CHICAGO – A growing number of states are mounting legislative attacks meant to protect the Patient Protection and Affordable Care Act by hurting the self-insurance business.

That was the big message Tuesday at one of the first sessions to kick off the Self-Insurance Institute of America annual conference, a panel presentation that included updates from the organization's chief lobbyist, its lawyer and the chairman of its government relations operations.

"We need feet on the streets on this," said Horace Garfield, chair of the organization's Government Relations Committee. "The regulation by states of stop-loss is going to be our No. 2 issue, after [PPACA]."

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