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H. Rept. 118-107 1 (2023-06-12)

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U.GOVERNMENT
INFORMATION .














                    118TH CONGRESS                                      REPORT
                      1st Session    HOUSE  OF  REPRESENTATIVES         118-107







                        CUSTOM HEALTH OPTION AND INDIVIDUAL CARE
                                   EXPENSE ARRANGEMENT ACT



                    JUNE 12, 2023.-Committed to the Committee of the Whole House on the State of
                                      the Union and ordered to be printed



                     Mr. SMITH of Missouri, from the Committee on Ways  and Means,
                                        submitted  the following


                                           R  E  P  O  R  T

                                             together with

                                         DISSENTING VIEWS

                                         [To accompany H.R. 3799]

                     The  Committee  on Ways  and  Means,  to whom  was referred the
                   bill (H.R. 3799) to amend  the Internal Revenue  Code  of 1986 to
                   provide for health reimbursement arrangements  integrated with in-
                   dividual health insurance  coverage, having considered the  same,
                   reports favorably thereon  with an  amendment   and  recommends
                   that the bill as amended do pass.

                                               CONTENTS
                                                                                 Page
                      I. SUMMARY AND  BACKGROUND   .............................................................  4
                           A. Purpose and Summary ..................................................................... 4
                           B. Background and Need  for Legislation  .............................................  4
                           C. Legislative History ........................................................................... 4
                           D. Legislative History ............................................................................ 5
                     II. EXPLANATION OF THE BILL ................................................................... 5
                           A. Treatment of Health Reimbursement Arrangements Integrated
                               with Individual Market Coverage (sec. 2 of the bill and sec.
                               9815 of the Code) ........................................................................... 5
                     III. VOTE OF THE COMMITTEE ...................................................................... 10
                     IV. BUDGET EFFECTS OF THE BILL ...........................................................  11
                           A. Committee Estimate of Budgetary Effects ......................................  11
                           B. Statement Regarding New Budget Authority and Tax Expendi-
                               tures Budget  Authority  ..................................................................  11
                           C. Cost Estimate Prepared by the Congressional Budget Office .......  11
                     V. OTHER  MATTERS  TO  BE DISCUSSED  UNDER  THE  RULES  OF
                         THE  HOUSE  .............................................................................................. 11
                           A. Committee Oversight Findings and Recommendations .................  11
                       39-006

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