I 
110TH CONGRESS 
2D SESSION 
H. R. 7129 
To provide for innovation in health care through a demonstration program 
to expand coverage under the State Child Health Insurance Program 
through an employer buy-in, through access to health benefits through 
regional State arrangements, and through State initiatives that expand 
coverage and access, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 26, 2008 
Mr. ANDREWS introduced the following bill; which was referred to the Com-
mittee on Education and Labor, and in addition to the Committees on 
Ways and Means, Rules, and Energy and Commerce, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
of such provisions as fall within the jurisdiction of the committee con-
cerned 
A BILL 
To provide for innovation in health care through a dem-
onstration program to expand coverage under the State 
Child Health Insurance Program through an employer 
buy-in, through access to health benefits through regional 
State arrangements, and through State initiatives that 
expand coverage and access, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Several Approaches to Reduce the Uninsured Act of 
2008’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
TITLE I—PROMOTION UNDER ERISA OF STATE-BASED 
EXPANSION OF HEALTH CARE COVERAGE 
Sec. 101. Exemption from ERISA preemption for State comprehensive health 
care programs. 
Sec. 102. State coverage buy-in arrangements and small employer coverage 
buy-in arrangements. 
Sec. 103. Exemption from preemption to permit pay or play under State law. 
Sec. 104. Exemption from preemption to permit mandates for data collection 
under State law relating to group health plans. 
TITLE II—HEALTH PARTNERSHIP THROUGH CREATIVE 
FEDERALISM 
Sec. 201. Short title. 
Sec. 202. State health reform projects. 
Sec. 203. Effective date. 
TITLE III—DEMONSTRATION PROJECT FOR EMPLOYER BUY-IN 
Sec. 301. Demonstration project for employer buy-in. 
TITLE IV—ACCESS TO HEALTH BENEFITS THROUGH REGIONAL 
STATE ARRANGEMENTS 
Sec. 401. Promoting access through regional State arrangements under a dem-
onstration project. 
Sec. 402. Transparency and accountability for health benefit plans. 
TITLE V—AMENDMENTS RELATING TO PREEXISTING CONDITION 
EXCLUSION 
Sec. 501. Short title. 
Sec. 502. Amendments relating to preexisting condition exclusions under group 
health plans. 
Sec. 503. Amendments relating to preexisting condition exclusions in health in-
surance coverage in the individual market. 
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TITLE 
I—PROMOTION 
UNDER 
ERISA OF STATE-BASED EX-
PANSION OF HEALTH CARE 
COVERAGE 
SEC. 101. EXEMPTION FROM ERISA PREEMPTION FOR 
STATE COMPREHENSIVE HEALTH CARE PRO-
GRAMS. 
(a) 
EXEMPTION
FROM
PREEMPTION.—Section 
514(b) of the Employee Retirement Income Security Act 
of 1974 (29 U.S.C. 1144(b)) is amended— 
(1) by redesignating paragraph (9) as para-
graph (10); and 
(2) by inserting after paragraph (8) the fol-
lowing new paragraph: 
‘‘(9)(A) Except as provided in subparagraph (B), 
subsection (a) shall not apply to any program established 
by or under the laws of any State which is listed pursuant 
to section 721 as a State comprehensive health care pro-
gram (as defined in section 722(a)). 
‘‘(B) Nothing in subparagraph (A) shall be construed 
to exempt from subsection (a) any State tax law relating 
to employee benefit plans. 
‘‘(C) Notwithstanding subparagraph (A), parts 1 and 
4 of this subtitle, and the preceding sections of this part 
to the extent they govern matters which are governed by 
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the provisions of such parts 1 and 4, shall supersede any 
program described in subparagraph (A), but the Secretary 
may enter into cooperative arrangements under this para-
graph and section 506 with officials of the State involved 
to assist them in effectuating the policies of the provisions 
of such program which are superseded by such parts 1 
and 4 and the preceding sections of this part.’’. 
(b) STATE COMPREHENSIVE HEALTH CARE PRO-
GRAMS.— 
(1) IN GENERAL.—Part 7 of subtitle B of title 
I of such Act (29 U.S.C. 1181 et seq.) is amended— 
(A) by redesignating subpart C ad subpart 
D; and 
(B) by inserting after subpart B the fol-
lowing new subpart: 
‘‘Subpart C—State Comprehensive Health Care 
Programs 
‘‘SEC. 
