,,ib  #aae? ,,congress  #a/ ,session    
,h4 ,r4 #acjd  ,report ,no4 #aae-ec1 ,"p
 ,i  ,,9 ,,! ,,h\se ,,( ,,repres5tatives
  ,m>* #b1 #bjag ,mr4 ,roe ( ,t5nessee  
7= himself & ,mr4 ,walb]g7 introduc$ !  
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committees on ,ways &    
,means1 & ,education & ! ,work=ce1 = a  
p]iod to be subsequ5tly det]m9$ by !    
,speak]1 9 ea* case = consid]ation ( su*
 provisions z fall )9 ! jurisdiction ( !
 committee conc]n$  ,m>* #bj1 #bjag     
,additional sponsors3 ,mr4 ,mit*ell1    
,ms4 ,/efanik1 ,mr4 ,sessions1 ,mr4     
,flores1 & ,mr4 ,mess]  ,m>* #bj1 #bjag 
,report$ f ! ,committee on ,education & 
! ,work=ce ) an am5dm5t & ord]$ to be   
pr9t$ ,/rike out all aft] ! enact+      
clause & ins]t ! "p pr9t$ 9 italic ,=   
text ( introduc$ bill1 see copy ( bill z
 introduc$ on ,m>* #b1 #bjag  ,a ,,bill 
,to am5d ! ,employee ,retirem5t ,income 
,security ,act ( #aigd1 ! ,public ,heal?
 ,s]vice ,act1 & ! ,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 ,,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[+ 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 ,,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  
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