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HR 59 116th Congress House

Transparency and Accountability of Failed Exchanges Act

Official title: To amend title I of the Patient Protection and Affordable Care Act to require that a State awarded a Federal grant to establish an Exchange and that terminates… Show full official titleShow less

Official title: To amend title I of the Patient Protection and Affordable Care Act to require that a State awarded a Federal grant to establish an Exchange and that terminates the State operation of such an Exchange provide for an audit of the use of grant funds and return funds to the Federal Government, and for other purposes.

Introduced: January 3, 2019 Introduced by: Allen, Rick W. Republican · Georgia See on congress.gov
Health Accounting and auditingCivil actions and liabilityCongressional oversightFederal preemption
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Fraud offenses and financial crimesGovernment studies and investigationsHealth care costs and insuranceHealth care coverage and accessHealth programs administration and fundingState 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 3 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jan 25, 2019
Referred to the Subcommittee on Health.
Jan 3, 2019
Introduced in House
Jan 3, 2019
Referred to the House Committee on Energy and Commerce.
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 Latest action January 25, 2019

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

Transparency and Accountability of Failed Exchanges Act

This bill establishes specific audit requirements, and rescinds funds, for certain states that are awarded grants to establish health insurance exchanges under the Patient Protection and Affordable Care Act (PPACA). Specifically, states that are awarded grants to establish an exchange, but that subsequently terminate the exchange or transfer operations to another entity, must conduct an audit of how grant funds were used and return any acquired property and unobligated funds to the federal government, in accordance with specified requirements. Such states must also refer matters involving fraud, waste, and abuse of PPACA funds to the Department of Justice.

 Related & companion bills 1
  • HR 640 Reintroduction of Transparency and Accountability of Failed Exchanges Act
 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. 59: Transparency and Accountability of Failed Exchanges Act. 116th Congress. Open America. https://openamerica.io/bill/116-HR-59/
MLA
"H.R. 59: Transparency and Accountability of Failed Exchanges Act." 116th Congress, 2026, Open America, https://openamerica.io/bill/116-HR-59/.
Bluebook (legal)
H.R. 59, 116th Cong. (2026), https://openamerica.io/bill/116-HR-59/.
Markdown link
[H.R. 59: Transparency and Accountability of Failed Exchanges Act](https://openamerica.io/bill/116-HR-59/)
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