,i #aacth ,,congress #b;d ,session ,h4 ,r4 #dgce ,,in ,,the ,,house ,,of ,,representatives ,may #bb1 #bjad ,mr4 ,nolan 7for himself and ,mr4 ,mc,kinley7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to amend the ,patient ,protection and ,affordable ,care ,act to provide for a temporary shift in the scheduled collection of the transitional reinsurance program payments4 #a4 ,short title ,this ,act may be cited as the ,health ,care ,fairness and ,stability ,act4 #b4 ,shift in the collection of the payment for the transitional reinsurance program 7a7 ,in general ,section #acda7;b7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjfa7;b77 is amended-- 7#a7 in paragraph 7#a7-- 7,a7 in subparagraph 7,a7-- 7i7 by inserting beginning on ,january #a1 #bjah1 after required to make payments2 and 7ii7 by striking any plan year beginning in the #c-year period and all that follows through the end and inserting payments made under subparagraph 7,c7 7as specified in paragraph 7#c7722 7,b7 in subparagraph 7,b71 by striking and uses and all that follows through the period and inserting 2 and2 and 7,c7 by adding at the end the following3 7,c7 the applicable reinsurance entity makes reinsurance payments to health insurance issuers described in subparagraph 7,a7 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 #bjad1 in an aggregate amount of up to the total of the aggregate contribution amounts described in paragraph 7#c77;,b77iv71 subject to paragraph 7#d74 2 7#b7 in paragraph 7#b71 by striking paragraph 7#a77;,b7 and inserting paragraph 7#a77;,c72 7#c7 in paragraph 7#c7-- 7,a7 in subparagraph 7,a71 by striking #bjad and inserting #bjah2 and 7,b7 in subparagraph 7,b7-- 7i7 in clause 7ii71 by striking administrative and inserting operational2 7ii7 by redesignating clauses 7iii7 and 7iv7 as clauses 7iv7 and 7v71 respectively2 7iii7 by inserting after clause 7ii71 the following3 7iii7 the aggregate contribution amount for all ,states shall be based on the total amount of reinsurance payments made under paragraph 7#a77;,c72 2 7iv7 by striking clause 7iv71 as so redesignated1 and inserting the following3 7iv7 the aggregate contribution amount collected under clause 7iii7 shall1 without regard to amounts described in clause 7ii71 be limited to #aj1jjj1jjj1jjj based on the plan years beginning in #bjad1 #f1jjj1jjj1jjj based on the plan years beginning in #bjae1 and #d1jjj1jjj1jjj based on the plan years beginning in #bjaf2 2 7v7 in clause 7v71 as so redesignated1 by striking clause 7iii7 each place that such term appears and inserting clause 7iv72 and 7vi7 by inserting after clause 7v71 the following3 7vi7 in addition to the contribution amounts under clauses 7iii71 7iv71 and 7v71 each issuer's contribution amount-- 7,i7 shall reflect its proportionate share of an additional #bj1cjj1jjj for operational expenses for reinsurance payments for calendar year #bjad and for reinsurance collections for calendar year #bjah2 7,,ii7 shall reflect its proportionate share of operational expenses for reinsurance payments for calendar year #bjae and for reinsurance collections for calendar year #bjai2 and 7,,iii7 shall reflect its proportionate share of operational expenses for reinsurance payments for calendar year #bjaf and for reinsurance collections for calendar year #bjbj2 and 7vii7 collection of the contribution amounts provided for in clauses 7ii7 through 7vi7 shall be initiated-- 7,i7 for calendar year #bjad1 not earlier than ,january #a1 #bjah2 7,,ii7 for calendar year #bjae1 not earlier than ,january #a1 #bjai2 and 7,,iii7 for calendar year #bjaf1 not earlier than ,january #a1 #bjbj4 2 7#d7 in paragraph 7#d7-- 7,a7 in subparagraph 7,a7-- 7i7 by striking contribution amounts collected for any calendar year and inserting amount provided under paragraph 7#e7 for reinsurance payments described in paragraph 7#a77;,c72 and 7ii7 by striking 2 and and inserting a period2 7,b7 by striking subparagraph 7,b72 7,c7 by striking that-- and all that follows through the contribution in subparagraph 7,a7 and inserting that the contribution2 and 7,d7 in the flush matter at the end1 by striking paragraph 7#c77;,b77iv7 and inserting the following3 paragraph 7#c77;,b77v7 and any amounts collected under clause 7ii7 of paragraph 7#c77;,b7 that1 when combined with the funding provided for under paragraph 7#e71 exceed the aggregate amount permitted for making the reinsurance payments described in paragraph 7#a77;,c7 and to fund the operational expenses of applicable reinsurance entities12 and 7#e7 by adding at the end the following3 7#e7 ,funding ,to carry out this section1 there is appropriated1 out of any money in the ,treasury not otherwise appropriated1 an amount equal to the aggregate amount to be collected for plan years beginning in #bjad set forth in paragraph 7#c77;,b77iv7 for reinsurance payments described in paragraph 7#a77;,c71 and an amount equal to the contribution amounts set forth in paragraph 7#c77;,b77vi7 to fund operational expenses of applicable reinsurance entities4 4 7b7 ,rule of construction ,nothing in the amendments made by this section shall be construed to increase the amount of payments to be collected under subsection 7b77#a77;,a7 or to decrease the amount of the reinsurance payments to be made under subsection 7b77#a77;,c7 of section #acda of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjfa74 7c7 ,medical loss ratio ,the ,secretary of ,health and ,human ,services shall promulgate regulations or guidance to ensure that health insurance issuers reflect changes made in section #acda of the ,patient ,protection and ,affordable ,care ,act with section #bgah of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#ah7 and sections #acdb and #acab7;c7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjfc and #ahjcb7;c774