,,ii  #aacth ,,congress  #ast ,session  
,s4 #agce  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,november #ai1 
#bjac,mr4 ,alexander 7for himself1 ,mr4 
,risch1 ,mr4 ,rubio1 ,mr4 ,crapo1 ,mr4  
,coburn1 ,mr4 ,enzi1 ,mr4 ,cornyn1 ,mr4 
,barrasso1 ,mr4 ,boozman1 and ,mr4      
,mc,connell7 introduced the following   
bill2 which was read twice and referred 
to the ,committee on ,health1           
,education1 ,labor1 and ,pensions  ,a   
,,bill  ,to amend the ,public ,health   
,service ,act1 the ,employee ,retirement
 ,income ,security ,act of #aigd1 and   
the ,internal ,revenue ,code of #aihf to
 exclude from the definition of health  
insurance coverage certain medical      
stop-loss insurance obtained by certain 
plan sponsors of group health plans4    
#a4 ,short title ,this ,act may be cited
 as the ,self-,insurance ,protection    
,act4  #b4 ,certain medical stop-loss   
insurance obtained by certain plan      
sponsors of group health plans not      
included under the definition of health 

insurance coverage  7a7 ,,phsa ,section 
#bgia7;b77#a7 of the ,public ,health    
,service ,act 7#db ,u4,s4,c4            
#cjj;gg-#ia7;b77#a77 is amended by      
adding at the end the following new     
sentence3 ,such term shall not include a
 stop loss policy obtained by a         
self-insured health plan or a plan      
sponsor of a group health plan that     
self-insures the health risks of its    
plan participants to reimburse the plan 
or sponsor for losses that the plan or  
sponsor incurs in providing health or   
medical benefits to such plan           
participants in excess of a             
predetermined level set forth in the    
stop loss policy obtained by such plan  
or sponsor44  7b7 ,,erisa ,section      
#gcc7;b77#a7 of the ,employee           
,retirement ,income ,security ,act of   
#aigd 7#bi ,u4,s4,c4 #aaia;b7b77#a77 is 
amended by adding at the end the        
following new sentence3 ,such term shall
 not include a stop loss policy obtained
 by a self-insured health plan or a plan

 sponsor of a group health plan that    
self-insures the health risks of its    
plan participants to reimburse the plan 
or sponsor for losses that the plan or  
sponsor incurs in providing health or   
medical benefits to such plan           
participants in excess of a             
predetermined level set forth in the    
stop loss policy obtained by such plan  
or sponsor44  7c7 ,,irc ,section        
#ihcb7;b77#a77;,a7 of the ,internal     
,revenue ,code of #aihf is amended by   
adding at the end the following new     
sentence3 ,such term shall not include a
 stop loss policy obtained by a         
self-insured health plan or a plan      
sponsor of a group health plan that     
self-insures the health risks of its    
plan participants to reimburse the plan 
or sponsor for losses that the plan or  
sponsor incurs in providing health or   
medical benefits to such plan           
participants in excess of a             
predetermined level set forth in the    
stop loss policy obtained by such plan  

or sponsor44