721. 
DESIGNATION 
OF 
STATE 
COMPREHENSIVE 
HEALTH CARE PROGRAMS EXEMPT FROM 
FEDERAL PREEMPTION. 
‘‘The Secretary shall, for purposes of the application 
section 514(b)(9), establish and maintain a comprehensive 
list of which programs (if any) established by or under 
the laws of each State constitute, as determined by the 
Secretary, State comprehensive health care programs. The 
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Secretary shall undertake an ongoing review of such list 
so as to ensure such list remains comprehensive and exclu-
sive of any programs which may have ceased to be State 
comprehensive health care programs. Such list shall be pe-
riodically published in the Federal Register and main-
tained so as to be readily accessible to the general public. 
‘‘SEC. 722. REQUIREMENTS. 
‘‘(a) IN GENERAL.—For purposes of this subpart and 
section 514(b)(9), the term ‘State comprehensive health 
care program’ means a program established by or under 
the laws of any State under which— 
‘‘(1) residents of such State are required to ob-
tain and maintain health insurance coverage meeting 
the Federal threshold of adequate medical care, 
‘‘(2) each employer employing individuals in 
such State— 
‘‘(A) that is not a small employer within 
the meaning of subsection (c) for a calendar 
year, 
‘‘(B) that does not otherwise provide group 
health plan coverage for its employees which 
provides benefits meeting the criteria for the 
Federal threshold of adequate medical care (as 
described in subsection (d)) for such calendar 
year, and 
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‘‘(C) in whose case the Secretary has not 
waived the requirements of this subsection for 
such calendar year pursuant to subsection (e) 
on the basis of substantial business hardship, 
is required to establish and maintain a group health 
plan for such employees for such calendar year pro-
viding benefits which meet the Federal threshold of 
adequate medical care. 
‘‘(b) SINGLE PROGRAM PER STATE.—A program 
may be considered a State comprehensive health care pro-
gram in connection with any State only if it is the only 
such program in effect by or under the laws of such State. 
‘‘(c) FEDERAL THRESHOLD OF ADEQUATE MEDICAL 
CARE.—For purposes of this section, the term ‘Federal 
threshold of adequate medical care’ means the package of 
benefits constituting medical care which the Comprehen-
sive Health Care Commission currently maintains as the 
Federal threshold of adequate medical care as prescribed 
pursuant to section 723(f)(1). 
‘‘(d) SMALL EMPLOYERS.— 
‘‘(1) IN GENERAL.—For purposes of subsection 
(a)(2), the term ‘small employer’ means, with re-
spect to a calendar year, an employer who employed 
an average of at least 2 but not more than 100 em-
ployees on business days during the preceding cal-
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endar year and who employs at least 2 employees on 
the first day of the current calendar year. For pur-
poses of the preceding sentence, all persons treated 
as a single employer under subsection (b), (c), (m), 
or (o) of section 414 of the Internal Revenue Code 
of 1986 shall be treated as 1 employer. 
‘‘(2) EMPLOYERS NOT IN EXISTENCE IN PRE-
CEDING YEAR.—In the case of an employer which 
was not in existence throughout the preceding cal-
endar year, the determination of whether such em-
ployer is a small employer shall be based on the av-
erage number of employees that it is reasonably ex-
pected such employer will employ on business days 
in the current calendar year. 
‘‘(3) PREDECESSORS.—Any reference in this 
subsection to an employer shall include a reference 
to any predecessor of such employer. 
‘‘(e) EXCEPTION ALLOWED FOR EMPLOYERS OTHER-
WISE PROVIDING GROUP HEALTH PLAN COVERAGE.— 
For purposes of subsection (a)(2), an employer shall be 
treated, for any current calendar year, as otherwise pro-
viding coverage of an employee under a group health plan 
for its employees which meets the criteria for the Federal 
threshold of adequate medical care if, with respect to such 
calendar year, such employee— 
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‘‘(1) was eligible under such a group health 
plan maintained by the employer for the preceding 
calendar year, or 
‘‘(2) may be reasonably expected to be eligible 
during the current calendar year under a group 
health plan referred to in paragraph (1). 
