Self-Insurance Protection Act - Amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974 (ERISA), and the Internal Revenue Code to exclude from the definition of "health insurance coverage" a stop loss policy obtained by a self-insured health plan or a plan sponsor of a group health plan that self-insures the health risks of its plan participants to reimburse the plan or sponsor for losses incurred in providing health or medical benefits to such plan participants in excess of a predetermined level set forth in the stop loss policy.
[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3462 Introduced in House (IH)]
113th CONGRESS
1st Session
H. R. 3462
To amend the Public Health Service Act, the Employee Retirement Income
Security Act of 1974, and the Internal Revenue Code of 1986 to exclude
from the definition of health insurance coverage certain medical stop-
loss insurance obtained by certain plan sponsors of group health plans.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
November 13, 2013
Mr. Cassidy (for himself and Mr. Roe of Tennessee) introduced the
following bill; which was referred to the Committee on Energy and
Commerce, and in addition to the Committees on Education and the
Workforce and Ways and Means, for a period to be subsequently
determined by the Speaker, in each case for consideration of such
provisions as fall within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To amend the Public Health Service Act, the Employee Retirement Income
Security Act of 1974, and the Internal Revenue Code of 1986 to exclude
from the definition of health insurance coverage certain medical stop-
loss insurance obtained by certain plan sponsors of group health plans.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Self-Insurance Protection Act''.
SEC. 2. CERTAIN MEDICAL STOP-LOSS INSURANCE OBTAINED BY CERTAIN PLAN
SPONSORS OF GROUP HEALTH PLANS NOT INCLUDED UNDER THE
DEFINITION OF HEALTH INSURANCE COVERAGE.
(a) PHSA.--Section 2791(b)(1) of the Public Health Service Act (42
U.S.C. 300gg-91(b)(1)) is amended by adding at the end the following
new sentence: ``Such term shall not include a stop loss policy obtained
by a self-insured health plan or a plan sponsor of a group health plan
that self-insures the health risks of its plan participants to
reimburse the plan or sponsor for losses that the plan or sponsor
incurs in providing health or medical benefits to such plan
participants in excess of a predetermined level set forth in the stop
loss policy obtained by such plan or sponsor.''.
(b) ERISA.--Section 733(b)(1) of the Employee Retirement Income
Security Act of 1974 (29 U.S.C. 1191b(b)(1)) is amended by adding at
the end the following new sentence: ``Such term shall not include a
stop loss policy obtained by a self-insured health plan or a plan
sponsor of a group health plan that self-insures the health risks of
its plan participants to reimburse the plan or sponsor for losses that
the plan or sponsor incurs in providing health or medical benefits to
such plan participants in excess of a predetermined level set forth in
the stop loss policy obtained by such plan or sponsor.''.
(c) IRC.--Section 9832(b)(1)(A) of the Internal Revenue Code of
1986 is amended by adding at the end the following new sentence: ``Such
term shall not include a stop loss policy obtained by a self-insured
health plan or a plan sponsor of a group health plan that self-insures
the health risks of its plan participants to reimburse the plan or
sponsor for losses that the plan or sponsor incurs in providing health
or medical benefits to such plan participants in excess of a
predetermined level set forth in the stop loss policy obtained by such
plan or sponsor.''.
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Introduced in House
Introduced in House
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Subcommittee on Health.
Referred to the Subcommittee on Health, Employment, Labor, and Pensions.
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