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HR 2183 116th Congress House

State Flexibility and Patient Choice Act of 2019

Official title: To amend the Patient Protection and Affordable Care Act to streamline the State innovation waiver process, and for other purposes.

Introduced: April 9, 2019 Introduced by: Marshall, Roger Republican · Kansas See on congress.gov
Health Administrative law and regulatory proceduresHealth care costs and insuranceHealth care coverage and accessState and local financeState and local government operations
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This bill died when the 116th Congress ended
It never became law before the 116th Congress (2019–2020) 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 4 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Apr 10, 2019
Referred to the Subcommittee on Health.
Apr 9, 2019
Referred to the Subcommittee on Health.
Apr 9, 2019
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
Apr 9, 2019
Introduced in House
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 Latest action April 10, 2019

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

State Flexibility and Patient Choice Act of 2019

This bill revises the procedures for states to waive certain federal health insurance requirements and implement state-administered health insurance programs. Specifically, the bill revises the affordability requirement to allow states to provide coverage of comparable affordability to what is available through the federal health insurance exchange.

Further, the reviewing agencies may consider the budgetary impact of a state waiver program on other federal programs (e.g., Medicaid) when determining whether the waiver application would increase the federal deficit. Additionally, the bill applies the budget-neutrality requirement over the term of the waiver period.

States may certify that a governor has the authority to apply for a waiver under current state law, as an alternative to referencing a specific state statute. The bill also provides expedited review and approval of state applications that are substantially similar to a waiver program that already has been approved.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
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APA
U.S. Congress. (2026). H.R. 2183: State Flexibility and Patient Choice Act of 2019. 116th Congress. Open America. https://openamerica.io/bill/116-HR-2183/
MLA
"H.R. 2183: State Flexibility and Patient Choice Act of 2019." 116th Congress, 2026, Open America, https://openamerica.io/bill/116-HR-2183/.
Bluebook (legal)
H.R. 2183, 116th Cong. (2026), https://openamerica.io/bill/116-HR-2183/.
Markdown link
[H.R. 2183: State Flexibility and Patient Choice Act of 2019](https://openamerica.io/bill/116-HR-2183/)
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