H. R. 1418
IN THE HOUSE OF REPRESENTATIVES
February 28, 2019
Mr. DeFazio (for himself, Mr. Gosar, Mr. Meeks, Mr. Lynch, Mr. Grijalva, Mr. Garamendi, Mr. Norman, Mr. DesJarlais, Mr. Davidson of Ohio, and Mr. Yoho) introduced the following bill; which was referred to the Committee on the Judiciary
To restore the application of the Federal antitrust laws to the business of health insurance to protect competition and consumers.
This Act may be cited as the
Competitive Health Insurance Reform Act of 2019.
Restoring the application of antitrust laws to the business of health insurance
Amendment to McCarran-Ferguson Act
Section 3 of the Act of March 9, 1945 (15 U.S.C. 1013), commonly known as the McCarran-Ferguson Act, is amended by adding at the end the following:
Nothing contained in this Act shall modify, impair, or supersede the operation of any of the antitrust laws with respect to the business of health insurance (including the business of dental insurance and limited-scope dental benefits).
Paragraph (1) shall not apply with respect to making a contract, or engaging in a combination or conspiracy—
to collect, compile, or disseminate historical loss data;
to determine a loss development factor applicable to historical loss data;
to perform actuarial services if such contract, combination, or conspiracy does not involve a restraint of trade; or
to develop or disseminate a standard insurance policy form (including a standard addendum to an insurance policy form and standard terminology in an insurance policy form) if such contract, combination, or conspiracy is not to adhere to such standard form or require adherence to such standard form.
For purposes of this subsection—
antitrust laws has the meaning given it in subsection (a) of the first section of the Clayton Act (15 U.S.C. 12), except that such term includes section 5 of the Federal Trade Commission Act (15 U.S.C. 45) to the extent that such section 5 applies to unfair methods of competition;
business of health insurance (including the business of dental insurance and limited-scope dental benefits) does not include—
the business of life insurance (including annuities); or
the business of property or casualty insurance, including but not limited to—
any insurance or benefits defined as
excepted benefits under paragraph (1), subparagraph (B) or (C) of paragraph (2), or paragraph (3) of section 9832(c) of the Internal Revenue Code of 1986 (26 U.S.C. 9832(c)) whether offered separately or in combination with insurance or benefits described in paragraph (2)(A) of such section; and
any other line of insurance that is classified as property or casualty insurance under State law;
historical loss data means information respecting claims paid, or reserves held for claims reported, by any person engaged in the business of insurance; and
loss development factor means an adjustment to be made to reserves held for losses incurred for claims reported by any person engaged in the business of insurance, for the purpose of bringing such reserves to an ultimate paid basis.
For purposes of section 5 of the Federal Trade Commission Act (15 U.S.C. 45) to the extent such section applies to unfair methods of competition, section 3(c) of the McCarran-Ferguson Act shall apply with respect to the business of health insurance without regard to whether such business is carried on for profit, notwithstanding the definition of
Corporation contained in section 4 of the Federal Trade Commission Act.