,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #ahhf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #af1 #bjae ,mr4
 ,tib]i 7= himself1 ,mr4 ,mc,kinley1    
,mrs4 ,blackburn1 ,mr4 ,joyce1 ,mr4     
,b\/any1 & ,mr4 ,lip9ski7 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  ,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+ #c-ye> p]iod & 
ins]t+ #a-ye> p]iod ea* place x appe>s2 
7#b7 9 p>agraph 7#c77;,a71 by /rik+     
#cf-mon? p]iod & ins]t+ #ab-mon? p]iod2 
7#c7 9 p>agraph 7#c77;,b77iii71 by /rik+
 1 #f1jjj1jjj1jjj = plan ye>s beg9n+    
#bjae1 & #d1jjj1jjj1jjj = plan ye>s     
beg9n+ 9 #bjaf2  7#d7 9 p>agraph        
7#c77;,b77iv71 by /rik+ 1 an additional 
#b1jjj1jjj1jjj = #bjae1 & an additional 
#a1jjj1jjj1jjj = #bjaf2  7#e7 9 p>agraph

 7#d77;,a71 by /rik+ us$ 9 any ( ! ?ree 
cal5d> ye>s = :i* am\nts are collect$   
bas$ on ! re9surance ne$s ( a p>ticul>  
p]iod or to reflect exp]i5ce 9 a prior  
p]iod & ins]t+ only us$ ) respect to !  
cal5d> ye> = :i* am\nts are collect$    
bas$ on ! re9surance ne$s = t ye>1 z    
det]m9$ by ! ,secret>y2  7#f7 9 p>agraph
 7#d71 by am5d+ subp>agraph 7,b7 to read
 z foll[s3  7,b7 am\nts rema9+ unexp5d$ 
z ( ,decemb]1 #ca1 #bjae1 %all be       
deposit$ into ! g5]al fund ( ! ,treasury
 ( ! ,unit$ ,/ates4  2 &  7#g7 by add+  
at ! end ! foll[+ new p>agraphs3  7#e7  
,availability ( fund+ = ,/ates = #bjae &
 #bjaf  7,a7 ,au?orization (            
appropriations2 paym5t =mula ,!re are   
h]eby au?oriz$ to be appropriat$1 bas$  
on ! be/ e/imates ( ! ,,naic1           
#f1jjj1jjj1jjj = plan ye>s beg9n+ 9     
#bjae & #d1jjj1jjj1jjj = plan ye>s      
beg9n+ 9 #bjaf to make re9surance       
paym5ts to heal? insurance issu]s t cov]
 high-risk individuals 9 ! individual   
m>ket 7exclud+ gr&fa!r$ heal? plans7 t  

insure high-risk individuals consi/5t ) 
?is p>agraph4  7,b7 ,fund availability  
,! am\nts appropriat$ "u subp>agraph    
7,a7 = plans ye>s beg9n+ 9 a cal5d> ye> 
%all be allocat$ among ,/ates & only us$
 ) respect to ! cal5d> ye> = :i* am\nts 
are collect$ bas$ on ! re9surance ne$s =
 t p>ticul> ye>1 z det]m9$ by !         
,secret>y & ! am\nts rema9+ unexp5d$ z (
 ,decemb] #ca ( ! foll[+ ye> %all be    
deposit$ into ! g5]al fund ( ! ,treasury
 ( ! ,unit$ ,/ates4  7#f7 ,,gao audit ( 
use ( #bjad funds ,! ,comptroll] ,g5]al 
( ! ,unit$ ,/ates %all provide = an     
audit ( exp5ditures made "u ?is         
subsection ) respect plans ye>s beg9n+  
dur+ #bjad4 ,su* audit %all include a   
det]m9ation ( ! numb] ( claims submitt$ 
by heal? insurance issu]s1 ! am\nt ( su*
 claims1 a comp>ison ( ! am\nt ( su*    
claims & ! am\nts collect$ to cov] su*  
claims1 & ! am\nt ( re9surance paym5ts  
made "u ?is section to heal? insurance  
issu]s4 ,! ,comptroll] ,g5]al %all      
submit a report on su* audit to         

,congress n lat] ?an #c mon?s aft] ! la/
 date t su* re9surance paym5ts are made1
 b n lat] ?an ,july #a1 #bjaf4  4