,,ii  #aafth ,,congress  #ast ,session  
,s4 #ai  ,,in ,,the ,,senate ,,of ,,the 
,,united ,,states  ,january #c1         
#bjai,mr4 ,rubio introduced the         
following bill2 which was read twice and
 referred to the ,committee on ,finance 
,a ,,bill  ,to exempt health insurance  
of residents of ,united ,states         
territories from the annual fee on      
health insurance providers4  #a4 ,short 
title ,this ,act may be cited as the    
,territory ,health ,insurance ,tax      
,relief ,act of #bjai4  #b4 ,health     
insurance of residents of ,united       
,states territories exempt from annual  
fee on health insurance providers  7a7  
,in general ,section #ijaj7;b7 of the   
,patient ,protection and ,affordable    
,care ,act is amended by adding at the  
end the following new paragraph3  7#d7  
,exception for health insurance of      
residents of ,united ,states territories
  7,a7 ,in general ,solely for purposes 
of paragraph 7#a77;,a71 the term ,united
 ,states health risk shall not include  

the health risk of any individual who is
 a bona fide resident of ,guam1         
,american ,samoa1 the ,northern ,mariana
 ,islands1 ,puerto ,rico1 or the ,virgin
 ,islands 7as determined under section  
#icg7;a774  7,b7 ,exception not to      
increase fee allocation ,the amount     
determined under paragraph 7#a77;,b7    
shall be determined without regard to   
subparagraph 7,a7 of this paragraph4  4 
7b7 ,reporting ,section #ijaj7;g77#a7 of
 the ,patient ,protection and           
,affordable ,care ,act is amended by    
inserting 7and the amount of such net   
premiums to which subsection            
7b77#d77;,a7 applies7 before the period 
at the end4  7c7 ,effective date  7#a7  
,in general ,the amendments made by this
 section shall apply to calendar years  
beginning after the date of the         
enactment of this ,act4  7#b7           
,transitional rule for reporting ,for   
purposes of applying the amendment made 
by subsection 7a7 with respect to the   
first calendar year beginning after the 

date of the enactment of this ,act1 the 
,secretary of the ,treasury 7or the     
,secretary's designee7 shall provide a  
method for covered entities to report   
the information described in the        
amendment made by subsection 7b7 for the
 calendar year which precedes such first
 calendar year4