pensions.
Jun 23, 2016
Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 526.
Jun 22, 2016
Received in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time.
Jun 21, 2016
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.(text: CR H4021-4022)
Jun 21, 2016
DEBATE - The House proceeded with forty minutes of debate on H.R. 5447.
Jun 21, 2016
Considered under suspension of the rules. (consideration: CR H4021-4024)
Jun 21, 2016
Mr. Boustany moved to suspend the rules and pass the bill, as amended.
Jun 21, 2016
Committee on Energy and Commerce discharged.
Jun 21, 2016
Committee on Education and the Workforce discharged.
Jun 21, 2016
Reported (Amended) by the Committee on Ways and Means. H. Rept. 114-634, Part I.
Jun 21, 2016
Placed on the Union Calendar, Calendar No. 493.
Jun 21, 2016
Motion to reconsider laid on the table Agreed to without objection.
Jun 21, 2016
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4021-4022)
Jun 15, 2016
Ordered to be Reported (Amended) by Voice Vote.
Jun 15, 2016
Committee Consideration and Mark-up Session Held.
Jun 15, 2016
Referred to the Subcommittee on Health.
Jun 10, 2016
Referred to the Committee on Ways and Means, and in addition to the Committees on Education and the Workforce, and Energy and Commerce, 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.
Jun 10, 2016
Introduced in House
 Ask about this bill AI · grounded in the bill text

Have a question about what this bill does? Ask in plain English; the answer is drawn from the bill's actual text and official record, and it'll tell you when something isn't in the text rather than guess.

AI answers can be imperfect; always confirm against the full bill text.

 Latest action September 19, 2016

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

 Plain-English summary Congressional Research Service

Small Business Health Care Relief Act of 2016

(Sec. 2) This bill amends the Internal Revenue Code, the Patient Protection and Affordable Care Act (PPACA), and other laws to exempt qualified small employer health reimbursement arrangements (HRAs) from certain requirements that apply to group health plans.

A qualified small employer HRA is offered by employers that have fewer than 50 full-time employees and do not offer group health plans to any of their employees. A qualified small employer HRA must:

  • be provided on the same terms to all eligible employees of the employer;
  • be funded solely by the employer without salary reduction contributions;
  • provide, after an employee provides proof of coverage, for the payment or reimbursement of medical expenses of the employee and family members; and
  • limit annual payments and reimbursements to specified dollar amounts.

HRAs that meet these requirements are not considered group health plans and are exempt from various requirements that apply to group health plans, including coverage and cost-sharing requirements. (Under current law, employers that sponsor group health plans that do not meet specified requirements are subject to an excise tax.)

Coverage and payments under a qualified HRA are excluded from gross income, unless the employee does not have minimum essential coverage for the month in which the medical care was provided.

Employers offering a qualified HRA must notify employees in advance regarding permitted benefits and report benefit information on W-2 forms and to health exchanges.

The bill sets forth requirements for determining whether an employee covered under an HRA is also eligible for premium subsidies under PPACA.

 Related & companion bills 2
 Bill text 4 versions

Source documents hosted by congress.gov.

 Committees of jurisdiction 5
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 5447: Small Business Health Care Relief Act of 2016. 114th Congress. Open America. https://openamerica.io/bill/114-HR-5447/
MLA
"H.R. 5447: Small Business Health Care Relief Act of 2016." 114th Congress, 2026, Open America, https://openamerica.io/bill/114-HR-5447/.
Bluebook (legal)
H.R. 5447, 114th Cong. (2026), https://openamerica.io/bill/114-HR-5447/.
Markdown link
[H.R. 5447: Small Business Health Care Relief Act of 2016](https://openamerica.io/bill/114-HR-5447/)
Report a problem