,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #bgjj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #af1 #bjac ,mr4 
,rog]s ( ,mi*igan 7= himself1 ,mr4      
,mc,kinley1 ,mr4 ,tib]i1 ,mr4 ,cassidy1 
,mr4 ,hall1 ,mr4 ,huiz5ga ( ,mi*igan1 & 
,mr4 ,walb]g7 introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce1 & 9 addition to ! ,committees
 on ,ways & ,means & ,education & !     
,work=ce1 = 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 am5d title ,i ( ! ,pati5t  
,protection & ,af=dable ,c>e ,act to    
provide = a process = waiv] (           
requirem5ts ( t title :]e ! requirem5t  
is ass]t$ to o!rwise result 9 a         
significant decrease 9 access to cov]age
 or significant increase 9 premiums or  
o!r co/s4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,heal? ,c>e ,waiv]         
,fairness ,act ( #bjac4  #b4 ,,ppaca    
waiv] process  7a7 ,9 g5]al ,title ,i ( 

! ,pati5t ,protection & ,af=dable ,c>e  
,act 7,public ,law #aaa-adh7 is am5d$ by
 add+ at ! end ! foll[+ new subtitle3   
,g ,waiv] process  #afja4 ,e/abli%m5t ( 
waiv] process  7a7 ,9 g5]al ,!          
applicable au?orities 7z def9$ 9        
subsection 7c77 %all collectively       
e/abli% a process 79 ?is section ref]r$ 
to z ! waiv] process7 "u :i* !          
adm9i/rator ( a heal? plan1 an employ]1 
an individual1 or o!r entity may seek to
 waive ! application ( a requirem5t "u  
?is title ) respect to su* plan1        
employ]1 individual1 or entity4 ,among !
 requirem5ts "u ?is title1 su* process  
%all apply to ! foll[+3  7#a7 ,section  
#ejjj;,a ( ! ,int]nal ,rev5ue ,code (   
#aihf 7relat+ to requirem5t to ma9ta9   
m9imum ess5tial cov]age71 z ins]t$ by   
section #aeja7;b74  7#b7 ,section #fjee 
( ! ,int]nal ,rev5ue ,code ( #aihf      
7relat+ to report+ ( heal? insurance    
cov]age71 z ins]t$ by section #aejb7;a74
  7#c7 ,section #ah;,a ( ! ,fair ,labor 
,/&>ds ,act ( #aich 7#db ,u4,s4,c4      

#bah;a1 relat+ to automatic enrollm5t = 
employees ( l>ge employ]s71 z ins]t$ by 
section #aeaa4  7#d7 ,section #ah;,b ( !
 ,fair ,labor ,/&>ds ,act ( #aich 7#db  
,u4,s4,c4 #bah;b1 relat+ to notice to   
employees71 z ins]t$ by section #aeab4  
7#e7 ,section #dihj;,h ( ! ,int]nal     
,rev5ue ,code ( #aihf 7relat+ to %>$    
responsibility = employ]s reg>d+ heal?  
cov]age71 z ins]t$ by section #aeac7;a74
  7#f7 ,section #fjef ( ! ,int]nal      
,rev5ue ,code ( #aihf 7relat+ to c]ta9  
employ]s requir$ to report on heal?     
insurance cov]age71 z ins]t$ by section 
#aead7;a74  7#g7 ,section #ajajh 7relat+
 to free *oice v\*]s74  7#h7            
,regulations reg>d+ ! treatm5t ( gr\p   
heal? plans or heal? insurance cov]age z
 a gr&fa!r$ heal? plan 7z def9$ 9       
section #abea7;e774  7#i7 ,section      
#bgah7;b7 ( ! ,public ,heal? ,s]vice    
,act 7relat+ to m$ical loss ratios71 z  
ins]t$ by section #ajja4  7b7 ,waiv]    
process  7#a7 ,9 g5]al ,! applicable    
au?orities %all e/abli% ! waiv] process 