‘‘(f) WAIVER IN CASES OF SUBSTANTIAL BUSINESS 
HARDSHIP.— 
‘‘(1) IN GENERAL.—If an employer is unable to 
satisfy the requirements of subsection (a) for any 
calendar year without substantial business hardship 
and application of such requirements for such cal-
endar year would be adverse to the interests of plan 
participants in the aggregate, the Secretary may 
waive the requirements of subsection (a) for such 
calendar year. The Secretary shall not waive such 
requirements with respect to a plan for more than 
3 of any 15 consecutive calendar years. 
‘‘(2) DETERMINATION OF SUBSTANTIAL BUSI-
NESS HARDSHIP.—For purposes of this section, the 
factors taken into account in determining substantial 
business hardship shall include (but shall not be lim-
ited to) whether or not— 
‘‘(A) the employer is operating at an eco-
nomic loss, 
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‘‘(B) there is substantial unemployment or 
under-employment in the trade or business and 
in the industry concerned, 
‘‘(C) the sales and profits of the industry 
concerned are depressed or declining, and 
‘‘(D) it is reasonable to expect that the 
plan will be established or maintained only if 
the waiver is granted. 
‘‘SEC. 723. COMPREHENSIVE HEALTH CARE COMMISSION. 
‘‘(a) ESTABLISHMENT.—The Secretary, in consulta-
tion with the Secretary of Health and Human Services, 
shall establish a commission to be known as the Com-
prehensive Health Care Commission (referred to in this 
section as the ‘Commission’). 
‘‘(b) MEMBERSHIP.— 
‘‘(1) NUMBER AND APPOINTMENT.—The Com-
mission shall be composed of 15 members appointed 
by the Secretary, in consultation with the Secretary 
of Health and Human Services. 
‘‘(2) QUALIFICATIONS.— 
‘‘(A) IN
GENERAL.—The membership of 
the Commission shall include— 
‘‘(i) consumers of health services that 
represent those individuals who have not 
had insurance within 2 years of appoint-
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ment, that have had chronic illnesses, in-
cluding mental illness, are disabled, and 
those who receive insurance coverage 
through medicare and medicaid; and 
‘‘(ii) individuals with expertise in fi-
nancing and paying for benefits and access 
to care, business and labor perspectives, 
and providers of health care. The member-
ship shall reflect a broad geographic rep-
resentation and a balance between urban 
and rural representatives. 
‘‘(B) PROHIBITED APPOINTMENTS.—Mem-
bers of the Commission shall not include Mem-
bers of Congress or other elected government 
officials (Federal, State, or local). Individuals 
appointed to the Commission shall not be paid 
employees or representatives of associations or 
advocacy organizations involved in the health 
care system. 
‘‘(c) PERIODS OF APPOINTMENT.—Members of the 
Commission shall serve for terms of 6 years, except that, 
of the members first appointed— 
‘‘(1) 5 shall serve for a term of 2 years, 
‘‘(2) 5 shall serve for a term of 4 years, and 
‘‘(3) 5 shall serve for a term of 6 years, 
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as designated by the Secretary at the time of appointment. 
Any vacancies shall not affect the power and duties of the 
Commission but shall be filled in the same manner as the 
original appointment. 
‘‘(d) DESIGNATION
OF
THE CHAIRPERSON.—The 
Secretary shall designate the chairperson of the Commis-
sion. 
‘‘(e) SUBCOMMITTEES.—The Commission may estab-
lish subcommittees if doing so increases the efficiency of 
the Commission in completing its tasks. 
‘‘(f) DUTIES.— 
‘‘(1) IN GENERAL.—The Commission shall pre-
scribe, and from time to time revise as the Commis-
sion deems appropriate, a package of benefits consti-
tuting medical care which it determines to be, for 
purposes of this part, the Federal threshold of ade-
quate medical care. 
‘‘(2) HEARINGS.—The Commission may hold 
hearings which are determined by the Commission to 
be necessary by the Commission in carrying out its 
duties. 
‘‘(3) COMMUNITY MEETINGS.— 
‘‘(A) IN GENERAL.—Not later than 1 year 
after the date on which all the members of the 
Commission have been appointed under sub-
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section (b)(1) and appropriations are first made 
available to carry out this section, the Commis-
sion shall annually provide for health care com-
munity meetings throughout the United States 
(in this paragraph referred to as ‘community 
meetings’). Such community meetings may be 
geographically or regionally based. 
