,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #ccai  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #bc1 #bjac,mr4
 ,issa 7= himself1 ,mr4 ,clay1 & ,mr4   
,mulvaney7 introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,ov]sight & 
,gov]nm5t ,re=m1 & 9 addition to !      
,committees on ,en]gy & ,comm]ce & ,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 mod]nize ! ,f$]al          
,employees ,heal? ,b5efits ,program1 & =
 o!r purposes4  #a4 ,%ort title ,?is    
,act may be cit$ z ! ,equal ,heal?c>e   
,access ,act4  #b4 ,access to ,f$]al    
heal? insurance  7a7 ,9 g5]al ,subp>t ,g
 ( "p ,,iii ( title #e1 ,unit$ ,/ates   
,code1 is am5d$-- 7#a7 by r$esignat+    
*apt]s #hi;,a & #hi;,b z *apt]s #hi;,b &
 #hi;,c1 respectively2 &  7#b7 by ins]t+
 aft] *apt] #hi ! foll[+3  #hi;,a ,heal?
 insurance = non-,f$]al employees       
,sec4#hiba4 ,def9itions4#hibb4 ,heal?   

insurance program4#hibc4 ,contract+     
requirem5t4#hibd4 ,eligibility to       
enroll4#hibe4 ,exceptions to provisions 
incorporat$ by ref]5ce4#hibf4           
,coord9ation & application provisions4  
#hiba4 ,def9itions ,= purposes ( ?is    
*apt]-- 7#a7 any t]m us$ 9 ?is *apt] :i*
 is def9$ 9 section #hija %all h ! same 
mean+ z is giv5 su* t]m "u su* section2 
&  7#b7 ! t]m ,(fice means ! ,(fice (   
,p]sonnel ,managem5t4  #hibb4 ,heal?    
insurance program  7a7 ,9 g5]al ,!      
,(fice %all adm9i/] a heal? insurance   
program = non-,f$]al employees 9        
accordance ) ?is *apt]4  7b7            
,regulations ,! ,(fice %all prescribe   
regulations "u :i*1 except z o!rwise    
provid$ 9 ?is *apt] & to ! maximum ext5t
 practicable1 ! provisions ( *apt] #hi  
%all be appli$ = purposes ( c>ry+ out   
?is *apt]4  #hibc4 ,contract+ requirem5t
 ,! ,(fice %all1 n lat] ?an #i mon?s    
aft] ! date ( ! enactm5t ( ! ,equal     
,heal?c>e ,access ,act1 ent] into       
contracts ) qualifi$ c>ri]s to make     

heal? b5efits plans available "u ?is    
*apt]4  #hibd4 ,eligibility to enroll   
7a7 ,9 g5]al ,any qualifi$ individual   
may enroll 9 a heal? b5efits plan "u ?is
 *apt]4  7b7 ,qualifi$ individual def9$ 
,= purposes ( ?is section1 ! t]m        
qualifi$ individual means any individual
 o!r ?an an individual :o is enroll$ or 
eligible to be enroll$ 9 a heal? b5efits
 plan "u *apt] #hi1 includ+ z a family  
memb]4  #hibe4 ,exceptions to provisions
 incorporat$ by ref]5ce ,not)/&+ any o!r
 provision ( law-- 7#a7 subscription    
*>ges = a heal? b5efits plan "u ?is     
*apt] may diff] betwe5 or among         
geographic regions2 &  7#b7 an employ]  
may1 "u arrangem5ts satisfactory to !   
,(fice-- 7,a7 (f] cov]age "u ?is *apt]  
to its employees2 &  7,b7 make a        
contribution t[>d ! co/ ( su* cov]age4  
#hibf4 ,coord9ation & application       
provisions  7a7 ,coord9ation ,a heal?   
b5efits plan "u ?is *apt] %all be deem$ 
to be a heal? plan (f]$ ?r\gh an        
,ex*ange e/abli%$ "u ! ,pati5t          

,protection & ,af=dable ,c>e ,act       
7,public ,law #aaa-adh2 #abd ,/at4 #aai7
 = purposes ( section #acab ( su* ,act  
7#db ,u4,s4,c4 #ahjcb74  7b7            
,application  7#a7 ,9 g5]al ,9 ! case ( 
a qualifi$ individual enroll$ 9 a heal? 
b5efits plan "u ?is *apt]-- 7,a7 =      
purposes ( section #cf;,b ( ! ,int]nal  
,rev5ue ,code ( #aihf1 su* plan %all be 
treat$ z a qualifi$ heal? plan describ$ 
9 subsection 7b77#b77;,a7 !re( t 0      
enroll$ 9 ?r\gh an ,ex*ange e/abli%$ by 
a ,/ate "u section #acaa ( ! ,pati5t    
,protection & ,af=dable ,c>e ,act2 &    
7,b7 = purposes ( section #adjb ( !     
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahjga71 su* plan   
%all be treat$ z a qualifi$ heal? plan 9
 ! silv] level ( cov]age 9 ! individual 
m>ket (f]$ ?r\gh an ,ex*ange4  7#b7     
,regulations ,! ,(fice ( ,p]sonnel      
,managem5t1 9 consultation ) ! ,secret>y
 ( ! ,treasury1 %all prescribe          
regulations necess>y to c>ry out ?is    
subsection4  4  7b7 ,cl]ical am5dm5ts ,!

 table ( *apt]s = "p ,,iii ( title #e1  
,unit$ ,/ates ,code1 is am5d$-- 7#a7 9 !
 item relat+ to *apt] #hi;,a1 by /rik+  
#hi;,a & ins]t+ #hi;,b2  7#b7 9 ! item  
relat+ to *apt] #hi;,b1 by /rik+ #hi;,b 
& ins]t+ #hi;,c2 &  7#c7 by ins]t+ aft] 
! item relat+ to *apt] #hi ! foll[+3    
#hi;,a4,heal? ,insurance = ,non-,f$]al  
,employees#hiba  4