consi/5t ) ! foll[+3  7,a7 ,notice &    
guidance ,public notice & guidance %all 
be provid$ reg>d+ ! process = submission
 ( waiv] reque/s4  7,b7 ,/&>d ,a waiv]  
reque/ ) respect to ! application ( a   
requirem5t to a plan1 employ]1          
individual1 or entity %all be accompani$
 by a /atem5t t--  7i7 id5tifies !      
specific requirem5t 7or requirem5ts7 to 
be waiv$2 &  7ii7 describes h[ !        
imposition ( ea* specific requirem5t =  
:i* a waiv] is reque/$ on ! plan1       
employ]1 individual1 or entity w\ld     
result 9 a significant decrease 9 access
 to cov]age or a significant increase 9 
premiums or o!r co/s = su* plan1        
employ]1 individual1 or entity4  7,c7   
,deem$ approval ,a waiv] reque/ fil$ t  
is accompani$ by su* a /atem5t %all be  
deem$ to be approv$4  7,d7 ,publication 
( data ,! applicable au?orities %all    
regul>ly publi% data reg>d+ ! waiv]     
reque/s receiv$ = ! diff]5t requirem5ts4
  7#b7 ,treatm5t ( approv$ waiv]s ,9 !  
case ( approval "u ! waiv] process ( a  

waiv] reque/ ) respect to a requirem5t (
 ?is title & an entity1 not)/&+ any o!r 
provision ( law1 su* requirem5t %all n  
apply to su* entity on & aft] ! date (  
approval ( ! reque/4  7#c7 ,relation to 
o!r exemptions & exceptions ,no?+ 9 ?is 
section %all be con/ru$ z sup]c$+ o!r   
provisions ( ?is title ins(> z !y       
provide = exceptions1 exemptions1 or o!r
 special treatm5t ) respect to          
requirem5ts "u ?is title4  7c7          
,applicable au?ority ,9 ?is section1 !  
t]m applicable au?ority means--  7#a7   
except z o!rwise provid$ 9 ?is          
subsection1 ! ,secret>y ( ,heal? &      
,human ,s]vices2  7#b7 ! ,secret>y (    
,labor ) respect to ! provisions ( ?is  
title1 includ+ am5dm5ts made by ?is     
title1 t are adm9i/]$ by su* ,secret>y2 
&  7#c7 ! ,secret>y ( ! ,treasury )     
respect to ! provisions ( ?is title1    
includ+ am5dm5ts made by ?is title1 t   
are adm9i/]$ by su* ,secret>y1 includ+  
sections ( ! ,int]nal ,rev5ue ,code (   
#aihf specifi$ 9 subsection 7a74  7d7   

,ref]5ces to requirem5ts "u ?is title ,9
 ?is section1 a ref]5ce to a requirem5t 
"u ?is title include su* a requirem5t "u
 an am5dm5t made by ?is title1 includ+ z
 am5d$ by title ,x ( ?is ,act or by !   
provisions ( ! ,heal? ,c>e & ,education 
,reconciliation ,act ( #bjaj 7,public   
,law #aaa-aeb74  7e7 ,public aw>5ess    
campaign ,( ! am\nts available 9 !      
,prev5tion & ,public ,heal? ,fund       
e/abli%$ "u section #djjb1 not)/&+ any  
o!r provision ( law1 #ej1jjj1jjj %all be
 available to & exp5d$ by ! ,secret>y ( 
,heal? & ,human ,s]vices to conduct1 9  
coord9ation ) o!r applicable au?orities1
 a public aw>5ess campaign ( ! waiv]    
process4 ,am\nts made available "u ?is  
subsection %all rema9 available until   
exp5d$4  4  7b7 ,cl]ical am5dm5t ,!     
table ( cont5ts ( su* ,act is am5d$ by  
add+ at ! end ( ! items relat+ to title 
,i ! foll[+3  ,subtitle ,g--,waiv]      
,process ,sec4 #afja4 ,e/abli%m5t (     
waiv] process4  4