‘‘(B) FREQUENCY
OF
MEETINGS.—The 
Commission shall ensure that community meet-
ings are held with such frequency as to ensure 
that the Commission receives information that 
reflects, on an ongoing basis— 
‘‘(i) 
the 
geographic 
differences 
throughout the United States; 
‘‘(ii) diverse populations; and 
‘‘(iii) a balance among urban and 
rural populations. 
‘‘(C) MEETING REQUIREMENTS.— 
‘‘(i) FACILITATOR.—A State health 
officer may be the facilitator at the com-
munity meetings. 
‘‘(ii) ATTENDANCE.—At least 1 mem-
ber of the Commission shall attend and 
serve as chair of each community meeting. 
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Other members may participate through 
interactive technology. 
‘‘(iii) TOPICS.—The community meet-
ings shall, at a minimum, address the fol-
lowing questions: 
‘‘(I) What health care benefits 
and services should be provided? 
‘‘(II) How does the American 
public want health care delivered? 
‘‘(III) How should health care 
coverage be financed? 
‘‘(IV) What trade-offs are the 
American public willing to make in ei-
ther benefits or financing to ensure 
access to affordable, high quality 
health care coverage and services? 
‘‘(iv) INTERACTIVE
TECHNOLOGY.— 
The Commission may encourage public 
participation 
in 
community 
meetings 
through interactive technology and other 
means as determined appropriate by the 
Commission. 
‘‘(g) ADMINISTRATION.— 
‘‘(1) EXECUTIVE DIRECTOR.—There shall be an 
Executive Director of the Commission who shall be 
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appointed by the chairperson of the Commission in 
consultation with the members of the Commission. 
‘‘(2) COMPENSATION.—While serving on the 
business of the Commission (including travel time), 
a member of the Commission shall be entitled to 
compensation at the per diem equivalent of the rate 
provided for level IV of the Executive Schedule 
under section 5315 of title 5, United States Code, 
and while so serving away from home and the mem-
ber’s regular place of business, a member may be al-
lowed travel expenses, as authorized by the chair-
person of the Commission. For purposes of pay and 
employment benefits, rights, and privileges, all per-
sonnel of the Commission shall be treated as if they 
were employees of the Senate. 
‘‘(3) INFORMATION
FROM
FEDERAL
AGEN-
CIES.—The Commission may secure directly from 
any Federal department or agency such information 
as the Commission considers necessary to carry out 
this section. Upon request of the Commission, the 
head of such department or agency shall furnish 
such information. 
‘‘(4) POSTAL SERVICES.—The Commission may 
use the United States mails in the same manner and 
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under the same conditions as other departments and 
agencies of the Federal Government. 
‘‘(h) DETAIL.—Not more than 10 Federal Govern-
ment employees employed by the Department of Labor 
and 10 Federal Government employees employed by the 
Department of Health and Human Services may be de-
tailed to the Commission under this section without fur-
ther reimbursement. Any detail of an employee shall be 
without interruption or loss of civil service status or privi-
lege. 
‘‘(i) TEMPORARY AND INTERMITTENT SERVICES.— 
The chairperson of the Commission may procure tem-
porary and intermittent services under section 3109(b) of 
title 5, United States Code, at rates for individuals which 
do not exceed the daily equivalent of the annual rate of 
basic pay prescribed for level V of the Executive Schedule 
under section 5316 of such title. 
‘‘(j) ANNUAL REPORT.—Not later than 1 year after 
the date of enactment of this Act, and annually thereafter, 
the Commission shall report to Congress and make public 
a detailed description of the expenditures of the Commis-
sion used to carry out its duties under this section. 
‘‘(k) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
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$3,000,000 for each fiscal year beginning on or after Octo-
ber 1, 2008.’’. 
(2) CONFORMING AMENDMENTS.—The table of 
contents in section 1 of such Act is amended by in-
serting after the item relating to section 713 the fol-
lowing new items: 
‘‘SUBPART C—STATE COMPREHENSIVE HEALTH CARE PROGRAMS 
‘‘Sec. 721. Designation of State comprehensive health care programs exempt 
from Federal preemption. 
‘‘Sec. 722. Requirements. 
‘‘Sec. 723. Comprehensive Health Care Commission.’’. 
