PlainBillCongress, translated.Legislation. Context. Public interest.Referred to House Ways and Means
Congressional Research Service
Version 00 · Introduced in House · Feb 25, 2010
Amends the Internal Revenue Code to revise provisions related to health savings accounts, including to: (1) adjust the amount allowable as a deduction for health savings accounts; and (2) eliminate the restriction on purchasing health insurance from a health savings account.
Eliminates the gross income percentage limitation on the tax deduction for medical expenses.
Amends the Public Health Service Act to provide that the laws of the state designated by a health insurance issuer (primary state) shall apply to individual health insurance coverage offered by that issuer in the primary state and in any other state (secondary state), but only if the coverage and issuer comply with the conditions of this Act.
Showing the opening paragraphs of the official summary.
Exempts issuers from any secondary state's laws that would prohibit or regulate the operation of the issuer in such state, subject to certain restrictions imposed by such state.
Requires each issuer issuing individual health insurance coverage in both primary and secondary states to submit to the insurance commissioners of such states: (1) a copy of the plan of operation or feasibility study; (2) written notice of any change in its designation of its primary state and of its compliance with all the laws of the primary state; and (3) a quarterly financial statement.
Prohibits an issuer from offering, selling, or issuing individual health insurance coverage in a secondary state if the state insurance commissioner does not use a risk-based capital formula for the determination of capital and surplus requirements for all issuers.
Gives sole jurisdiction to the primary state to enforce the primary state's covered laws in the primary state and any secondary state.
People & committees
Rep. Bachmann, Michele [R-MN-6] · R–MN
Legislative record
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Referred to House Ways and Means
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.
Referred to House Energy and Commerce
Introduced in House
Introduced in House
Primary sources
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Source last updated: Jan 21, 2026. Consult Congress.gov for the current record.
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Analyze H.R.4696 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.
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