,i  #aagth ,,congress  #ast ,session    
,h4 ,r4 #cifi  ,,in ,,the ,,house ,,of  
,,representatives  ,june #ag1 #bjba,mr4 
,curtis 7for himself and ,mr4 ,crdenas7 
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce  ,a ,,bill  ,to amend     
title ,,xxvii of the ,public ,health    
,service ,act to include activities to  
address social determinants of health in
 the calculation of medical loss ratios4
  #a4 ,including activities to address  
social determinants of health in the    
calculation of medical loss ratios  7a7 
,in general ,section #bgah of the       
,public ,health ,service ,act 7#db      
,u4,s4,c4 #cjj;gg-#ah7 is amended-- 7#a7
 in subsection 7a7-- 7,a7 in paragraph  
7#b71 by striking and at the end2  7,b7 
by redesignating paragraph 7#c7 as      
paragraph 7#d72 and  7,c7 by inserting  
after paragraph 7#b7 the following new  
paragraph3  7#c7 for activities that    
address social determinants of health2  
and  2  7#b7 in subsection 7b77#a77;,a71

 in the matter preceding clause 7i71 by 
striking paragraphs 7#a7 and 7#b7 and   
inserting paragraphs 7#a7 through 7#c72 
and  7#c7 in subsection 7c7-- 7,a7 by   
inserting and1 with respect to the      
activities reported under subsection    
7a77#c71 not later ,december #ca1 #bjbc1
 after ,december #ca1 #bjaj12 and  7,b7 
by striking subsection 7a77#b7 and      
inserting paragraph 7#b7 or 7#c7 of such
 subsection4  7b7 ,effective date ,the  
amendments made by paragraphs 7#a7 and  
7#b7 of subsection 7a7 shall apply with 
respect to plan years beginning on or   
after ,january #a1 #bjbd4