SEC. 102. STATE COVERAGE BUY-IN ARRANGEMENTS AND 
SMALL EMPLOYER COVERAGE BUY-IN AR-
RANGEMENTS. 
(a) AUTHORIZATION FOR INCLUSION OF INDIVID-
UALS
AS PARTICIPANTS
IN GROUP HEALTH PLANS 
UNDER STATE COVERAGE BUY-IN ARRANGEMENTS.— 
Section 404 of the Employee Retirement Income Security 
Act of 1974 (29 U.S.C. 1104) is amended by adding at 
the end the following new subsection: 
‘‘(e)(1) Any requirement of the preceding provisions 
of this section or any other provision of this title shall 
not be treated as violated by reason of the entry of the 
plan administrator into a State coverage buy-in arrange-
ment or the treatment as a participant under the plan, 
pursuant to such an arrangement, of an individual who 
is not an employee, former employee, or member or former 
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member of an employee organization described in section 
3(7)(A) in connection with the plan. 
‘‘(2) For purposes of paragraph (1), the term ‘State 
coverage buy-in arrangement’ means an arrangement en-
tered into between the plan administrator of a group 
health plan and a State pursuant to which— 
‘‘(A) individuals who are residents of such 
State, are identified under the arrangement, and are 
not otherwise participants (within the meaning of 
section 3(7)(A)) in the plan are treated as partici-
pants in the plan, 
‘‘(B) premiums are payable to the plan, by such 
individuals, by the State on behalf of such individ-
uals, or by both, in total amounts equivalent to the 
total cost of coverage of the individuals and their 
beneficiaries under the plan, and 
‘‘(C) the Secretary determines, under a proce-
dure providing for determinations prior to the entry 
into the arrangement, and annually thereafter dur-
ing the term of the arrangement, that the arrange-
ment is— 
‘‘(i) administratively feasible, 
‘‘(ii) in the interests of the plan and of its 
participants and beneficiaries, and 
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‘‘(iii) protective of the rights of partici-
pants and beneficiaries of the plan. 
‘‘(3) A fiduciary of a group health plan shall have 
the same fiduciary duties with respect to participants and 
their beneficiaries who are covered under a group health 
plan solely by reason of a State coverage buy-in arrange-
ment as are applicable with respect to individuals who are 
otherwise participants or beneficiaries under the plan.’’. 
(b) AUTHORIZATION FOR INCLUSION OF EMPLOYEES 
OF SMALL EMPLOYERS
AS PARTICIPANTS
IN GROUP 
HEALTH PLANS OF LARGE EMPLOYERS UNDER SMALL 
EMPLOYER COVERAGE BUY-IN ARRANGEMENTS.—Sec-
tion 404 of such Act (as amended by subsection (a)) is 
amended further by adding at the end the following new 
subsection: 
‘‘(f)(1) Any requirement of the preceding provisions 
of this section or any other provision of this title shall 
not be treated as violated by reason of the entry of a small 
employer into a small employer coverage buy-in arrange-
ment with the plan administrator of a large employer 
group health plan or the treatment as a participant under 
the plan, pursuant to such an arrangement, of an indi-
vidual who is an employee of the small employer and who 
is not an employee or former employee of the plan sponsor 
of the plan or a member or former member of an employee 
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organization referred to in section 3(7)(A) in connection 
with the plan. 
‘‘(2) For purposes of paragraph (1), the term ‘small 
employer coverage buy-in arrangement’ means an arrange-
ment entered into between a small employer referred to 
in paragraph (1) and a plan administrator of a large em-
ployer group health plan referred to in paragraph (1) pur-
suant to which— 
‘‘(A) individuals who are employees of the small 
employer, are identified under such arrangement, 
and are not otherwise participants (within the mean-
ing of section 3(7)(A)) in the plan are treated as 
participants in the plan, 
‘‘(B) premiums are payable to the plan, by such 
individuals, by the small employer, or by both, in 
total amounts equivalent to the total cost of cov-
erage of such individuals and their beneficiaries 
under the plan, and 
‘‘(C) the Secretary determines, under a proce-
dure providing for determinations prior to the entry 
into the arrangement, and annually thereafter dur-
ing the term of the arrangement, that the arrange-
ment is— 
‘‘(i) administratively feasible, 
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‘‘(ii) in the interests of the plan and of its 
participants and beneficiaries, and 
‘‘(iii) protective of the rights of partici-
pants and beneficiaries of the plan. 
