,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #ajgf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #ab1 #bjac ,mr4  
,hall 7= himself & ,mr4 ,?ornb]ry7      
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to am5d ! ,pati5t ,protection 
& ,af=dable ,c>e ,act to provide = sav+s
 to ! ,f$]al ,gov]nm5t by p]mitt+       
pass-?r\gh fund+ = ,/ate au?oriz$ public
 entity heal? b5efits pools4  #a4 ,sav+s
 f ,/ate au?oriz$ public entity heal?   
b5efits pools ,! ,pati5t ,protection &  
,af=dable ,c>e ,act 7,public ,law       
#aaa-adh7 is am5d$ by ins]t+ aft]       
section #accb 7#db ,u4,s4,c4 #ahjeb7 !  
foll[+ new section 7& ins]t+ a          
correspond+ item 9 ! table ( cont5ts ( !
 ,act73  #accb;,a4 ,sav+s f ,/ate       
au?oriz$ public entity b5efits pools    

7a7 ,application  7#a7 ,9 g5]al ,a ,/ate
 au?oriz$ public entity heal? b5efits   
pool 79 ?is section ref]r$ to z a pool7 
may apply to ! ,secret>y = a pass ?r\gh 
( fund+ describ$ 9 subsection 7b7 )     
respect to heal? c>e b5efits provid$    
?r\gh t pool = cov]age ye>s beg9n+ on or
 aft] ,janu>y #a1 #bjad4  7#b7 ,approval
 ( application ,! ,secret>y %all approve
 su* an application ( a pool if !       
,secret>y det]m9es t heal? c>e b5efits  
provid$ ?r\gh ! pool--  7,a7 w provide  
cov]age t is at lea/ z compreh5sive z ! 
cov]age def9$ 9 section #acjb7;b72  7,b7
 w provide cov]age & co/ %>+ protections
 aga9/ excessive out-(-pocket sp5d+ t   
are at lea/ z af=dable z ! provisions ( 
?is title w\ld provide2 &  7,c7 w result
 9 co/ sav+s to ! ,f$]al ,gov]nm5t      
because ! co/ ( provid+ heal? c>e       
b5efits to individuals ?r\gh ! pool w be
 less ?an ! co/ ( provid+ heal? c>e     
b5efits to su* individuals _h !y become 
p>ticipants 9 a qualifi$ heal? plan (f]$
 ?r\gh an ,ex*ange1 & s ! paym5t am\nt  

"u subsection 7b7 w be less ?an ! total 
( premium tax cr$its1 co/-%>+ r$uctions1
 or small bus9ess cr$its t w\ld o!rwise 
be requir$ if individuals & small       
employ]s 9 ! pool 7 in/ead p>ticipants 9
 an ,ex*ange4  7#c7 ,consid]ation ,n    
lat] ?an #ij days aft] ! date ( !       
enactm5t ( ?is section1 ! ,secret>y %all
 promulgate regulations relat+ to pass  
?r\gh ( fund+ "u ?is section4 ,!        
,secret>y %all beg9 accept+ applications
 "u ?is section no lat] ?an #ahj days   
aft] su* date ( enactm5t4  7#d7         
,additional consequ5ces ( approval ,an  
individual receiv+ heal? c>e b5efits    
?r\gh su* a pool = :i* su* an           
application is approv$ "u ?is section   
%all be treat$1 = purposes ( section    
#ejjj;,a ( ! ,int]nal ,rev5ue ,code (   
#aihf1 z be+ cov]$ "u m9imum ess5tial   
cov]age describ$ 9 subsection           
7f77#a77;,e7 ( su* section4  7b7 ,pass  
?r\gh ( fund+  7#a7 ,9 g5]al ,) respect 
to a pool application "u subsection     
7a77#a71 "u :i* individuals & small     

employ]s 9 ! pool w\ld n qualify = !    
premium tax cr$its1 co/-%>+ r$uctions1  
or small bus9ess cr$its "u sections     
#cf;,b or #de,r ( ! ,int]nal ,rev5ue    
,code ( #aihf = :i* !y w\ld o!rwise be  
eligible if !y _h ent]$ an ,ex*ange1 !  
,secret>y %all provide = an alt]native  
means by :i* an aggregate am\nt det]m9$ 
"u p>agraph 7#b7 %all be paid to ! pool 
= purposes ( implem5t+ ! application4   
7#b7 ,paym5t det]m9ation ,! am\nt to be 
paid "u p>agraph 7#a7 %all be det]m9$-- 
7,a7 bas$ on ! sum ( premium tax cr$its1
 co/-%>+ r$uctions1 & small bus9ess     
cr$its "u sections #cf;,b or #de,r ( !  
,int]nal ,rev5ue ,code ( #aihf t w\ld h 
be5 provid$ ) respect to individuals 9 !
 pool _h ! heal? c>e b5efits provid$ by 
! pool be5 a qualifi$ heal? plan (f]$ 9 
an ,ex*ange1 b tak+ into acc\nt ! l[]   
co/ ( provid+ heal? c>e b5efits to      
individuals ?r\gh ! pool2 &  7,b7       
annually by ! ,secret>y1 tak+ into      
consid]ation ! exp]i5ce ( individuals & 
small employ]s p>ticipat+ 9 ,ex*anges4  

7c7 ,timely det]m9ation by secret>y ,!  
,secret>y %all make a det]m9ation "u    
subsection 7a77#a7 ) respect to !       
application ( a pool n lat] ?an #ahj    
days aft] ! date ( receipt ( su*        
application1 & %all notify ! pool       
involv$ ( su* det]m9ation4  7d7         
,def9itions ,9 ?is section3  7#a7 ,! t]m
 public entity means a c\nty1           
municipality1 special di/rict1 s*ool    
di/rict1 junior college di/rict1 h\s+   
au?ority1 or o!r political subdivision  
or public entity def9$ "u ,/ate law4    
7#b7 ,! t]m ,/ate au?oriz$ public entity
 heal? b5efits pool means a risk pool   
au?oriz$ or p]mitt$ by ,/ate /atute or  
o!rwise regulat$ by a ,/ate ag5cy "u    
:i*--  7,a7 a public entity or gr\p (   
public entities1 directly or ?r\gh a    
pool1 provide heal? c>e b5efits prim>ily
 = public entity (ficials1 employees1 & 
retirees & _! dep5d5ts2 & (ficials1     
employees1 & retirees & dep5d5ts (      
affiliat$ s]vice contractors ( su*      
public entities2 &  7,b7 su* pool may   

provide heal? c>e b5efits f ! assets ( !
 pool or its memb] public entities ?r\gh
 any comb9ation ( self-fund$ arrangem5ts
 or fully insur$ products4  7#c7 ,! t]m 
affiliat$ s]vice contractor means an    
organization t provides gov]nm5tal or   
quasi-gov]nm5tal s]vices on behalf ( a  
public entity :5 su* contractor is      
eligible to obta9 heal? c>e b5efits     
?r\gh a /ate au?oriz$ public entity     
heal? b5efits pool = its (ficials1      
employees1 retirees & _! dep5d5ts4  4