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H.R. 439: State Leadership in Health Care Act

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H.R. 439: State Leadership in Health Care Act

112th Congress · introduced 2011-01-25 · Health · Latest: Referred to the Subcommittee on Health.

federal

Follow this bill, step by step

  1. Where it came from: introduced 2011-01-25 · official record
  2. Who proposed it: Rep. Welch, Peter [D-VT-At Large] · what a sponsor is
  3. What happened next: no floor votes in our records yet. Why?
  4. Where it stands now: Referred to the Subcommittee on Health. Not final yet: this can still change. We check for updates every day.
  5. If it becomes law and spends money: follow the money to money laws, then agencies and contracts and grants.

What does this mean?

Official title

State Leadership in Health Care Act

Plain summary

State Leadership in Health Care Act - Amends the Patient Protection and Affordable Care Act (PPACA) to allow states to apply for a waiver of specified requirements under PPACA with respect to health insurance coverage within that state due to implementation of a state plan that provides comparable coverage for plan years beginning in 2014 (currently, 2017). Permits the Secretary of Health and Human Services (HHS) or the Secretary of the Treasury to deny waivers only if: (1) the state plan does not meet requirements for granting a waiver, (2) the Secretary of HHS or Treasury notifies the state in writing of the requirements that the state plan did not meet and provides the state with information used in making such a determination, and (3) the state is given an opportunity to appeal. Requires the Secretary of HHS or Treasury to reconsider the determination in the event of an appeal and issue a written decision within 60 days.

Congressional Research Service summary (Introduced in House), quoted unchanged (nonpartisan). Read the source.

What a vote does

A “Yea” vote

If it passes both chambers and is signed, it becomes law.

A “Nay” vote

If it is not passed, current law stays as it is.

PSI Sci description of the legislative step (not an opinion).

What does this mean? (plain words)

Official text

State Leadership in Health Care Act

Source: Congressional Research Service summary (Introduced in House)

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The strongest published arguments

Arguments for (supporters)

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Arguments against (opponents)

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Alternatives

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How did my representative vote? · This bill's floor votes

Officials and money

Sponsor: Rep. Welch, Peter [D-VT-At Large] · 3 cosponsors

Cost estimate: No cost estimate published yet.

Cosponsors on this site

Martin Heinrich (D-NM)

Sponsor's campaign money: Rep. Welch, Peter [D-VT-At Large] reported raising $248,839 (2025–2026). Details. Shown for context only; it does not mean any donor supported this bill.

No linked floor roll calls in our collected records yet. This does not mean the bill has never had a vote. Check the official bill history.

Sources

Record fed-us-cong112-hr439 · catalog fed-us-congress-bills-cong112 · updated 2026-11-15 by psicol fed-bills-cong112