,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #feah  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #ag1 #bjbj,mr4 
,pet]s 7= himself & ,ms4 ,craig7        
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to direct ! ,secret>y ( ,heal? 
& ,human ,s]vices to e/abli% a program (
 risk corridors = heal? insurance issu]s
 (f]+ heal? insurance cov]age 9 !       
individual or small gr\p m>ket = c]ta9  
plan ye>s4  #a4 ,%ort title ,?is ,act   
may be cit$ z ! ,/op ,heal? ,premium    
,spikes ,act ( #bjbj4  #b4 ,e/abli%+ a  
program ( risk corridors = heal?        
insurance issu]s (f]+ heal? insurance   
cov]age 9 ! individual or small gr\p    
m>ket = c]ta9 plan ye>s  7a7 ,9 g5]al ,!
 ,secret>y ( ,heal? & ,human ,s]vices 79
 ?is section ref]r$ to z ! ,secret>y7   
%all e/abli% & adm9i/] a program ( risk 
corridors = plan ye>s #bjbj & #bjba "u  
:i* ! ,secret>y %all make paym5ts to    
heal? insurance issu]s (f]+ heal?       
insurance cov]age 9 ! individual or     

small gr\p m>ket bas$ on ! ratio ( !    
all[able co/s ( ! cov]age to ! aggregate
 premiums ( ! cov]age4  7b7 ,paym5t     
me?odology ,! ,secret>y %all provide "u 
! program e/abli%$ "u subsection 7a7 t  
if ! all[able co/s = a heal? insurance  
issu] (f]+ heal? insurance cov]age 9 !  
individual or small gr\p m>ket = any    
plan ye> are m ?an #aje p]c5t ( ! t>get 
am\nt1 ! ,secret>y %all pay to ! issu]  
an am\nt equal to #ge p]c5t ( ! all[able
 co/s 9 excess ( #aje p]c5t ( ! t>get   
am\nt4  7c7 ,in=mation collection ,!    
,secret>y %all e/abli% a process "u :i* 
in=mation is collect$ f heal? insurance 
issu]s (f]+ heal? insurance cov]age 9 ! 
individual or small gr\p m>ket =        
purposes ( c>ry+ out ?is section4  7d7  
,def9itions  7#a7 ,all[able co/s  7,a7  
,9 g5]al ,! am\nt ( all[able co/s ( a   
heal? insurance issu] (f]+ heal?        
insurance cov]age 9 ! individual or     
small gr\p m>ket = any ye> is an am\nt  
equal to ! total co/s 7o!r ?an          
adm9i/rative co/s7 ( su* issu] 9 provid+

 b5efits cov]$ by su* cov]age4  7,b7    
,c]ta9 r$uctions ,all[able co/s %all be 
r$uc$ by any-- 7i7 risk adju/m5t paym5ts
 receiv$ "u section #acda ( ! ,pati5t   
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjfa72 &  7ii7 re9surance   
paym5ts receiv$ pursuant to a waiv]     
approv$ "u section #accb ( su* ,act 7#db
 ,u4,s4,c4 #ahjeb74  7#b7 ,additional   
t]ms ,= purposes ( ?is section1 ! t]ms  
heal? insurance issu]1 heal? insurance  
cov]age1 individual m>ket1 & small gr\p 
m>ket h ! mean+s giv5 su* t]ms 9 section
 #bgia ( ! ,public ,heal? ,s]vice ,act  
7#db ,u4,s4,c4 #cjj;gg-#ia74  7#c7      
,t>get am\nt ,! t>get am\nt ( heal?     
insurance cov]age (f]$ 9 ! individual or
 small gr\p m>ket = any ye> is an am\nt 
equal to ! total premiums 7includ+ any  
premium subsidies "u any gov]nm5tal     
program71 r$uc$ by ! adm9i/rative co/s (
 ! cov]age4  7e7 ,implem5tation ,!      
,secret>y ( ,heal? & ,human ,s]vices may
 implem5t ! provisions ( ?is section by 
subregulatory guidance1 program         

in/ruction1 or o!rwise4  7f7            
,appropriation ,!re are appropriat$1 out
 ( any monies 9 ! ,treasury n o!rwise   
obligat$1 su* sums z may be necess>y to 
c>ry out ?is section4