PlainBillCongress, translated.Legislation. Context. Public interest.
H.R.3423 / 108th Congress

Patients' Health Care Choice Act of 2003

Referred to the Subcommittee on Employer-Employee Relations.

Official summary

Version 00 · Introduced in House · Oct 30, 2003

Patients' Health Care Choice Act of 2003 - Amends the Public Health Service Act to create a new title, Title XXIX - HealthMarts. Requires that HealthMarts: (1) be nonprofit entities composed of employers, employees, other individuals eligible to participate in the HealthMart, health care providers, and entities that underwrite or administer health benefits coverage; and (2) make available health coverage to all employers, eligible employees, and individuals at rates established by the insurance issuer on a policy or product specific basis. Requires that coverage made available to an eligible employee or individual in a geographic area be offered to all eligible employees or individuals in the same area. Creates a new Public Health Service Act title, Title XXX - Individual Membership Associations. Defines an Individual Membership Association (IMA) as an entity that: (1) has been in existence for at least five years for purposes other than obtaining insurance; (2) does not condition membership an health factors; (3) makes health coverage available to all IMA members and their dependents through an HMO, a preferred provider or licensed provider-sponsored organization, an insurance company, a medical savings or flexible spending account, a point-of-service option, or any combination of those coverages; and (4) does not make coverage available other than in connection with an IMA member. Requires that each State receive from the Secretary of Health and Human Services an amount equal to 50 percent of the funds expended by the State for a health benefits high risk pool, reinsurance pool, or other risk adjustment mechanism to subsidize the purchase of private health insurance. Small Business Access and Choice for Entrepreneurs Act of 2003 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to establish rules governing health plans sponsored by certain associations, including requirements for: (1) certification; (2) sponsors and boards of trustees, and treatment of franchised networks and collectively bargained plans; (3) participation and coverage of employers and individuals and of previously uninsured employees; (4) plan documents, contribution rates, and benefit options; (5) maintenance of reserves, excess-stop loss insurance, and indemnification insurance; (6) applications and related requirements; (7) notice for voluntary termination; and (8) corrective actions and mandatory termination. Amends the Internal Revenue Code to: (1) allow a credit for qualified health insurance; (2) exclude from the gross income of an eligible employee who elects not to participate in an employer-subsidized health plan any compensating coverage employer payment; and (3) expand the availability of medical savings accounts. Amends the Public Health Service Act to require each health insurance issuer offering coverage in connection with a group plan to provide: (1) the plan's Administrator with specified information on plan benefits, a participant's financial responsibilities, legal recourse options available for participants and beneficiaries, and a summary of information available on request; and (2) prior notice to participants of exclusion of a specific drug or biological from any drug formulary that is used in the treatment of a chronic illness or disease.

Read the summary on Congress.gov
PlainBill analysis is coming later. This page presents official source data. We have not yet published a PlainBill explanation for this bill.

Who introduced it

Rep. Shadegg, John B. [R-AZ-3] · R–AZ

Committees

  • Education and Workforce Committee
  • Ways and Means Committee
  • Energy and Commerce Committee
0 cosponsorship records, including any withdrawals

    Actions

    A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.

    1. Referred to the Subcommittee on Employer-Employee Relations.

    2. Referred to the Subcommittee on Health.

    3. Referred to the Subcommittee on Health.

    4. Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and 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.

    5. Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and 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.

    6. Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and 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.

    7. Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and 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.

    8. Introduced in House

    9. Introduced in House

    Bill text & related measures

    Text links open the official source. We currently store references to these documents.

    Related bills identified by Congress.gov

    No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.

    Source last updated: Mar 23, 2026. Consult Congress.gov for the current record.

    Explore the bill from different angles

    Choose a perspective, copy a prompt, and paste it into your preferred AI. Each prompt includes the bill version and available official source links, and asks for counterarguments as well as supporting evidence.

    Neutral evidence review

    Objective

    Analyze H.R.3423 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

    View full prompt & sources
    Fairness and public impact

    Progressive lens

    Examine H.R.3423 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.

    View full prompt & sources
    Institutions and government scope

    Conservative lens

    Examine H.R.3423 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.

    View full prompt & sources
    Individual rights and government power

    Liberty lens

    Examine H.R.3423 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.

    View full prompt & sources