,,ii  #aac? ,,congress  #a/ ,session    
,s4 #agce  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #ai1 #bjac,mr4
 ,alex&] 7= himself1 ,mr4 ,ris*1 ,mr4   
,rubio1 ,mr4 ,crapo1 ,mr4 ,coburn1 ,mr4 
,enzi1 ,mr4 ,cornyn1 ,mr4 ,b>rasso1 ,mr4
 ,boozman1 & ,mr4 ,mc,connell7 introduc$
 ! foll[+ bill2 :i* 0 read twice &      
ref]r$ to ! ,committee on ,heal?1       
,education1 ,labor1 & ,p5sions  ,a      
,,bill  ,to am5d ! ,public ,heal?       
,s]vice ,act1 ! ,employee ,retirem5t    
,income ,security ,act ( #aigd1 & !     
,int]nal ,rev5ue ,code ( #aihf to       
exclude f ! def9ition ( heal? insurance 
cov]age c]ta9 m$ical /op-loss insurance 
obta9$ by c]ta9 plan sponsors ( gr\p    
heal? plans4  #a4 ,%ort title ,?is ,act 
may be cit$ z ! ,self-,insurance        
,protection ,act4  #b4 ,c]ta9 m$ical    
/op-loss insurance obta9$ by c]ta9 plan 
sponsors ( gr\p heal? plans n includ$ "u
 ! def9ition ( heal? insurance cov]age  
7a7 ,,phsa ,section #bgia7;b77#a7 ( !   
,public ,heal? ,s]vice ,act 7#db        

,u4,s4,c4 #cjj;gg-#ia7;b77#a77 is am5d$ 
by add+ at ! end ! foll[+ new s5t5ce3   
,su* t]m %all n include a /op loss      
policy obta9$ by a self-insur$ heal?    
plan or a plan sponsor ( a gr\p heal?   
plan t self-insures ! heal? risks ( its 
plan p>ticipants to reimburse ! plan or 
sponsor = losses t ! plan or sponsor    
incurs 9 provid+ heal? or m$ical b5efits
 to su* plan p>ticipants 9 excess ( a   
pr$et]m9$ level set =? 9 ! /op loss     
policy obta9$ by su* plan or sponsor44  
7b7 ,,erisa ,section #gcc7;b77#a7 ( !   
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4             
#aaia;b7b77#a77 is am5d$ by add+ at !   
end ! foll[+ new s5t5ce3 ,su* t]m %all n
 include a /op loss policy obta9$ by a  
self-insur$ heal? plan or a plan sponsor
 ( a gr\p heal? plan t self-insures !   
heal? risks ( its plan p>ticipants to   
reimburse ! plan or sponsor = losses t !
 plan or sponsor incurs 9 provid+ heal? 
or m$ical b5efits to su* plan           
p>ticipants 9 excess ( a pr$et]m9$ level

 set =? 9 ! /op loss policy obta9$ by   
su* plan or sponsor44  7c7 ,,irc        
,section #ihcb7;b77#a77;,a7 ( ! ,int]nal
 ,rev5ue ,code ( #aihf is am5d$ by add+ 
at ! end ! foll[+ new s5t5ce3 ,su* t]m  
%all n include a /op loss policy obta9$ 
by a self-insur$ heal? plan or a plan   
sponsor ( a gr\p heal? plan t           
self-insures ! heal? risks ( its plan   
p>ticipants to reimburse ! plan or      
sponsor = losses t ! plan or sponsor    
incurs 9 provid+ heal? or m$ical b5efits
 to su* plan p>ticipants 9 excess ( a   
pr$et]m9$ level set =? 9 ! /op loss     
policy obta9$ by su* plan or sponsor44