ties contribute in an equitable manner (as determined by 
the Commissioner) into a fund that provides payment to 
plans for a percentage (specified by the Commissioner and 
not to exceed 90 percent) of the costs that they incur for 
enrollees beyond a predetermined threshold specified from 
time to time by the Commissioner. 
‘‘(e) MARKETING
PRACTICES
AND
COSTS.—The 
Commissioner shall monitor marketing practices with re-
spect to qualified health plans in order to assure—
‘‘(1) the accuracy of the information dissemi-
nated regarding such plans; and 
‘‘(2) that costs of marketing are reasonable and 
do not exceed a percentage of total costs that is 
specified by the Commissioner and that takes into 
account costs of market entry for new qualified 
health plans. 
‘‘SEC. 
2204. 
GOVERNMENT 
CONTRIBUTION; 
AMERICAN 
HEALTH BENEFITS PROGRAM TRUST FUND. 
‘‘(a) GOVERNMENT CONTRIBUTION.—
‘‘(1) IN
GENERAL.—The Commissioner shall 
provide each year for a contribution under this sub-
section towards the coverage provided under this 
title for those AHBP-eligible individuals who are re-
quired to be enrolled in a qualified health plan under 
section 2202(b). Except as provided in this sub-
section, the amount of such contribution shall be de-
termined using the same methodology that is applied 
for purposes of determining the Government con-
tribution under section 8906 of title 5, United 
States Code and shall not exceed 75 percent of the 
premium for the plan selected. 
‘‘(2) USE OF REGIONAL WEIGHTED AVERAGE.—
Instead of computing the Government contribution 
using methodology under section 8906(b)(1) of title 
5, United States Code, based on 72 percent of the 
weighted average premium for qualified health plans 
nationally, the Commissioner shall compute such 
contribution based on 72 percent of the weighted av-
erage premium for qualified health plans in each re-
gion involved (as identified by the Commissioner). 
‘‘(b) PLAN PAYMENT.—
‘‘(1) IN
GENERAL.—The Commissioner shall 
provide for payment of qualified health plans of the 
premiums for such plans, as adjusted under this 
subsection. 
‘‘(2) RISK ADJUSTED PAYMENT.—The payment 
to a qualified health plan under this subsection shall 
be adjusted in a budget-neutral manner specified the 
Commissioner to reflect the actuarial risk of the en-
rollees in the plan compared to an average actuarial 
risk. 
‘‘(3) REDUCTION
FOR
ADMINISTRATIVE
EX-
PENSES AND CONTINGENCY RESERVE.—The Com-
missioner shall provide for a uniform percentage re-
duction in payment otherwise made to a qualified 
health plan under this subsection. Such percentage 
shall consist of the following: 
‘‘(A) CONTINGENCY RESERVE.—A percent-
age (not to exceed 3 percent) to provide for a 
contingency 
reserve 
described 
in 
section 
2206(h)(1). 
‘‘(B) FEDERAL ADMINISTRATIVE COSTS.—
A percentage (not to exceed 5 percent) to cover 
Federal administrative costs in implementing 
this title. 
‘‘(c) TRUST FUND.—
‘‘(1) ESTABLISHMENT.—There is hereby estab-
lished a trust fund, to be known as the ‘American 
Health Benefits Program Trust Fund’ (in this sub-
section referred to as the ‘Trust Fund’) . 
‘‘(2) DEPOSITS.—The Trust Fund shall consist 
of such gifts and bequests as may be provided in 
section 201(i)(1) and such amounts as may be de-
posited in, or appropriated to, such fund as provided