Discover The Patriot Party’s Proposed Legislation

The Proposed Legislation for Constitutional Quality Control Board (CQCB)

Restoring Constitutional Fidelity in the Legislative Process

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Executive Summary

The Constitutional Quality Control Board (CQCB) is a proposed internal advisory mechanism within Congress designed to ensure that all federal legislation aligns with the U.S. Constitution before final passage.

Operating under Congress’s constitutional authority to determine its own rules (Article I, Section 5), the CQCB would function as a nonpartisan, independent, advisory body conducting mandatory constitutional reviews for every bill considered by Congress.

The CQCB does not alter the separation of powers or create a new branch of government. Instead, it strengthens the legislative process by introducing constitutional quality assurance, reducing judicial disputes, and enhancing public trust in the rule of law.

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Purpose

The CQCB exists to:

• Review all proposed federal legislation for constitutional clarity and compliance prior to final passage;

• Provide Congress and the public with transparent, expert analysis on constitutional implications;

• Offer nonbinding recommendations on existing laws and regulations to promote long-term adherence to constitutional principles;

• Rebuild public trust in legislative integrity by ensuring that every law stands firmly on the foundation of the U.S. Constitution.

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Rationale

1. Constitutionality Is Foundational

Every federal law must be rooted in constitutional authority. When legislation exceeds those boundaries, it threatens the legitimacy of governance itself.

2. Ambiguity Breeds Erosion

Vague or poorly constructed laws invite inconsistent interpretation, leading to judicial activism and executive overreach that erode the separation of powers.

3. Quality Control Strengthens Democracy

In every field—engineering, medicine, manufacturing—quality control protects outcomes. The CQCB applies that same principle to lawmaking, ensuring the durability and fidelity of federal legislation.

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Structure of the Board

Name: Constitutional Quality Control Board (CQCB)

Composition:

• One constitutional law expert from each U.S. state, nominated by a bipartisan panel of state-level legal scholars.

• Each member must have at least fifteen (15) years of experience in constitutional law, judicial service, or legal academia.

• Members serve staggered six-year terms to ensure both continuity and nonpartisanship.

Independence:

• The CQCB operates within the legislative branch under Congress’s Article I, Section 5 authority to set its own rules.

• It remains nonpartisan and insulated from political influence, funded through a dedicated congressional appropriation or protected trust.

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Authority and Function

1. Pre-Enactment Review (Mandatory Within Congressional Procedure)

• The CQCB conducts a constitutional review of all proposed federal legislation before final passage.

• Under internal House and Senate rules, no bill proceeds to final vote without a CQCB report.

• The CQCB issues findings in three categories:

1. Constitutionally Sound – Fully consistent with constitutional principles.

2. Conditionally Sound – Consistent if amended as recommended.

3. Potentially Unconstitutional – Raises substantial constitutional concerns requiring revision before passage.

• CQCB findings are advisory and nonbinding, preserving full legislative authority while ensuring every proposal receives constitutional scrutiny before enactment.

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2. Post-Enactment Review (Advisory Function)

• The CQCB may, at the request of Congress or on its own initiative, review existing laws, executive orders, or regulatory policies for constitutional clarity.

• These reviews result in publicly available advisory reports recommending clarifications, reforms, or corrective measures where constitutional concerns arise.

• This function supports legislative oversight without infringing upon the judiciary’s power to interpret law.

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3. Transparency and Public Accountability

• All CQCB analyses and recommendations are published in full, including legal reasoning, precedential citations, and explanatory commentary.

• This transparency fosters civic education, promotes accountability, and strengthens citizens’ understanding of constitutional governance.

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Impact

• Improves legislative precision by incorporating constitutional review into the drafting process.

• Reduces judicial burden by minimizing the passage of constitutionally questionable laws.

• Protects individual rights through proactive prevention of unconstitutional legislation.

• Builds public confidence in a Congress that demonstrates discipline and respect for the Constitution.

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Legal Foundation

The CQCB derives its authority from Congress’s Article I, Section 5 power to determine its own rules of proceedings.

By adopting internal procedural rules requiring CQCB review prior to final passage, Congress enhances the quality and constitutionality of its legislative output without altering the constitutional separation of powers or the judiciary’s interpretive role.

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Conclusion

The American Republic endures because of its commitment to the Constitution—the nation’s fixed compass in an ever-changing world.

Yet modern legislative processes often move faster than constitutional reflection, inviting errors that erode the rule of law and public trust.

The Constitutional Quality Control Board (CQCB) restores that reflection.

It is not a new branch of government but a new standard of responsibility within Congress itself—an institutional promise that every law will honor the supreme law of the land.

By embedding constitutional quality control directly into the legislative process, Congress reaffirms that liberty and law remain inseparable, and that the Constitution is not merely a reference—it is the foundation of every act of government.

The Transparent Healthcare and HSA Reform Act

Executive Summary

The Transparent Healthcare and HSA Reform Act seeks to replace the Affordable Care Act (ACA) with a streamlined, consumer-driven system that promotes price transparency, expands the use of Health Savings Accounts (HSAs), and restores competition in the healthcare marketplace. The proposal focuses on reducing costs by empowering individuals and families to manage their own healthcare spending, fostering a direct relationship between patients and providers, and ensuring that healthcare prices are open and competitive.

