,,ib ,union ,cal5d> ,no4 #hh #aah?      
,,congress  #a/ ,session  ,h4 ,r4 #bhac 
,report ,no4 #aah-aad1 ,"p ,i ,,9 ,,!   
,,h\se ,,( ,,repres5tatives  ,april #be1
 #bjbc,mr4 ,good ( ,virg9ia 7= himself &
 ,mr4 ,walb]g7 introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on         
,education & ! ,work=ce1 & 9 addition to
 ! ,committees on ,en]gy & ,comm]ce1 &  
,ways & ,means1 = 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$  ,june #bj1 #bjbc;,additional   
sponsor3 ,mr4 ,smuck]  ,june #bj1       
#bjbc,report$ f ! ,committee on         
,education & ! ,work=ce ) an            
amendment,strike out all aft] ! enact+  
clause & ins]t ! "p pr9t$ 9 italic      
,june #bj1 #bjbc;,committees on ,en]gy &
 ,comm]ce & ,ways & ,means dis*>g$2     
committ$ to ! ,committee ( ! ,:ole ,h\se
 on ! ,/ate ( ! ,union & ord]$ to be    
printed,for text ( introduc$ bill1 see  
copy ( bill z introduc$ on ,april #be1  

#bjbc  ,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? plans1 & = o!r purposes4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,self-,insurance ,protection ,act4  #b4 
,f9d+s ,congress f9ds ! foll[+3 7#a7    
,small & l>ge employ]s (f] heal? b5efit 
plan cov]age to employees 9 self-fund$  
arrangem5ts us+ company assets or a     
fund1 or by pay+ premiums to pur*ase    
fully-insur$ cov]age f a heal? insurance
 company4  7#b7 ,employ]s t self-fund   
heal? b5efit plans w (t5 pur*ase        
/op-loss insurance z a f9ancial risk    
managem5t tool to protect aga9/ excess  
or unexpect$ cata/rophic heal? plan     
claims losses t arise above project$    
co/s paid out ( company assets4  7#c7   
,/op-loss cov]age insures ! employ]     
sponsor+ ! heal? b5efit plan aga9/      

un=ese5 heal? plan claims1 does n insure
 ! employee heal? b5efit plan itself1 & 
does n pay heal? c>e provid]s = m$ical  
s]vices provid$ to ! employees4  7#d7   
,employ]-sponsor$ heal? b5efit plans are
 regulat$ "u ! ,employee ,retirem5t     
,income ,security ,act ( #aigd1 h[ev]1  
,/ates regulate ! availability & !      
cov]age t]ms ( /op-loss insurance       
cov]age t employ]s pur*ase to protect   
company assets & to protect a fund aga9/
 excess or unexpect$ claims losses4     
7#e7 ,bo? l>ge & small employ]s t *oose 
to self-fund mu/ also be able to protect
 company assets or a fund aga9/ excess  
or unexpect$ claims losses & ,/ates mu/ 
reasonably regulate /op-loss insurance  
to assure its availability to bo? l>ge &
 small employ]s4  #c4 ,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  
,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$ gr\p     
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  #d4 ,effect on o!r laws      
,section #ead7;b7 ( ! ,employee         
,retirem5t ,income ,security ,act (     
#aigd 7#bi ,u4,s4,c4 #aadd7;b77 is am5d$
 by add+ at ! end ! foll[+3  7#aj7 ,!   
provisions ( ?is title 7includ+ "p #g   
relat+ to gr\p heal? plans7 %all preempt
 ,/ate laws ins(> z !y may n[ or h]eaft]
 prev5t an employee b5efit plan t is a  
gr\p heal? plan f insur+ aga9/ ! risk ( 
excess or unexpect$ heal? plan claims   
losses4  4  ,am5d ! title s z to read3  
,a bill to am5d ! ,employee ,retirem5t  
,income ,security ,act ( #aigd to       

exclude f ! def9ition ( heal? insurance 
cov]age c]ta9 m$ical /op-loss insurance 
obta9$ by c]ta9 plan sponsors ( gr\p    
heal? plans1 & = o!r purposes44 ,june   
#bj1 #bjbc,report$ f ! ,committee on    
,education & ! ,work=ce ) an            
amendment,june #bj1 #bjbc;,committees on
 ,en]gy & ,comm]ce & ,ways & ,means     
dis*>g$2 committ$ to ! ,committee ( !   
,:ole ,h\se on ! ,/ate ( ! ,union &     
ord]$ to be pr9t$