,,ib  #aaeth ,,congress  #ast ,session  
,h4 ,r4 #acjd  ,report ,no4 #aae-ec1    
,part ,i  ,,in ,,the ,,house ,,of       
,,representatives  ,march #b1 #bjag ,mr4
 ,roe of ,tennessee 7for himself and    
,mr4 ,walberg7 introduced the following 
bill2 which was referred to the         
,committee on ,energy and ,commerce1 and
 in addition to the ,committees on ,ways
 and ,means1 and ,education and the     
,workforce1 for a period to be          
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,march #bj1 #bjag ,additional sponsors3 
,mr4 ,mitchell1 ,ms4 ,stefanik1 ,mr4    
,sessions1 ,mr4 ,flores1 and ,mr4       
,messer  ,march #bj1 #bjag ,reported    
from the ,committee on ,education and   
the ,workforce with an amendment and    
ordered to be printed ,strike out all   
after the enacting clause and insert the
 part printed in italic ,for text of    
introduced bill1 see copy of bill as    

introduced on ,march #b1 #bjag  ,a      
,,bill  ,to amend the ,employee         
,retirement ,income ,security ,act of   
#aigd1 the ,public ,health ,service     
,act1 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 ,,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 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 ,,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  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