,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #abje  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #ad1 #bjac ,mr4  
,wald5 introduc$ ! foll[+ bill2 :i* 0   
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d title     
,,xxvii ( ! ,public ,heal? ,s]vice ,act 
to require heal? insurance issu]s & gr\p
 heal? plans to disclose in=mation      
reg>d+ h[ c]ta9 taxes & fees impact !   
am\nt ( premiums1 & = o!r purposes4  #a4
 ,%ort title ,?is ,act may be cit$ z !  
,pati5ts ,"r to ,"k ,act ( #bjac4  #b4  
,protection ( c]ta9 heal? insurance     
disclosures  7a7 ,9 g5]al ,section #bgae
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #cjj;gg-#ae7 is am5d$ by add+ 
at ! end ! foll[+ new subsection3  7h7  
,protection ( disclosure ( fee & o!r    
additional in=mation  7#a7 ,9 g5]al ,a  
heal? insurance issu] or sponsor ( a    
gr\p heal? plan1 ) respect to its annual
 summ>y ( b5efits & cov]age explanation 
provid$ "u subsection 7d7--  7,a7 %all  
include 7effective = plan ye>s beg9n+ on

 or aft] ,janu>y #a1 #bjaf1 & 9 addition
 to ! in=mation requir$ to be disclos$  
"u ?is section7--  7i7 ! applicable     
additional in=mation relat+ to fees     
describ$ 9 p>agraph 7#b72 &  7ii7 !     
applicable additional in=mation includ$ 
"u p>agraph 7#c77;,d72 &  7,b7 %all n be
 subject to any adm9i/rative action by !
 ,secret>y or by a ,/ate au?ority )     
respect to any disclosure made on or    
aft] ! date ( ! enactm5t ( ?is          
subsection ( su* applicable additional  
in=mation if ! disclosure is made bas$  
^u a good fai? e/imate ( su* in=mation &
 is 9 accordance ) su* /&>ds z !        
,secret>y may e/abli% to c>ry out ?is   
subsection4  7#b7 ,fee in=mation ,!     
additional in=mation describ$ 9 ?is     
p>agraph1 ) respect to a heal? insurance
 issu] issu+ heal? insurance cov]age 9 !
 individual1 small1 or l>ge gr\p m>ket &
 ) respect to ! sponsor ( a gr\p heal?  
plan1 is z foll[s3  7,a7 ,fee on heal?  
insurance provid]s ,! annual fee on     
heal? insurance provid]s "u section     

#ijaj ( ! ,pati5t ,protection &         
,af=dable ,c>e ,act 7#bf ,u4,s4,c4 #djja
 note74  7,b7 ,,pcori ,tax ,fees impos$ 
"u sub*apt] ,b ( *apt] #cd ( ! ,int]nal 
,rev5ue ,code ( #aihf 7relat+ to fund+ !
 ,pati5t-,c5t]s ,outcome ,rese>*        
,in/itute74  7,c7 ,re9surance           
contributions ,re9surance contributions 
requir$ "u section #acda7;b7 ( ! ,pati5t
 ,protection & ,af=dable ,c>e ,act 7#db 
,u4,s4,c4 #ahjfa7;b774  7,d7 ,propos$   
heal? insurance ex*ange us] fee ,fees   
impos$ on heal? plans relat+ to         
p>ticipation 9 an ,ex*ange "u subtitle  
,d ( title ,i ( ! ,pati5t ,protection & 
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjba et seq474  7,e7 ,risk corridor   
paym5ts ,risk corridor paym5ts requir$  
"u section #acdb7;b77#b7 ( ! ,pati5t    
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjfb7;b77#b774  7,f7 ,risk  
adju/m5t *>ges ,risk adju/m5t *>ges     
impos$ "u section #acdc7;a77#a7 ( !     
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahjfc7;a77#a774  ,9

 ! case ( heal? insurance cov]age1 su*  
co/s may be calculat$ sep>ately = su*   
cov]age 9 ! individual m>ket1 9 ! small 
gr\p m>ket1 & 9 ! l>ge gr\p m>ket = !   
heal? insurance issu] involv$4  7#c7    
,o!r in=mation  7,a7 ,/udy ,!           
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all conduct a /udy ( me?ods ( calculat+
 ! impact on av]age premium co/s        
associat$ ) ea* ( ! foll[+3  7i7 ,m>ket 
impact ( gu>ante$ issue & community rat+
 ,! requirem5t = gu>ante$ issuance (    
cov]age "u section #bgjb & community    
rat$ premiums "u section #bgja4  7ii7   
,age rat+ impact ,! requirem5t ( section
 #bgja7;a77#a77;,a77iii7 7relat+ to     
limitations on age rat+74  7iii7 ,wom5's
 prev5tive s]vices ,! requirem5t =      
cov]age ( wom5's prev5tive s]vices "u   
section #bgac4  7iv7 ,m9imum ess5tial   
heal? b5efits cov]age ,! requirem5t t   
cov]age provide = at lea/ #fj p]c5t ( ! 
actu>ial value ( ess5tial heal? b5efits 
"u section #acjb7;d7 ( ! ,pati5t        
,protection & ,af=dable ,c>e ,act4 7#db 

,u4,s4,c4 #ahjbb7;d774  7,b7            
,consultation ,9 conduct+ su* /udy1 !   
,comptroll] ,g5]al %all consult ) heal? 
insurance issu]s & ,/ate heal? insurance
 commission]s4  7,c7 ,report ,n lat] ?an
 ,octob] #a1 #bjad1 ! ,comptroll] ,g5]al
 %all submit to ea* ,h\se ( ,congress & 
! ,secret>y a report on ! /udy conduct$ 
"u subp>agraph 7,a74  7,d7 ,inclusion ( 
additional in=mation ,aft] submission ( 
su* report1 ! ,secret>y may also include
 9 ! in=mation requir$ to be disclos$ "u
 p>agraph 7#a77;,a77ii7 in=mation on !  
impact on premiums ( ea* ( ! requirem5ts
 describ$ 9 subp>agraph 7,a74  7#d7     
,ret5tion ( ,/ate rate sett+ au?ority   
,no?+ 9 ?is subsection %all be con/ru$  
to preempt ,/ate au?ority to regulate1  
reject1 alt]1 or require additional     
in=mation 9 support ( rates = heal?     
insurance cov]age or ov]sight au?ority (
 ! ,secret>y4  4