text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``State Health Care Flexibility Act of 
  2011''.
  
  SEC. 2. SEVERABILITY.
  
      If any provision of this Act, or any application of such provision 
  to any person or circumstance, is held to be unconstitutional, the 
  remainder of the provisions of this Act and the application of the 
  provision to any other person not similarly situated or to any other 
  circumstance shall not be affected.
  
  SEC. 3. PERMITTING STATES TO OPT OUT OF CERTAIN PROVISIONS OF PPACA.
  
      (a) In General.--A qualifying State may elect to opt out of the 
  application of any or all of the provisions of the Patient Protection 
  and Affordable Care Act (Public Law 111-148) described in subsection 
  (b) with respect to health insurance coverage within such State.
      (b) Provisions Described.--For purposes of this Act:
              (1) In general.--A provision of the Patient Protection and 
          Affordable Care Act described in this subsection is any section 
          of such Act described in paragraph (2) or any grouping of 
          provisions of such Act described in a subparagraph of paragraph 
          (3).
              (2) Sections relating to phsa health insurance market 
          reforms and immediate reforms.--A section described in this 
          paragraph is any section of subtitles A through C of title I of 
          the Patient Protection and Affordable Care Act (and the 
          amendments made by such section), except for sections 1253 and 
          1254.
              (3) Groupings of other ppaca provisions.--A grouping of 
          provisions of the Patient Protection and Affordable Care Act is 
          any of the following:
                      (A) All of the sections of parts I, II, III, and V 
                  of subtitle D of title I of such Act (and the 
                  amendments made by such sections).
                      (B) All of the sections of part I of subtitle E of 
                  title I of such Act (and the amendments made by such 
                  sections).
                      (C) All of the sections of subtitle F of title I of 
                  such Act (and the amendments made by such sections).
                      (D) Requirements imposed pursuant to section 
                  3021(c)(2) of the Public Health Service Act (42 U.S.C. 
                  300jj-51(c)(2)), as added by section 1561 of the 
                  Patient Protection and Affordable Care Act.
                      (E) All of the sections of subtitle A of title II 
                  of the Patient Protection and Affordable Care Act, 
                  except for section 2007, and all of the sections of 
                  subtitle C of such title (and the amendments made by 
                  such sections).
      (c) Qualifying State.--
              (1) Enactment of state law.--For purposes of this section, 
          the term ``qualifying State'' means a State that--
                      (A) enacts a law after the date of enactment of 
                  this Act that--
                              (i) expresses the intent of the State to 
                          opt out of any or all of the provisions of the 
                          Patient Protection and Affordable Care Act 
                          (Public Law 111-148) described in subsection 
                          (b);
                              (ii) contains a list of each such 
                          provision; and
                              (iii) expresses the intent of the State to 
                          continue to administer health coverage-related 
                          laws as in effect in the State on March 22, 
                          2010, or that provides for the implementation 
                          of related State laws enacted after such date; 
                          and
                      (B) provides to the Secretary of Health and Human 
                  Services and the Secretary of the Treasury a 
                  notification that such State law was enacted.
              (2) Repeal.--If a qualifying State repeals a law described 
          in paragraph (1), the provisions of the Patient Protection and 
          Affordable Care Act listed in such law shall apply with respect 
          to such State beginning on the date of such repeal.
      (d) Preserving Existing State Law Opt Outs.--Nothing in this Act 
  shall be construed as affecting any State law enacted before the date 
  of the enactment of this Act relating to the State opting out of the 
  application of any provision of the Patient Protection and Affordable 
  Care Act.
      (e) Regulations.--Not later than 90 days after the date of the 
  enactment of this Act, the Secretary of Health and Human Services, in 
  consultation with the Secretary of the Treasury, shall promulgate 
  regulations to provide for the implementation of this Act.
      (f) Effective Date.--The provisions of this section shall be 
  effective and shall apply to a State as of the date of the enactment of 
  this Act, without regard to whether regulations described in subsection 
  (e) have been promulgated.
target: State Health Care Flexibility Act of 2011 - Authorizes a state to opt out of the application of certain provisions of the Patient Protection and Affordable Care Act (PPACA) with respect to health insurance coverage within the state by: (1) enacting a law that expresses the intent of the state to opt out of any or all of such provisions, lists such provisions, and expresses the intent of the state to continue to administer health care coverage-related laws as in effect in the state on March 22, 2010, or provides for the implementation of related state laws enacted after such date; and (2) notifying the Secretary of Health and Human Services (HHS) and the Secretary of the Treasury that such a state law was enacted.
  
   Includes among PPACA provisions that may be made inapplicable within a state provisions related to health coverage, essential health benefits, health insurance exchanges, alternative health plans established by states, individual and employer health coverage requirements, interoperable protocols for enrollment in federal and state health and human service programs, and expansion of Medicaid coverage.
feat_title: To enable States to opt out of certain provisions of the Patient Protection and Affordable Care Act.