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H.R. 1101: Small Business Health Fairness Act of 2017
On Passage of the Bill in the House

This was a vote to pass H.R. 1101 in the House.

H.R. 1101 amends the Employee Retirement Income Security Act of 1974 to allow small businesses to join together in association health plans (AHP) across state lines through bona fide trade associations to become larger purchasers of health insurance. Specifically, the bill relieves small businesses that form AHPs from state-mandated benefit laws that often make coverage prohibitively expensive. H.R. 1101establishes a class certification for fully-insured AHPs prescribed by the Secretary of Labor. In addition, self-funded AHPs must meet certain criteria to insure the businesses covered will be of average health risk to avoid pulling healthy individuals from the small group market. Further, the bill contains protections to ensure self-funded AHPs meet and maintain solvency standards, such as maintaining a minimum of $500,000 in surplus reserves which are reviewed quarterly by the AHP’s board of trustees. Self-funded AHPs also will be required to obtain stop-loss and indemnification insurance coverage.

Source: Republican Policy Committee


All Votes R D
Aye 55%
No 41%
Not Voting 4%

Passed. Simple Majority Required. Mar 22, 2017 at 3:39 p.m. ET. Source:

Ideology Vote Chart

Key: R Aye D Aye D No
Seat position based on our ideology score.

Cartogram Map

Each hexagon represents one congressional district.

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Vote Details

Notes: The Speaker’s Vote? “Aye” or “Yea”?
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Statistically Notable Votes

Statistically notable votes are the votes that are most surprising, or least predictable, given how other members of each voter’s party voted and other factors.

All Votes