‘‘(3) A fiduciary of a group health plan shall have 
the same fiduciary duties with respect to participants and 
their beneficiaries who are covered under a group health 
plan solely by reason of a small employer coverage buy- 
in arrangement as are applicable with respect to individ-
uals who are otherwise participants or beneficiaries under 
the plan. 
‘‘(4) For purposes of this subsection— 
‘‘(A)(i) The term ‘small employer’ means, in 
connection with the calendar year in which the ar-
rangement referred to in paragraph (1) is entered 
into, an employer who, on business days during the 
period commencing with the preceding calendar year 
and ending on the date on which the arrangement 
referred to in paragraph (1) is entered into, em-
ployed an average of at least 2 but not more than 
50 employees. 
‘‘(ii) For purposes of this subparagraph— 
‘‘(I) rules similar to the rules under sub-
sections (b), (c), (m), and (o) of section 414 of 
the Internal Revenue Code of 1986 shall apply 
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for purposes of treating persons as a single em-
ployer; 
‘‘(II) in the case of an employer which was 
not in existence throughout the period described 
in subparagraph (A), the determination of 
whether the employer is a small employer shall 
be based on the average number of employees 
that it is reasonably expected the employer will 
employ on business days in the calendar year 
during which the arrangement referred to in 
paragraph (1) is entered into; and 
‘‘(III) any reference in this subparagraph 
to an employer shall include a reference to any 
predecessor of the employer. 
‘‘(B) The term ‘large employer group health 
plan’ means a group health plan with respect to 
which the plan sponsor is not a small employer in 
connection with the calendar year in which the ar-
rangement referred to in paragraph (1) is entered 
into.’’. 
(c) CONFORMING AMENDMENTS.— 
(1) INCLUSION
IN
DEFINITION
OF
PARTICI-
PANT.—Section 3(7) of such Act (29 U.S.C. 
1002(7)) is amended— 
(A) by inserting ‘‘(A)’’ after ‘‘(7)’’; and 
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(B) by adding at the end the following new 
subparagraph: 
‘‘(B) In connection with a group health plan (as de-
fined in section 733(a)), the term ‘participant’ includes 
any individual not described in subparagraph (A) who is 
treated as a participant in connection with a State cov-
erage buy-in arrangement entered into pursuant to section 
404(e) or a small employer coverage buy-in arrangement 
entered into pursuant to section 404(f).’’. 
(2) EXCLUSION
FROM
DEFINITION
OF
MUL-
TIPLE
EMPLOYER
WELFARE
ARRANGEMENT.—Sec-
tion 3(40)(A) of such Act (29 U.S.C. 1002(40((A)) 
is amended— 
(A) in clause (ii), by striking ‘‘or’’; 
(B) in clause (iii), by striking ‘‘associa-
tion.’’ and inserting ‘‘association, or’’; and 
(C) by adding at the end the following new 
clause: 
‘‘(iv) pursuant to subsection (e) or (f) of 
section 404.’’. 
(d) CREDIT FOR PREMIUMS PAID UNDER STATE 
COVERAGE BUY-IN ARRANGEMENTS.— 
(1) IN GENERAL.—Subpart D of part IV of 
subchapter A of chapter 1 of the Internal Revenue 
Code of 1986 (relating to business related credits) is 
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(2) MEMBERSHIP.—The Commission shall be 
composed of the following members: 
(A) The Secretary. 
(B) Four State governors to be appointed 
by the National Governors Association on a bi-
partisan basis. 
(C) Two members of a State legislature to 
be appointed, on a joint and bipartisan basis, 
by the National Conference of State Legislators 
and the American Legislative Exchange Coun-
cil. 
(D) Two county officials to be appointed 
by the National Association of Counties on a bi-
partisan basis. 
(E) Two mayors to be appointed, on a 
joint and bipartisan basis, by the National 
League of Cities and by the United States Con-
ference of Mayors. 
(F) Two individuals to be appointed by the 
Speaker of the House of Representatives. 
(G) Two individuals to be appointed by the 
minority leader of the House of Representa-
tives. 
(H) Two individuals to be appointed by the 
majority leader of the Senate. 
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