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(Sec. 2) This bill amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for the establishment and governance of association health plans (AHPs), which are group health plans sponsored by business associations.
The bill establishes requirements for AHPs relating to certification, sponsors and boards of trustees, participation and coverage, nondiscrimination, contribution rates, and voluntary termination.
AHPs offering benefits that are not health insurance must: (1) establish and maintain sufficient reserves and stop-loss insurance to cover those benefits, and (2) make annual payments to a fund to be used to pay for stop-loss insurance for such AHPs for which there is a reasonable expectation that claims would not be satisfied without such insurance. AHPs that fail to meet these requirements are subject to termination.
The Department of Labor must establish a Solvency Standards Working Group.
States may tax contributions to AHPs, with certain conditions.
The bill preempts state laws that preclude health insurers from: (1) offering health insurance in connection with a certified AHP; or (2) offering health insurance of the same policy type to other employers in the state that are eligible for coverage under AHPs.
(Sec. 4) The bill establishes criminal penalties for willfully making false representations regarding an AHP.
Written by the nonpartisan Congressional Research Service, describing H.R. 1101 as passed House amended on Mar 22, 2017. It is not the text of the measure; a later amendment may have changed what it does.
Mar 22, 2017Each bar: ✓ Yea from the bottom, ✕ Nay aboveMar 22, 2017
House Mar 22, 2017 · the primary vote
Small Business Health Fairness Act
Passed
236 Yea 175 Nay 18 not voting
Party-line vote 4 of 411 voting members broke with their own party: 4 Democrats.
DemocratsRepublicansFilled: YeaRing: NayGrey: not voting or present
429 members on this roll call, from the official House record. Party majorities need at least five voting members, so an independent never counts as breaking with a party.
Signing on is not a vote: a member can cosponsor H.R. 1101 and vote against it. 1 signed when it was filed.
Organizations that named H.R. 1101 in a lobbying disclosure. Only those that cited the bill by number appear, so this is a floor, not a full list.
295 disclosures name this measure. Retrieved from LDA.gov on 2026-10-05. Senate Office of Public Records cannot vouch for the data or analyses derived from these data after the data have been retrieved from LDA.gov.