,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #ahda  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #f1 #bjac ,mr4   
,wel* introduc$ ! foll[+ bill2 :i* 0    
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to provide = an    
e>li] />t = ,/ate heal? c>e cov]age     
innovation waiv]s "u ! ,pati5t          
,protection & ,af=dable ,c>e ,act1 & =  
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,/ate ,lead]%ip 9      
,heal? ,c>e ,act4  #b4 ,e>li] />t =     
,/ate heal? c>e cov]age innovation      
waiv]s  7a7 ,9 g5]al ,section #accb ( ! 
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahjeb7 is am5d$--  
7#a7 9 subsection 7a77#a71 by /rik+     
,janu>y #a1 #bjag & ins]t+ ,janu>y #a1  
#bjae2 &  7#b7 by am5d+ subsection 7e7  
to read z foll[s3  7e7 ,t]m ( waiv]     

7#a7 ,9 g5]al ,no waiv] "u ?is section  
may ext5d ov] a p]iod ( m ?an #e ye>s   
unless ! ,/ate reque/s cont9uation ( su*
 waiv] & su* reque/ is grant$ by !      
,secret>y "u p>agraph 7#b74  7#b7       
,approval ( reque/  7,a7 ,9 g5]al ,a    
reque/ "u p>agraph 7#a7 %all be deem$   
grant$ unless ! ,secret>y1 n lat] ?an   
#ij days aft] ! date ( submission to !  
,secret>y ( su* reque/1 ei!r d5ies su*  
reque/ 9 writ+ or in=ms ! ,/ate 9 writ+ 
) respect to any additional in=mation t 
is ne$$ 9 ord] to make a f9al           
det]m9ation ) respect to ! reque/4  7,b7
 ,d5ial ( reque/ ,! ,secret>y may d5y   
su* a reque/ only if ! ,secret>y--  7i7 
det]m9es t ! ,/ate plan "u ! waiv] to be
 cont9u$ did n meet ! requirem5ts "u    
subsection 7b72  7ii7 notifies ! ,/ate 9
 writ+ ( ! requirem5ts "u subsection 7b7
 t ! ,/ate plan did n meet & provides to
 ! ,/ate ! in=mation us$ by ! ,secret>y 
9 mak+ t det]m9ation2 &  7iii7 provides 
! ,/ate ) an opportunity to appeal su*  
det]m9ation & provide in=mation z to h[ 

su* requirem5ts 7 met4  7,c7            
,reconsid]ation ( reque/ ,9 ! case ( an 
appeal describ$ 9 subp>agraph 7,b77iii71
 ! ,secret>y %all consid] any in=mation 
provid$ "u su* clause & reconsid] !     
det]m9ation made "u subp>agraph 7,b77i71
 & %all issue a writt5 decision on su*  
appeal n lat] ?an #fj days aft] ! date  
on :i* ! ,secret>y receives notice ( su*
 appeal4 ,! ,secret>y %all grant !      
reque/ if ! ,secret>y det]m9es ^u       
reconsid]ation t ! ,/ate plan meets su* 
requirem5ts4  4