State Exchange Accountability Act

Read twice and referred to the Committee on Finance.

Congressional Research Service

Official summary

Version 00 · Introduced in Senate · May 14, 2014

State Exchange Accountability Act - Amends the Patient Protection and Affordable Care Act to require a state to reimburse the federal government for the amount of establishment or early innovator grants the state received to operate a health care exchange if it operated an exchange in 2014 but subsequently elected to provide for enrollment in qualified health plans solely through the federal health care exchange.

Requires that: (1) reimbursement be made in full within 10 years of such election, pursuant to an agreement with the Department of Health and Human Services (HHS); and (2) in case of failure to enter such an agreement, the Secretary of HHS shall reduce the state's Medicaid funding for 10 fiscal years in an aggregate amount equal to the reimbursement amount.

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People & committees

Who introduced it

Sen. Barrasso, John [R-WY] · R–WY

Committees

Finance Committee

8 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.

May 14, 2014
Read twice and referred to the Committee on Finance.
May 14, 2014
Sponsor introductory remarks on measure. (CR S3031-3032)
May 14, 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 · May 14, 2014 Formatted Text PDF Formatted XML

Related bills identified by Congress.gov

HR 4677 · State Exchange Accountability Act

Source last updated: Dec 3, 2025. Consult Congress.gov for the current record.

AI Conversation Starters

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Neutral evidence review

Objective

Analyze S.2339 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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Discuss S.2339, 113th Congress: State Exchange Accountability Act

Official record: https://www.congress.gov/bill/113th-congress/senate-bill/2339

Text version to examine: Introduced in Senate · 2014-05-14.

Official full text: https://www.congress.gov/113/bills/s2339/BILLS-113s2339is.htm

Imported record last updated by the source: 2025-12-03T18:29:11Z. 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.2339 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.2339 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.

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Discuss S.2339, 113th Congress: State Exchange Accountability Act

Official record: https://www.congress.gov/bill/113th-congress/senate-bill/2339

Text version to examine: Introduced in Senate · 2014-05-14.

Official full text: https://www.congress.gov/113/bills/s2339/BILLS-113s2339is.htm

Imported record last updated by the source: 2025-12-03T18:29:11Z. 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.2339 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.2339 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.2339, 113th Congress: State Exchange Accountability Act

Official record: https://www.congress.gov/bill/113th-congress/senate-bill/2339

Text version to examine: Introduced in Senate · 2014-05-14.

Official full text: https://www.congress.gov/113/bills/s2339/BILLS-113s2339is.htm

Imported record last updated by the source: 2025-12-03T18:29:11Z. 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.2339 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.2339 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.2339, 113th Congress: State Exchange Accountability Act

Official record: https://www.congress.gov/bill/113th-congress/senate-bill/2339

Text version to examine: Introduced in Senate · 2014-05-14.

Official full text: https://www.congress.gov/113/bills/s2339/BILLS-113s2339is.htm

Imported record last updated by the source: 2025-12-03T18:29:11Z. 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.2339 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.