Skip to main content
S. 222 115th Congress Senate

Obamacare Replacement Act

Official title: A bill to repeal provisions of the Patient Protection and Affordable Care Act and provide private health insurance reform, and for other purposes.

Introduced: March 6, 2017 Introduced by: Rand Paul Republican · Kentucky See on congress.gov
Health Accounting and auditingAdministrative law and regulatory proceduresAdministrative remediesAdvisory bodies
More subjectsShow fewer subjects
Bank accounts, deposits, capitalBankruptcyChild healthCompetition and antitrustCongressional oversightContracts and agencyDepartment of LaborEmployee benefits and pensionsEmployment taxesFederal preemptionFraud offenses and financial crimesGovernment information and archivesHealth care costs and insuranceHealth care coverage and accessHealth personnelIncome tax creditsIncome tax deductionsInsurance industry and regulationIntergovernmental relationsLicensing and registrationsMedicaidMedicareNutrition and dietPhysical fitness and lifestylePrescription drugsSales and excise taxesSmall businessSocial work, volunteer service, charitable organizationsSports and recreation facilitiesState and local government operationsState and local taxationTax administration and collection, taxpayersUser charges and fees
Sign in to write a letter Sign in to watch
This bill died when the 115th Congress ended
It never became law before the 115th Congress (2017–2018) 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 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jan 24, 2017
Read twice and referred to the Committee on Finance.
Jan 24, 2017
Introduced in Senate
 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 January 24, 2017

Read twice and referred to the Committee on Finance.

 Plain-English summary Congressional Research Service

Obamacare Replacement Act

This bill amends the Internal Revenue Code, the Public Health Service Act, the Employee Retirement Income Security Act of 1974 (ERISA), and the Social Security Act to repeal certain provisions regarding health insurance, including: the requirement for individuals to maintain minimum essential coverage, limitations on insurers varying premiums by age or health status, requirements for health insurance to cover preexisting conditions and the essential health benefits, and the prohibition on lifetime or annual limits on benefits.

The bill allows a refundable tax credit for a percentage of health insurance premiums and a tax credit for health savings account (HSA) contributions.

The bill eliminates HSA contribution limits and allows all individuals to make contributions to HSAs. HSAs may be used to pay for over-the-counter medications and health insurance in addition to currently allowed medical expenses.

The tax deduction for medical care is expanded to include exercise equipment, exercise or health instruction, gym memberships, nutritional supplements, and periodic, pre-paid, or capitated primary care fees. Physicians may deduct uncompensated and charity care.

The bill provides for the establishment and governance of: (1) independent health pools, which are entities that form risk pools to offer health insurance coverage to their members; and (2) association health plans, which are group health plans sponsored by business associations.

Individual health insurance coverage is governed by the laws of a state designated by the health insurance issuer.

The Centers for Medicare and Medicaid Services must (currently, may) waive Medicaid requirements to enable states to carry out experimental, pilot, or demonstration projects.

The bill exempts health care professionals from federal and state antitrust laws in connection with negotiations with a health plan to provide health care items or services.

Stop-loss insurance obtained by certain health plans or plan sponsors is exempt from requirements for health insurance.
 Related & companion bills 8
  • HR 1304 Self-Insurance Protection Act
  • HR 143 Health Insurance Industry Antitrust Enforcement Act of 2017
  • HR 314 Health Care Choice Act of 2017
  • HR 372 Competitive Health Insurance Reform Act of 2017
  • HR 1101 Small Business Health Fairness Act of 2017
  • HR 3278 To amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage.
  • S 1516 A bill to expand health care choices by allowing Americans to buy health care coverage across State lines.
  • HR 1072 Obamacare Replacement Act
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
Cite this page click to expand
APA
U.S. Congress. (2026). S. 222: Obamacare Replacement Act. 115th Congress. Open America. https://openamerica.io/bill/115-S-222/
MLA
"S. 222: Obamacare Replacement Act." 115th Congress, 2026, Open America, https://openamerica.io/bill/115-S-222/.
Bluebook (legal)
S. 222, 115th Cong. (2026), https://openamerica.io/bill/115-S-222/.
Markdown link
[S. 222: Obamacare Replacement Act](https://openamerica.io/bill/115-S-222/)
Report a problem