,i #aacth ,,congress #ast ,session ,h4 ,r4 #bgjj ,,in ,,the ,,house ,,of ,,representatives ,july #af1 #bjac ,mr4 ,rogers of ,michigan 7for himself1 ,mr4 ,mc,kinley1 ,mr4 ,tiberi1 ,mr4 ,cassidy1 ,mr4 ,hall1 ,mr4 ,huizenga of ,michigan1 and ,mr4 ,walberg7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committees on ,ways and ,means and ,education and the ,workforce1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to amend title ,i of the ,patient ,protection and ,affordable ,care ,act to provide for a process for waiver of requirements of that title where the requirement is asserted to otherwise result in a significant decrease in access to coverage or significant increase in premiums or other costs4 #a4 ,short title ,this ,act may be cited as the ,health ,care ,waiver ,fairness ,act of #bjac4 #b4 ,,ppaca waiver process 7a7 ,in general ,title ,i of the ,patient ,protection and ,affordable ,care ,act 7,public ,law #aaa-adh7 is amended by adding at the end the following new subtitle3 ,g ,waiver process #afja4 ,establishment of waiver process 7a7 ,in general ,the applicable authorities 7as defined in subsection 7c77 shall collectively establish a process 7in this section referred to as the waiver process7 under which the administrator of a health plan1 an employer1 an individual1 or other entity may seek to waive the application of a requirement under this title with respect to such plan1 employer1 individual1 or entity4 ,among the requirements under this title1 such process shall apply to the following3 7#a7 ,section #ejjj;,a of the ,internal ,revenue ,code of #aihf 7relating to requirement to maintain minimum essential coverage71 as inserted by section #aeja7;b74 7#b7 ,section #fjee of the ,internal ,revenue ,code of #aihf 7relating to reporting of health insurance coverage71 as inserted by section #aejb7;a74 7#c7 ,section #ah;,a of the ,fair ,labor ,standards ,act of #aich 7#db ,u4,s4,c4 #bah;a1 relating to automatic enrollment for employees of large employers71 as inserted by section #aeaa4 7#d7 ,section #ah;,b of the ,fair ,labor ,standards ,act of #aich 7#db ,u4,s4,c4 #bah;b1 relating to notice to employees71 as inserted by section #aeab4 7#e7 ,section #dihj;,h of the ,internal ,revenue ,code of #aihf 7relating to shared responsibility for employers regarding health coverage71 as inserted by section #aeac7;a74 7#f7 ,section #fjef of the ,internal ,revenue ,code of #aihf 7relating to certain employers required to report on health insurance coverage71 as inserted by section #aead7;a74 7#g7 ,section #ajajh 7relating to free choice vouchers74 7#h7 ,regulations regarding the treatment of group health plans or health insurance coverage as a grandfathered health plan 7as defined in section #abea7;e774 7#i7 ,section #bgah7;b7 of the ,public ,health ,service ,act 7relating to medical loss ratios71 as inserted by section #ajja4 7b7 ,waiver process 7#a7 ,in general ,the applicable authorities shall establish the waiver process consistent with the following3 7,a7 ,notice and guidance ,public notice and guidance shall be provided regarding the process for submission of waiver requests4 7,b7 ,standard ,a waiver request with respect to the application of a requirement to a plan1 employer1 individual1 or entity shall be accompanied by a statement that-- 7i7 identifies the specific requirement 7or requirements7 to be waived2 and 7ii7 describes how the imposition of each specific requirement for which a waiver is requested on the plan1 employer1 individual1 or entity would result in a significant decrease in access to coverage or a significant increase in premiums or other costs for such plan1 employer1 individual1 or entity4 7,c7 ,deemed approval ,a waiver request filed that is accompanied by such a statement shall be deemed to be approved4 7,d7 ,publication of data ,the applicable authorities shall regularly publish data regarding the waiver requests received for the different requirements4 7#b7 ,treatment of approved waivers ,in the case of approval under the waiver process of a waiver request with respect to a requirement of this title and an entity1 notwithstanding any other provision of law1 such requirement shall not apply to such entity on and after the date of approval of the request4 7#c7 ,relation to other exemptions and exceptions ,nothing in this section shall be construed as superceding other provisions of this title insofar as they provide for exceptions1 exemptions1 or other special treatment with respect to requirements under this title4 7c7 ,applicable authority ,in this section1 the term applicable authority means-- 7#a7 except as otherwise provided in this subsection1 the ,secretary of ,health and ,human ,services2 7#b7 the ,secretary of ,labor with respect to the provisions of this title1 including amendments made by this title1 that are administered by such ,secretary2 and 7#c7 the ,secretary of the ,treasury with respect to the provisions of this title1 including amendments made by this title1 that are administered by such ,secretary1 including sections of the ,internal ,revenue ,code of #aihf specified in subsection 7a74 7d7 ,references to requirements under this title ,in this section1 a reference to a requirement under this title include such a requirement under an amendment made by this title1 including as amended by title ,x of this ,act or by the provisions of the ,health ,care and ,education ,reconciliation ,act of #bjaj 7,public ,law #aaa-aeb74 7e7 ,public awareness campaign ,of the amounts available in the ,prevention and ,public ,health ,fund established under section #djjb1 notwithstanding any other provision of law1 #ej1jjj1jjj shall be available to and expended by the ,secretary of ,health and ,human ,services to conduct1 in coordination with other applicable authorities1 a public awareness campaign of the waiver process4 ,amounts made available under this subsection shall remain available until expended4 4 7b7 ,clerical amendment ,the table of contents of such ,act is amended by adding at the end of the items relating to title ,i the following3 ,subtitle ,g--,waiver ,process ,sec4 #afja4 ,establishment of waiver process4 4