PlainBillCongress, translated.Legislation. Context. Public interest.
H.R.4519 / 109th Congress

State High Risk Pool Funding Extension Act of 2006

Became Public Law No: 109-172.

Official summary

Version 49 · Public Law · Feb 10, 2006

(This measure has not been amended since it was introduced. The expanded summary of the House passed version is repeated here, with an updated short title.)

State High Risk Pool Funding Extension Act of 2006 - (Sec. 2) Amends the Public Health Service Act to reauthorize funds for grants to each state that has not created a qualified high risk pool for the state's cost to create and initially operate such a pool.

Increases the maximum allowable premium charged under a qualified high risk pool to 200% of the premium for applicable standard risk rates. Defines "standard risk rate" as a rate that: (1) is determined under the state high risk pool by considering the premiums charged by other health insurers in the same market; (2) is established using reasonable actuarial techniques; and (3) reflects anticipated claims experience and expenses.

Showing the opening paragraphs of the official summary.

Read full official summaryShow less

Permits grants awarded by the Secretary of Health and Human Services to states with existing qualified high risk pools to cover losses incurred by a state in connection with the operation of such a pool to be made to entities that operate such a pool under applicable state law. Changes the allocation of such grants to give 40% to eligible states equally, 30% based on the number of uninsured individuals in a state relative to all states, and 30% based on the number of enrollees in a state's qualified high risk pool relative to all states. (Currently, all funds are allotted based solely on the number of uninsured individuals in the state.)

Requires a state which charges premiums that exceed 150% of the premium for applicable standard risks to use at least 50% of the grant amount to reduce premiums for enrollees.

Limits the maximum grant amount allotted to territories.

Requires the Secretary to award grants to states with qualified high risk pools for the provision of supplemental consumer benefits, which must include one or more of the following benefits: (1) low-income premium subsidies; (2) a reduction in premium trends, actual premiums, or other cost-sharing requirements; (3) an expansion or broadening of the pool of individuals eligible for coverage; (4) less stringent rules or additional waiver authority with respect to coverage of preexisting conditions; (5) increased benefits; or (6) establishment of disease management programs. Limits to 10% of appropriated funds the amount that any state may be allotted.

Authorizes appropriations for FY2006-FY2010.

Sets forth reporting requirements.

Revises the definition of "qualified high risk pool" to allow a state to elect to meet the requirement to provide all eligible individuals with health insurance coverage by utilizing an acceptable alternative mechanism that includes a high risk pool as a component.

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

  • Health, Education, Labor, and Pensions Committee
  • Energy and Commerce Committee
1 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. Became Public Law No: 109-172.

  2. Became Public Law No: 109-172.

  3. Signed by President.

  4. Signed by President.

  5. Presented to President.

  6. Presented to President.

  7. Message on Senate action sent to the House.

  8. Cleared for White House.

  9. Passed Senate without amendment by Unanimous Consent.

  10. Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.

  11. Senate Committee on Health, Education, Labor, and Pensions discharged by Unanimous Consent. (consideration: CR S460)

  12. Senate Committee on Health, Education, Labor, and Pensions discharged by Unanimous Consent.(consideration: CR S460)

  13. Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

  14. Referred to the Subcommittee on Health.

  15. Received in the Senate.

  16. Motion to reconsider laid on the table Agreed to without objection.

  17. On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H12072-12073)

  18. Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote.(text: CR H12072-12073)

  19. DEBATE - The House proceeded with forty minutes of debate on H.R. 4519.

  20. Considered under suspension of the rules. (consideration: CR H12072-12075)

  21. Mr. Burgess moved to suspend the rules and pass the bill.

  22. Referred to the House Committee on Energy and Commerce.

  23. Introduced in House

  24. 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

Source last updated: Apr 21, 2025. 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.4519 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.4519 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.4519 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.4519 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