This reform centers on three pillars:

1. Transparency – Every provider must post a full, cash-pay price for all services.

2. Empowerment – Every American can use an expanded HSA to pay providers directly at the time of service.

3. Competition – Insurers, providers, and consumers operate in a real market, driving down costs and increasing quality.

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Policy Goals and Rationale

• Lower Costs: By making prices public and paying providers directly, consumers can compare costs as they do for other services. Evidence from cash-based medical practices shows that upfront payment can reduce prices by 30–60% for shoppable services.

• Reduce Bureaucracy: Eliminate the complex insurance billing system that currently inflates administrative costs and premiums.

• Increase Personal Ownership: Allow funds in HSAs to accumulate year over year, giving families long-term security and incentives to make healthy choices.

• Strengthen State Flexibility: Shift ACA subsidies into portable, state-managed HSA contributions and allow states to innovate within transparent, market-based rules.

• Preserve Catastrophic Protection: Maintain insurance for major or unexpected medical events while lowering premiums for average families.

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Title I – Price Transparency and Market Disclosure

Section 101. Provider Price Posting Requirement

All licensed healthcare providers and facilities must publicly post a single, full “pay-in-full” price for each service or bundle of services they offer.

• Prices must be displayed in plain language and available online.

• The Secretary of Health and Human Services (HHS) will establish a national compliance portal to verify postings.

• Non-compliance may result in civil penalties or loss of eligibility for HSA payments.

Section 102. Standardized Disclosure Format

HHS shall develop a standardized template for healthcare price listings to ensure consumers can easily compare costs between providers.

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Title II – Expansion and Modernization of Health Savings Accounts

Section 201. Universal HSA Access

All citizens and lawful residents may open an HSA, regardless of income or existing insurance type. Current IRS restrictions limiting HSAs to high-deductible health plans will be lifted.

Section 202. Employer and Individual Contributions

Employers may deposit funds into employees’ HSAs as a substitute for traditional insurance premium contributions. Individuals may make tax-deductible contributions up to an annual limit indexed to medical inflation.

Section 203. HSA Payments to Registered Providers

Financial institutions managing HSAs may disburse funds only to registered healthcare providers listed in the HHS Provider Registry. The registry ensures all payments are traceable, reducing fraud and abuse.

Section 204. Rollover and Wealth Accumulation

Unused HSA balances roll over annually and accrue interest tax-free. This allows families to build long-term savings for future medical expenses.

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Title III – State Flexibility and ACA Replacement Structure

Section 301. Conversion of ACA Subsidies to State Health Accounts

All federal ACA premium subsidies and cost-sharing payments will be converted into state block grants. Each state will deposit those funds into HSAs for eligible low- and middle-income individuals and families.

Section 302. State HSA Minimum Standards

States must ensure that every eligible individual receives an annual minimum HSA deposit sufficient to cover average annual primary and preventive care needs.

Section 303. Catastrophic Reinsurance Fund

A federal backstop fund will reimburse states for extraordinary claims that exceed defined thresholds, protecting against rare, high-cost medical events while preserving state flexibility.

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Title IV – Catastrophic and Supplemental Insurance Market

Section 401. Catastrophic Coverage Options

Insurers may offer simplified catastrophic policies that cover medical expenses exceeding a defined annual threshold. These plans will be exempt from many ACA-era benefit mandates to lower costs.

Section 402. Transparent Premium Disclosure

Insurers must disclose average premiums, administrative costs, and profit margins annually to promote informed consumer choice.

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Title V – Oversight, Fraud Prevention, and Compliance

Section 501. Registered Provider Network

All providers seeking HSA payment must register with HHS, undergo identity verification, and maintain active licensure.

Section 502. Transaction Monitoring

Financial institutions will report anonymized data on HSA transactions to detect patterns of waste, fraud, or abuse.

Section 503. Civil and Criminal Penalties

Significant penalties apply for fraudulent billing or misrepresentation of prices, mirroring standards used in the Supplemental Nutrition Assistance Program (SNAP).

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Title VI – Fiscal and Economic Impact

Preliminary modeling indicates that:

• Cash-based pricing and reduced administrative layers could lower average medical service costs by 25–40% for shoppable care.

• Allowing employers to fund HSAs in lieu of expensive insurance premiums could save businesses an estimated 20–30% annually on healthcare spending.

• Shifting ACA subsidies to direct HSA deposits would maintain federal budget neutrality while increasing personal ownership of healthcare funds.

HHS and Treasury will jointly issue a fiscal report annually to Congress tracking aggregate savings and consumer outcomes.

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Title VII – Implementation Timeline

• Year 1: Establish HSA eligibility expansion, provider registry, and federal–state block grant agreements.

• Year 2: Full provider price posting and launch of state HSA programs.

• Year 3: Transition of ACA exchanges and subsidies into state-managed HSA systems; launch of catastrophic insurance market.

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Safeguards and Guardrails

1. Continuity of Coverage: Individuals currently insured under ACA exchanges will maintain coverage during a 24-month transition period.

2. Low-Income Protections: States must guarantee that HSA funding covers essential preventive and primary care for qualifying households.

3. Federal Audit Authority: GAO and HHS OIG will oversee program integrity and report annually to Congress.

4. Consumer Education: Treasury and HHS will jointly develop outreach programs to teach Americans how to manage HSAs and compare prices effectively.

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Conclusion

The Transparent Healthcare and HSA Reform Act offers a direct, market-based replacement for Obamacare—restoring transparency, empowering patients, and reducing costs for families, employers, and taxpayers. It modernizes healthcare by putting financial control back in the hands of the American people while maintaining safeguards for those who need assistance.