,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #feah  ,,in ,,the ,,house ,,of  
,,representatives  ,april #ag1 #bjbj,mr4
 ,peters 7for himself and ,ms4 ,craig7  
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce  ,a ,,bill  ,to direct the
 ,secretary of ,health and ,human       
,services to establish a program of risk
 corridors for health insurance issuers 
offering health insurance coverage in   
the individual or small group market for
 certain plan years4  #a4 ,short title  
,this ,act may be cited as the ,stop    
,health ,premium ,spikes ,act of #bjbj4 
#b4 ,establishing a program of risk     
corridors for health insurance issuers  
offering health insurance coverage in   
the individual or small group market for
 certain plan years  7a7 ,in general    
,the ,secretary of ,health and ,human   
,services 7in this section referred to  
as the ,secretary7 shall establish and  
administer a program of risk corridors  
for plan years #bjbj and #bjba under    

which the ,secretary shall make payments
 to health insurance issuers offering   
health insurance coverage in the        
individual or small group market based  
on the ratio of the allowable costs of  
the coverage to the aggregate premiums  
of the coverage4  7b7 ,payment          
methodology ,the ,secretary shall       
provide under the program established   
under subsection 7a7 that if the        
allowable costs for a health insurance  
issuer offering health insurance        
coverage in the individual or small     
group market for any plan year are more 
than #aje percent of the target amount1 
the ,secretary shall pay to the issuer  
an amount equal to #ge percent of the   
allowable costs in excess of #aje       
percent of the target amount4  7c7      
,information collection ,the ,secretary 
shall establish a process under which   
information is collected from health    
insurance issuers offering health       
insurance coverage in the individual or 
small group market for purposes of      

carrying out this section4  7d7         
,definitions  7#a7 ,allowable costs     
7,a7 ,in general ,the amount of         
allowable costs of a health insurance   
issuer offering health insurance        
coverage in the individual or small     
group market for any year is an amount  
equal to the total costs 7other than    
administrative costs7 of such issuer in 
providing benefits covered by such      
coverage4  7,b7 ,certain reductions     
,allowable costs shall be reduced by    
any-- 7i7 risk adjustment payments      
received under section #acda of the     
,patient ,protection and ,affordable    
,care ,act 7#db ,u4,s4,c4 #ahjfa72 and  
7ii7 reinsurance payments received      
pursuant to a waiver approved under     
section #accb of such ,act 7#db         
,u4,s4,c4 #ahjeb74  7#b7 ,additional    
terms ,for purposes of this section1 the
 terms health insurance issuer1 health  
insurance coverage1 individual market1  
and small group market have the meanings
 given such terms in section #bgia of   

the ,public ,health ,service ,act 7#db  
,u4,s4,c4 #cjj;gg-#ia74  7#c7 ,target   
amount ,the target amount of health     
insurance coverage offered in the       
individual or small group market for any
 year is an amount equal to the total   
premiums 7including any premium         
subsidies under any governmental        
program71 reduced by the administrative 
costs of the coverage4  7e7             
,implementation ,the ,secretary of      
,health and ,human ,services may        
implement the provisions of this section
 by subregulatory guidance1 program     
instruction1 or otherwise4  7f7         
,appropriation ,there are appropriated1 
out of any monies in the ,treasury not  
otherwise obligated1 such sums as may be
 necessary to carry out this section4