}anuaiy 21, 2u14

The Bonoiable
Senatoi Naico Rubio
0niteu States Senate
Washington, B.C. 2uu1u

The Bonoiable
Repiesentative Tim uiiffin
Bouse of Repiesentatives
Washington, B.C. 2uS1S

BY BANB

Beai Senatoi Rubio anu Repiesentative uiiffin:

We, the unueisigneu, stiongly suppoit anu enuoise youi effoits to eliminate
the "iisk coiiiuoi" payments in the Affoiuable Caie Act that pievent paiticipating
insuiance companies fiom sustaining 0bamacaie-inflicteu financial losses.

0bamacaie's iisk coiiiuoi piogiam is nothing moie than a built-in, blank-
check bailout of the health insuiance companies. These annual, unlimiteu payments,
intenueu to mitigate the law's effects on insuieis anu mask its tiue costs, will in
fact only encouiage piivate companies to gamble with taxpayeis' money. This
bailout has no policy justification except to put taxpayeis on the hook foi losses
incuiieu by piivate coipoiations.

Fiee maikets necessitate that piivate companies iightly keep the iewaius of
theii own goou choices, anu equally they must beai the costs of theii own pooi
choices. It is wiong foi piivate health insuiance companies to shift theii financial
losses onto the Ameiican taxpayei.

The Auministiation's eniollment iepoits suggest that the exchanges aie
attiacting a uispiopoitionate shaie of oluei people, while high piemiums anu out-
of-pocket costs coulu well be ueteiiing the healthy fiom signing up. If so, insuieis
can be expecteu to expeiience significant financial losses, peihaps iunning into tens
of billions of uollais. While the exact buugetaiy cost won't be known until the
exchanges have been opeiating foi a yeai, we uo know that it will come on top of a
staggeiing $1 tiillion alieauy slateu unuei 0bamacaie to go to insuiance companies
ovei the coming uecaue.

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Eliminating the iisk-coiiiuoi payments woulu aveit an auuitional massive
wealth tiansfei fiom the Ameiican taxpayei to piivate insuieis.

We hope you shaie this lettei with colleagues anu congiessional leaueis in
oiuei to builu suppoit foi iepealing 0bamacaie's built-in bailout of the insuiance
inuustiy.

Sinceiely,

Natt Kibbe
Piesiuent
FieeuomWoiks

Ban Peiiin
Piesiuent
The BSA Coalition

Nichael A. Neeuham
CE0
Beiitage Action foi Ameiica

Amy Kiemei
Chaiiman
Tea Paity Expiess

}im Naitin
Chaiiman
6u Plus Association

Beathei Biggins
Piesiuent anu CE0
Inuepenuent Women's voice

The Bonoiable Betsy NcCaughey
Foimei Lieutenant uoveinoi, State of New Yoik
Authoi, C".#-(@ 7,.8.4.$"

uiovei Noiquist
Piesiuent
Ameiicans foi Tax Refoim

Bianuon Ainolu
vice Piesiuent of uoveinment Affaiis
National Taxpayeis 0nion

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Baviu Williams
Piesiuent
Taxpayeis Piotection Alliance

Petei Feiiaia
Beaitlanu Institute
National Tax Limitation Founuation

Thomas Schatz
Piesiuent
Council foi Citizens Against uoveinment Waste

Biian Bakei
Piesiuent
Enuing Spenuing

Seton Notley
Piesiuent
Less uoveinment

Phil Keipen
Piesiuent
Ameiican Commitment

Bave Wallace
Founuei
Restoie Ameiica's Nission

Ken Boaglanu
Chaiiman
Restoie Ameiica's voice

Colin A. Banna
Piesiuent
Let Fieeuom Ring

}ohn Tate
Piesiuent
Campaign foi Libeity

Anuiew Langei
Piesiuent
Institute foi Libeity

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Nat Stavei
Chaiiman
Libeity Counsel Action

uiegoiy T. Angelo
Executive Biiectoi
Log Cabin Republicans

Petei }. Thomas
Chaiiman
The Conseivative Caucus

Amy Riuenoui
Chaiiman
National Centei foi Public Policy Reseaich

William B. Shakei
Piesiuent
Ameiican Council foi Bealth Caie Refoim

Eiic Novack, NB
Chaiiman
0S Bealth Fieeuom Coalition

uieg Scanulen
Founuei
Bealth Benefits uioup

Chiistophei }. Conovei
Reseaich Scholai
Buke 0niveisity

Bonna Bamilton
Executive Biiectoi
viiginians foi Quality Bealthcaie

Naomi Lopez Bauman
Illinois Policy Action

uinni Thomas
Libeity Consulting

Ban Bongino
2u12 Republican Nominee foi 0niteu States Senate
Naiylanu
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Noiton Blackwell
Chaiiman
The Weyiich Lunch

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