,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #cdhi  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #ad1         
#bjac,mr4 ,tib]i 7= himself1 ,mr4       
,lip9ski1 ,mr4 ,b\/any1 ,mr4 ,s*ock1    
,mr4 ,brady ( ,texas1 ,ms4 ,j5k9s1 ,mr4 
,sam ,johnson ( ,texas1 ,mr4 ,rei*]t1   
,mr4 ,griff9 ( ,arkansas1 ,mr4          
,mc,intyre1 ,mr4 ,turn]1 ,mrs4 ,black1 &
 ,mr4 ,murphy ( ,florida7 introduc$ !   
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to am5d section #acda ( !      
,pati5t ,protection & ,af=dable ,c>e    
,act to repeal ! fund+ me*anism = !     
transitional re9surance program 9 !     
individual m>ket1 & = o!r purposes4  #a4
 ,f9d+s2 purpose  7a7 ,f9d+s ,congress  
makes ! foll[+ f9d+s3 7#a7 ,accord+ to !
 mo/ rec5t ,unit$ ,/ates ,c5sus1        
employ]-bas$ heal? insurance is ! l>ge/ 
s\rce ( heal? insurance cov]age 9 !     
,unit$ ,/ates4 ,( ^? employ$1 #gj p]c5t 
receive employm5t-bas$ heal? insurance4 
,( unemploy$ ,am]icans1 #cj p]c5t       

receive employ]-sponsor$ heal?          
insurance4  7#b7 ,despite ! l>ge        
p]c5tages ( cov]age1 z heal? c>e co/s   
climb1 ! p]c5tage ( ,am]icans :o receive
 heal? insurance ?r\gh employ]s has     
fall5 significantly ov] ! la/ decade--f 
#gj p]c5t nationwide 9 #bjjj to #fj     
p]c5t 9 #bjaa1 accord+ to a report by ! 
,rob]t ,wood ,johnson ,f\ndation4  7#c7 
,accord+ to rec5t surveys done by !     
,national ,bus9ess ,gr\p on ,heal? & !  
,kais] ,family ,f\ndation1 mo/ companies
 cont9ue to provide heal? insurance =   
employees & wi% to cont9ue do+ s into ! 
future4  7#d7 ,employ]s :o (f] insurance
 w n contribute additional risk to !    
heal? insurance ex*anges e/abli%$ 9 !   
,pati5t ,protection & ,af=dable ,c>e    
,act 79 ?is ,act ref]r$ to z ,,ppaca74  
7#e7 ,! transitional re9surance program1
 e/abli%$ 9 section #acda ( ,,ppaca1 is 
int5d$ to /abilize risk 9 ! individual  
heal? insurance m>ket dur+ ! fir/ ?ree  
ye>s ( ! heal? insurance ex*anges1 z    
e/abli%$ by t ,act4  7#f7 ,,ppaca also  

requires t ! ,treasury collect a fee =  
ea* employ]-sponsor$ cov]$ life 9 ord]  
to pay = ! transitional re9surance      
program4  7#g7 ,?is fee is a dis9c5tive 
= employ]s to cont9ue (f]+ cov]age to   
all employees1 & does n give employ]s   
any b5efits ( ! transitional re9surance 
program4  7b7 ,purpose ,x is ! purpose (
 ?is ,act to remove ! curr5t fund+      
me*anism = ! transitional re9surance    
program4 ,employ]-sponsor$ insurance    
%\ld be support$ s t ,am]icans c su/a9  
quality heal? cov]age4  #b4 ,*anges 9   
fund+ = transitional re9surance program 
9 ! individual m>ket  7a7 ,9 g5]al      
,section #acda7;b7 ( ! ,pati5t          
,protection & ,af=dable ,c>e ,act       
7,public ,law #aaa-adh2 #db ,u4,s4,c4   
#ahjfa7;b77 is am5d$-- 7#a7 9 p>agraph  
7#a71 by /rik+ "u :i*-- & all t foll[s &
 ins]t+ ! foll[+3 "u :i* ! applicable   
re9surance entity uses am\nts           
appropriat$ "u p>agraph 7#b77;,b7 to    
make re9surance paym5ts to heal?        
insurance issu]s t cov] high risk       

individuals 9 ! individual m>ket        
7exclud+ gr&fa!r$ heal? plans7 = any    
plan ye> beg9n+ 9 ! #c-ye> p]iod beg9n+ 
,janu>y #a1 #bjad42  7#b7 9 p>agraph    
7#b77;,b71 by /rik+ ,paym5t am\nt & all 
t foll[s ?r\gh ! end ( ! fir/ s5t5ce &  
ins]t+ ! foll[+3 ,au?orization (        
appropriations2 paym5t =mula4--,!re are 
h]eby au?oriz$ to be appropriat$1 bas$  
on ! be/ e/imates ( ! ,,naic1           
#aj1jjj1jjj1jjj = plan ye>s beg9n+ 9    
#bjad1 #f1jjj1jjj1jjj = plan ye>s beg9n+
 9 #bjae1 & #d1jjj1jjj1jjj = plan ye>s  
beg9n+ 9 #bjaf to make re9surance       
paym5ts to heal? insurance issu]s       
describ$ 9 p>agraph 7#a7 t insure       
high-risk individuals consi/5t )        
p>agraph 7#c742 &  7#c7 by /rik+        
p>agraphs 7#c7 & 7#d7 & ins]t+ ! foll[+3
  7#c7 ,ext5sion ( fund availability &  
treatm5t ( unexp5d$ am\nts  7,a7        
,ext5sion ( fund availability ,! am\nts 
appropriat$ = a plan ye> "u p>agraph    
7#b77;,b7 %all be allocat$ among ,/ates 
& us$ 9 any ( ! plan ye>s ref]r$ to 9   

su* p>agraph bas$ on ! re9surance ne$s (
 ! ,/ates & p]iods involv$1 z det]m9$ by
 ! ,secret>y4  7,b7 ,treatm5t ( unexp5d$
 am\nts ,am\nts appropriat$ "u p>agraph 
7#b77;,b7 t rema9 unexp5d$ z ( ,decemb] 
#ca1 #bjaf1 & t are o!rwise allocat$ to 
a ,/ate may be us$ to make paym5ts "u   
any re9surance program ( ! ,/ate 9 !    
individual m>ket 9 effect 9 ! #b-ye>    
p]iod beg9n+ on ,janu>y #a1 #bjag4  4   
7b7 ,effective date ,! am5dm5ts made by 
subsection 7a7 %all take effect z if    
includ$ 9 ! enactm5t ( section #acda (  
,public ,law #aaa-adh4