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S 1868 116th Congress Senate Health Appropriations Health care costs and insurance Health care coverage and access Health programs administration and funding Insurance industry and regulation State and local government operations

Premium Reduction Act of 2019

Introduced: June 13, 2019 Introduced by: Collins, Susan M. Republican · Maine See on congress.gov
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 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jun 13, 2019
Read twice and referred to the Committee on Finance.
Jun 13, 2019
Introduced in Senate
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 Plain-English summary Congressional Research Service

Premium Reduction Act of 2019

This bill provides funding for grants for states to establish invisible high-risk pool and reinsurance programs through applications for state innovation waivers from certain health insurance coverage requirements.

A reinsurance program generally permits health insurance issuers to transfer a portion of the cost of the coverage for enrollees with large claims to the state, thus facilitating the enrollment of higher-risk individuals, including those with preexisting conditions. Similarly, an invisible high-risk pool generally identifies and enrolls higher-risk individuals and the state program pays a percentage of any insurance claims of such enrollees that exceed a predetermined amount.

In states that do not establish such programs, the Department of Health and Human Services (HHS) must make market stabilization payments to health insurance issuers.

The bill further directs HHS to expedite the review of state innovation waiver applications that include a high-risk pool or reinsurance program. States may model a waiver application on the application of a state that has an approved waiver for such a program.

What's happening now June 13, 2019

Read twice and referred to the Committee on Finance.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
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APA
U.S. Congress. (2026). S. 1868: Premium Reduction Act of 2019. 116th Congress. Open America. https://openamerica.io/bill/116-S-1868/
MLA
"S. 1868: Premium Reduction Act of 2019." 116th Congress, 2026, Open America, https://openamerica.io/bill/116-S-1868/.
Bluebook (legal)
S. 1868, 116th Cong. (2026), https://openamerica.io/bill/116-S-1868/.
Markdown link
[S. 1868: Premium Reduction Act of 2019](https://openamerica.io/bill/116-S-1868/)
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