U.S. Rep. Kristi Noem (R-SD) has introduced a bill that could save American families up to $400 a year on their health care premium costs by delaying a pricey Obamacare tax.

Rep. Noem on Tuesday introduced the Protecting Families and Small Businesses Act, H.R. 4620, which would amend the Patient Protection and Affordable Care Act, also known as Obamacare, and place a two-year delay on the health insurance tax (HIT), an annual health insurance provider fee.

“The best way to lift this burden is to fully and permanently repeal Obamacare, but until that time, I will fight to reduce the financial strain on hardworking South Dakotans. This legislation does just that,” said Noem, who serves on the House Ways and Means Committee.

The HIT is a direct tax on health insurance providers for benefits they provide individuals and families. The tax ultimately hits consumers who end up paying more for insurance premiums and more in out-of-pocket costs, according to the Congressional Budget Office, a nonpartisan arm of Congress.

“Many small businesses and families in South Dakota have faced a stunning reality since the passage of Obamacare: They can’t afford to pay for the expensive mandated insurance, but they also can’t afford the HIT if they don’t provide insurance,” said Noem.

“Essentially, they’re taxed if they do and taxed if they don’t,” she said.

The result is that many employers have been forced to either cut workers’ hours or limit the growth of their small businesses, the lawmaker said.

H.R. 4620 would provide relief in 2018 from the HIT if the insurer provides the plan holder a premium rebate and delays the tax in 2019 for all insurers.

The bipartisan bill has garnered support from cosponsor U.S. Rep. Kyrsten Sinema (D-AZ).

Several other members of the Ways and Means Committee also introduced legislation on Tuesday to provide relief from Affordable Care Act taxes that will take effect in 2018.

Rep. Carlos Curbelo (R-FL) introduced a bill, H.R. 4619, which seeks to provide relief from the HIT for two years for health care plans regulated by Puerto Rico.

Reps. Erik Paulsen (R-MN) and Jackie Walorski (R-IN) introduced H.R. 4617, which would provide relief from the 2.3 percent excise tax that applies to the sale of medical device products for five years. That tax, included in the Affordable Care Act, is seen as hurting job growth and innovation.

Additionally, Rep. Lynn Jenkins (R-KS) unveiled H.R. 4618, a bill that would offer relief for two years from a tax on medications that can be bought over-the-counter. The measure would reduce health care costs by allowing for the reimbursement of those types of medication costs under consumer-directed accounts.

House Ways and Means Committee Chairman Kevin Brady (R-TX) welcomed the legislation.

“Obamacare’s failures are continuing to hurt families across the country — allowing burdensome health care taxes to continue or go back into effect would make these problems even more severe,” said Brady.

As Congress continues working toward a patient-centered health care system, Brady said House Ways and Means Committee Republicans will act “to provide targeted relief from taxes that stand in the way of affordable health care, innovative treatments, access to medications, more jobs, and bigger paychecks for hardworking Americans.”

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