# 42 U.S.C. § 18063: Risk adjustment

> Federal · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/usc_t42_s18063

## Section

- **Citation:** 42 U.S.C. § 18063
- **Heading:** Risk adjustment
- **Jurisdiction:** Federal
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** September 9, 2026
- **Source:** Publisher's official text
- **Location:** Title 42—THE PUBLIC HEALTH AND WELFARE > CHAPTER 157—QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS > SUBCHAPTER III—AVAILABLE COVERAGE CHOICES FOR ALL AMERICANS > Part E—Reinsurance and Risk Adjustment

## Text

Using the criteria and methods developed under subsection (b), each State shall assess a charge on health plans and health insurance issuers (with respect to health insurance coverage) described in subsection (c) if the actuarial risk of the enrollees of such plans or coverage for a year is less than the average actuarial risk of all enrollees in all plans or coverage in such State for such year that are not self-insured group health plans (which are subject to the provisions of the Employee Retirement Income Security Act of 1974 [ 29 U.S.C. 1001 et seq.]).

( Pub. L. 111–148, title I, § 1343 , Mar. 23, 2010 , 124 Stat. 212 .)

## Nearby sections

- [42 U.S.C. § 18021 Qualified health plan defined](https://www.frixlaw.com/law-library/statutes/usc_t42_s18021.md)
- [42 U.S.C. § 18022 Essential health benefits requirements](https://www.frixlaw.com/law-library/statutes/usc_t42_s18022.md)
- [42 U.S.C. § 18023 Special rules](https://www.frixlaw.com/law-library/statutes/usc_t42_s18023.md)
- [42 U.S.C. § 18024 Related definitions](https://www.frixlaw.com/law-library/statutes/usc_t42_s18024.md)
- [42 U.S.C. § 18031 Affordable choices of health benefit plans](https://www.frixlaw.com/law-library/statutes/usc_t42_s18031.md)
- [42 U.S.C. § 18032 Consumer choice](https://www.frixlaw.com/law-library/statutes/usc_t42_s18032.md)
- [42 U.S.C. § 18033 Financial integrity](https://www.frixlaw.com/law-library/statutes/usc_t42_s18033.md)
- [42 U.S.C. § 18041 State flexibility in operation and enforcement of Exchanges and related requirements](https://www.frixlaw.com/law-library/statutes/usc_t42_s18041.md)
- [42 U.S.C. § 18042 Federal program to assist establishment and operation of nonprofit, member-run health insurance issuers](https://www.frixlaw.com/law-library/statutes/usc_t42_s18042.md)
- [42 U.S.C. § 18043 Funding for the territories](https://www.frixlaw.com/law-library/statutes/usc_t42_s18043.md)
- [42 U.S.C. § 18044 Level playing field](https://www.frixlaw.com/law-library/statutes/usc_t42_s18044.md)
- [42 U.S.C. § 18051 State flexibility to establish basic health programs for low-income individuals not eligible for medicaid](https://www.frixlaw.com/law-library/statutes/usc_t42_s18051.md)
- [42 U.S.C. § 18052 Waiver for State innovation](https://www.frixlaw.com/law-library/statutes/usc_t42_s18052.md)
- [42 U.S.C. § 18053 Provisions relating to offering of plans in more than one State](https://www.frixlaw.com/law-library/statutes/usc_t42_s18053.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/usc_t42_s18063. Check the current official text before relying on it. Not legal advice.