A bill to amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage, and for other purposes.

Read twice and referred to the Committee on Finance.

Congressional Research Service

Official summary

Version 00 · Introduced in Senate · Apr 1, 2014

Amends the Internal Revenue Code to repeal the excise tax on employer-sponsored health care coverage for which there is an excess benefit (high-cost plans).

Amends the Public Health Service Act to replace the annual review of unreasonable increases in health insurance premiums with a five-year program of grants to states for establishing centers to collect and make available medical reimbursement information from health insurance issuers.

Amends title XVIII (Medicare) of the Social Security Act to repeal the authority of the Secretary of Health and Human Services (HHS) to deny plan bids under the Medicare Advantage Program and the Prescription Drug Benefit Program.

Abolishes the Independent Payment Advisory Board established by the Patient Protection and Affordable Care Act to develop proposals to reduce the rate of growth in Medicare spending.

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People & committees

Who introduced it

Sen. Roberts, Pat [R-KS] · R–KS

Committees

Finance Committee

6 cosponsorship records, including any withdrawals

Legislative record

Actions

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

Apr 1, 2014
Read twice and referred to the Committee on Finance.
Apr 1, 2014
Sponsor introductory remarks on measure. (CR S1934-1935)
Apr 1, 2014
Introduced in Senate

Primary sources

Bill text & related measures

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

Introduced in Senate · Apr 1, 2014 Formatted Text PDF Formatted XML

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: Jan 14, 2025. Consult Congress.gov for the current record.

AI Conversation Starters

Explore the bill from different angles

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Neutral evidence review

Objective

Analyze S.2191 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

Discuss S.2191, 113th Congress: A bill to amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage, and for other purposes.

Official record: https://www.congress.gov/bill/113th-congress/senate-bill/2191

Text version to examine: Introduced in Senate · 2014-04-01.

Official full text: https://www.congress.gov/113/bills/s2191/BILLS-113s2191is.htm

Imported record last updated by the source: 2025-01-14T18:59:41Z. Verify current status and distinguish any later version from the version above.

Read the official text before answering. If you cannot access it, say so and ask me to provide it; do not assume a link means you have read the document. Distinguish proposals from enacted law, cite sources, and separate facts, interpretation, and uncertain predictions. Include counterarguments even when using a particular perspective.

Analyze S.2191 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.

Fairness and public impact

Progressive lens

Examine S.2191 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

Discuss S.2191, 113th Congress: A bill to amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage, and for other purposes.

Official record: https://www.congress.gov/bill/113th-congress/senate-bill/2191

Text version to examine: Introduced in Senate · 2014-04-01.

Official full text: https://www.congress.gov/113/bills/s2191/BILLS-113s2191is.htm

Imported record last updated by the source: 2025-01-14T18:59:41Z. Verify current status and distinguish any later version from the version above.

Read the official text before answering. If you cannot access it, say so and ask me to provide it; do not assume a link means you have read the document. Distinguish proposals from enacted law, cite sources, and separate facts, interpretation, and uncertain predictions. Include counterarguments even when using a particular perspective.

Examine S.2191 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.

Institutions and government scope

Conservative lens

Examine S.2191 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

Discuss S.2191, 113th Congress: A bill to amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage, and for other purposes.

Official record: https://www.congress.gov/bill/113th-congress/senate-bill/2191

Text version to examine: Introduced in Senate · 2014-04-01.

Official full text: https://www.congress.gov/113/bills/s2191/BILLS-113s2191is.htm

Imported record last updated by the source: 2025-01-14T18:59:41Z. Verify current status and distinguish any later version from the version above.

Read the official text before answering. If you cannot access it, say so and ask me to provide it; do not assume a link means you have read the document. Distinguish proposals from enacted law, cite sources, and separate facts, interpretation, and uncertain predictions. Include counterarguments even when using a particular perspective.

Examine S.2191 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.

Individual rights and government power

Liberty lens

Examine S.2191 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

Discuss S.2191, 113th Congress: A bill to amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage, and for other purposes.

Official record: https://www.congress.gov/bill/113th-congress/senate-bill/2191

Text version to examine: Introduced in Senate · 2014-04-01.

Official full text: https://www.congress.gov/113/bills/s2191/BILLS-113s2191is.htm

Imported record last updated by the source: 2025-01-14T18:59:41Z. Verify current status and distinguish any later version from the version above.

Read the official text before answering. If you cannot access it, say so and ask me to provide it; do not assume a link means you have read the document. Distinguish proposals from enacted law, cite sources, and separate facts, interpretation, and uncertain predictions. Include counterarguments even when using a particular perspective.

Examine S.2191 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.