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                     118TH CONGRESS  1                                     REPT. 118-114
                        1st Session     HOUSE   OF REPRESENTATIVES             Part 1







                                  SELF-INSURANCE PROTECTION ACT




                      JUNE 20, 2023.-Committed to the Committee of the Whole House on the State of
                                         the Union and ordered to be printed




                       Ms. Foxx,  from the Committee   on Education  and  the Workforce,
                                           submitted   the following


                                               R  E  P  O   R  T


                                                 together with

                                              MINORITY VIEWS

                                              [To accompany H.R. 2813]

                       The  Committee   on  Education  and  the Workforce,  to  whom   was
                     referred the bill (H.R. 2813) to amend  the Employee  Retirement   In-
                     come  Security Act  of 1974, the Public Health  Service  Act, and the
                     Internal Revenue   Code   of 1986  to exclude from  the  definition of
                     health insurance   coverage certain  medical  stop-loss insurance  ob-
                     tained by certain plan sponsors  of group health plans, and  for other
                     purposes,  having  considered  the  same,  reports favorably  thereon
                     with  amendments and recommends that the bill as amended do
                     pass.
                       The  amendments are as   follows:
                       Strike all after the enacting clause and insert the following:

                     SECTION 1. SHORT TITLE.
                       This Act may be cited as the Self-Insurance Protection Act.
                     SEC. 2. FINDINGS.
                       Congress finds the following:
                          (1) Small and large employers offer health benefit plan coverage to employees
                        in self-funded arrangements using company assets or a fund, or by paying pre-
                        miums  to purchase fully-insured coverage from a health insurance company.
                          (2) Employers that self-fund health benefit plans will often purchase stop-loss
                        insurance as a financial risk management tool to protect against excess or unex-
                        pected catastrophic health plan claims losses that arise above projected costs
                        paid out of company assets.
                          (3) Stop-loss coverage insures the employer sponsoring the health benefit plan
                        against unforeseen health plan claims, does not insure the employee health ben-
                        efit plan itself, and does not pay health care providers for medical services pro-
                        vided to the employees.
                        39-006