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H.R.5421 / 111th Congress

To repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, repeal the 7.5 percent threshold on the deduction for medical expenses, provide for increased funding for high-risk pools, allow acquiring health insurance across State lines, and allow for the creation of association health plans.

Referred to the Subcommittee on Health, Employment, Labor, and Pensions.

Official summary

Version 00 · Introduced in House · May 27, 2010

Repeals the Patient Protection and Affordable Care Act (PPACA) and the Health Care and Education Reconciliation Act of 2010, effective as of their enactment. Restores provisions of law amended by such Acts.

Amends the Internal Revenue Code to allow the tax deduction for medical expenses without the gross income percentage limitation.

Amends the Public Health Service Act to: (1) authorize appropriations for FY2011-FY2015 for grants to states for the creation and operation of qualified high risk health insurance pools; and (2) 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.

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Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for establishment and governance of association health plans (AHPs), which are privately-sponsored group health plans that meet certain ERISA certification requirements.

Establishes the Association Health Plan Fund to be used by the Secretary of Labor to make payments to an insurer to maintain coverage for a plan if there is a reasonable expectation that, without such payments, claims would not be satisfied by reason of termination of coverage.

Allows a state to impose a contribution tax on an association health plan that commences operations in such state after the enactment of this Act.

Read the summary on Congress.gov
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Who introduced it

Rep. Broun, Paul C. [R-GA-10] · R–GA

Committees

  • Education and Workforce Committee
  • Committee on House Administration
  • Rules Committee
  • Natural Resources Committee
  • Judiciary Committee
  • Ways and Means Committee
  • Appropriations Committee
  • Energy and Commerce Committee
3 cosponsorship records, including any withdrawals

Actions

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  1. Referred to the Subcommittee on Health, Employment, Labor, and Pensions.

  2. Referred to House Administration

  3. Referred to House Rules

  4. Referred to House Natural Resources

  5. Referred to House Judiciary

  6. Referred to House Education and Labor

  7. Referred to House Ways and Means

  8. Referred to House Appropriations

  9. Referred to the Committee on Energy and Commerce, and in addition to the Committees on Appropriations, Ways and Means, Education and Labor, the Judiciary, Natural Resources, Rules, and House Administration, 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.

  10. Referred to House Energy and Commerce

  11. Introduced in House

  12. Introduced in House

Bill text & related measures

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Related bills identified by Congress.gov

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

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Objective

Analyze H.R.5421 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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Progressive lens

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Individual rights and government power

Liberty lens

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