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1 known as the 'Health Reinsurance Trust Fund', consisting

2 of such amounts as may be appropriated or credited to 3 such Trust Fund as provided in this section or section 4 9602(b).

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"(b) TRANSFERS TO TRUST FUND.—There are here

6 by appropriated to the Health Reinsurance Trust Fund

7 amounts equivalent to 8

"(1) the taxes received in the Treasury under

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section 5000A (relating to failure to satisfy certain

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standards for health insurance), and

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“(2) the taxes received in the Treasury under

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section 5000F (relating to health insurance stop-loss

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excise tax).

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"(c) EXPENDITURES FROM TRUST FUND.—

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“(1) IN GENERAL.-Amounts in the Health Re

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efits for any individual after the plan has expended $25,000 in any year for such benefits

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for the individual, and

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"(B) for the payment of all expenses of ad

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"(2) QUALIFIED PLAN DEFINED.-For pur-

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(A) IN GENERAL.—The term 'qualified

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quirements of section 5000C, and

"(iii) has applied to the Secretary of

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Health and Human Services, in a form
and manner specified by the Secretary, to

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obtain benefits under this subsection.

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"(B) INCLUSION OF SELF-INSURED PLANS

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organization (as defined in section 1310(d)

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of the Public Health Service Act),

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if the plan or organization provides benefits

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which include at least the core benefits (as de

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fined in section 5000B(a)) for every individual

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(b) CLERICAL AMENDMENT.-The table of sections

6 for such subchapter is amended by adding at the end

7 thereof the following new item:

"Soc. 9511. Health Reinsurance Trust Fund."

8 SEC. 4. HEALTH INSURANCE STOP-LOSS EXCISE TAX.

9 (a) IN GENERAL.—Chapter 47 of the Internal Reve10 nue Code of 1986 (relating to certain group health plans) 11 is amended by adding at the end thereof the following new

12 subchapter:

13 "Subchapter C-Health Insurance Stop-Loss

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“(a) GENERAL RULE.There is hereby imposed on

17 the providing of coverage by any qualified plan (as defined 18 in section 9511(c)(2)) during the calendar year a tax equal 19 to the prescribed amount with respect to each individual 20 who is covered by such plan at any time during such year. 21 “(b) PRESCRIBED AMOUNT.–For purposes of subsec22 tion (a), the prescribed amount for any calendar year is 23 the amount estimated by the Secretary to be minimum

24 amount necessary to generate revenues to the Treasury

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1 under this section which, when added to the revenues to

2 the Treasury under section 5000A, will be equal to the 3 estimated expenditures (as determined by the Secretary 4 of Health and Human Services) of the Health Reinsurance

5 Trust Fund during the following calendar year.

6 "(c) LIABILITY FOR TAX.-The qualified plan shall 7 pay the tax imposed by this section.” 8 (b) CLERICAL AMENDMENT.-The table of subchap9 ters for such chapter 47 is amended by adding at the end

10 thereof the following new item:

"Subchapter C. Health insurance stop-loss tax."

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(c) EFFECTIVE DATE.-The amendments made by

12 this section shall apply to calendar years ending after the 13 date of the enactment of this Act.

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102D CONGRESS

1ST SESSION

H. R. 1565

To increase access to health care and affordable health insurance, to contain

costs of health care in a manner that improves health care, and for other purposes.

IN THE HOUSE OF REPRESENTATIVES

MARCH 21, 1991 Mrs. JOHNSON of Connecticut (for herself, Mr. CHANDLER, Mr. Goss, Mr.

Shays, and Mr. Thomas of Wyoming) introduced the following bill; which was referred jointly to the Committees on Energy and Commerce, Ways and Means, Education and Labor, and the Judiciary

A BILL To increase access to health care and affordable health insur

ance, to contain costs of health care in a manner that improves health care, and for other purposes.

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled,

3 SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

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(a) SHORT TITLE.-This Act may be cited as the

5 "Health Equity and Access Reform Today Act of 1991”. 6 (b) TABLE OF CONTENTS.The table of contents of

7 this Act is as follows:

Section 1. Short title; table of contents.

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