,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #cdhi  ,,in ,,the ,,house ,,of  
,,representatives  ,november #ad1       
#bjac,mr4 ,tiberi 7for himself1 ,mr4    
,lipinski1 ,mr4 ,boustany1 ,mr4 ,schock1
 ,mr4 ,brady of ,texas1 ,ms4 ,jenkins1  
,mr4 ,sam ,johnson of ,texas1 ,mr4      
,reichert1 ,mr4 ,griffin of ,arkansas1  
,mr4 ,mc,intyre1 ,mr4 ,turner1 ,mrs4    
,black1 and ,mr4 ,murphy of ,florida7   
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce  ,a ,,bill  ,to amend     
section #acda of the ,patient           
,protection and ,affordable ,care ,act  
to repeal the funding mechanism for the 
transitional reinsurance program in the 
individual market1 and for other        
purposes4  #a4 ,findings2 purpose  7a7  
,findings ,congress makes the following 
findings3 7#a7 ,according to the most   
recent ,united ,states ,census1         
employer-based health insurance is the  
largest source of health insurance      
coverage in the ,united ,states4 ,of    

those employed1 #gj percent receive     
employment-based health insurance4 ,of  
unemployed ,americans1 #cj percent      
receive employer-sponsored health       
insurance4  7#b7 ,despite the large     
percentages of coverage1 as health care 
costs climb1 the percentage of          
,americans who receive health insurance 
through employers has fallen            
significantly over the last decade--from
 #gj percent nationwide in #bjjj to #fj 
percent in #bjaa1 according to a report 
by the ,robert ,wood ,johnson           
,foundation4  7#c7 ,according to recent 
surveys done by the ,national ,business 
,group on ,health and the ,kaiser       
,family ,foundation1 most companies     
continue to provide health insurance for
 employees and wish to continue doing so
 into the future4  7#d7 ,employers who  
offer insurance will not contribute     
additional risk to the health insurance 
exchanges established in the ,patient   
,protection and ,affordable ,care ,act  
7in this ,act referred to as ,,ppaca74  

7#e7 ,the transitional reinsurance      
program1 established in section #acda of
 ,,ppaca1 is intended to stabilize risk 
in the individual health insurance      
market during the first three years of  
the health insurance exchanges1 as      
established by that ,act4  7#f7 ,,ppaca 
also requires that the ,treasury collect
 a fee for each employer-sponsored      
covered life in order to pay for the    
transitional reinsurance program4  7#g7 
,this fee is a disincentive for         
employers to continue offering coverage 
to all employees1 and does not give     
employers any benefits of the           
transitional reinsurance program4  7b7  
,purpose ,it is the purpose of this ,act
 to remove the current funding mechanism
 for the transitional reinsurance       
program4 ,employer-sponsored insurance  
should be supported so that ,americans  
can sustain quality health coverage4    
#b4 ,changes in funding for transitional
 reinsurance program in the individual  
market  7a7 ,in general ,section        

#acda7;b7 of the ,patient ,protection   
and ,affordable ,care ,act 7,public ,law
 #aaa-adh2 #db ,u4,s4,c4 #ahjfa7;b77 is 
amended-- 7#a7 in paragraph 7#a71 by    
striking under which-- and all that     
follows and inserting the following3    
under which the applicable reinsurance  
entity uses amounts appropriated under  
paragraph 7#b77;,b7 to make reinsurance 
payments to health insurance issuers    
that cover high risk individuals in the 
individual market 7excluding            
grandfathered health plans7 for any plan
 year beginning in the #c-year period   
beginning ,january #a1 #bjad42  7#b7 in 
paragraph 7#b77;,b71 by striking        
,payment amount and all that follows    
through the end of the first sentence   
and inserting the following3            
,authorization of appropriations2       
payment formula4--,there are hereby     
authorized to be appropriated1 based on 
the best estimates of the ,,naic1       
#aj1jjj1jjj1jjj for plan years beginning
 in #bjad1 #f1jjj1jjj1jjj for plan years

 beginning in #bjae1 and #d1jjj1jjj1jjj 
for plan years beginning in #bjaf to    
make reinsurance payments to health     
insurance issuers described in paragraph
 7#a7 that insure high-risk individuals 
consistent with paragraph 7#c742 and    
7#c7 by striking paragraphs 7#c7 and    
7#d7 and inserting the following3  7#c7 
,extension of fund availability and     
treatment of unexpended amounts  7,a7   
,extension of fund availability ,the    
amounts appropriated for a plan year    
under paragraph 7#b77;,b7 shall be      
allocated among ,states and used in any 
of the plan years referred to in such   
paragraph based on the reinsurance needs
 of the ,states and periods involved1 as
 determined by the ,secretary4  7,b7    
,treatment of unexpended amounts        
,amounts appropriated under paragraph   
7#b77;,b7 that remain unexpended as of  
,december #ca1 #bjaf1 and that are      
otherwise allocated to a ,state may be  
used to make payments under any         
reinsurance program of the ,state in the

 individual market in effect in the     
#b-year period beginning on ,january #a1
 #bjag4  4  7b7 ,effective date ,the    
amendments made by subsection 7a7 shall 
take effect as if included in the       
enactment of section #acda of ,public   
,law #aaa-adh4