,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #cdej  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #ab1 #bjac   
,mrs4 ,ellm]s 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 am5d ! ,pati5t  
,protection & ,af=dable ,c>e ,act to    
all[ individuals to opt out ( ! m9imum  
requir$ heal? b5efits by p]mitt+ heal?  
insurance issu]s to (f] qualifi$ heal?  
plans t (f] alt]native b5efits to !     
m9imum ess5tial heal? b5efits o!rwise   
requir$1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,heal?  
,insurance ,fre$om ,act ( #bjac4  #b4   
,p]mitt+ heal? insurance issu]s to (f]  
qualifi$ heal? plans ) alt]native heal? 
b5efits s individuals c opt out ( m9imum
 ess5tial heal? b5efits  7a7 ,9 g5]al   
,section #acja ( ! ,pati5t ,protection &

 ,af=dable ,c>e ,act 7#db ,u4,s4,c4     
#ahjba7 is am5d$--  7#a7 9 subsection   
7a77#a77;,b71 by ins]t+ subject to      
p>agraph 7#c71 aft] 7,b72 &  7#b7 by    
add+ at ! end ! foll[+ new p>agraph3    
7#c7 ,p]mitt+ alt]native b5efits  7,a7  
,9 g5]al ,not)/&+ subsection            
7a77#a77;,b7 or any o!r provision ( ?is 
,act1 a heal? insurance issu] may (f]1  
bo? ?r\gh an ,ex*ange & outside ( an    
,ex*ange1 heal? insurance cov]age t--   
7i7 provides ! ess5tial heal? b5efits   
package describ$ 9 subsection 7a7 (     
section #acjb1 o!r ?an ! m9imum b5efits 
requir$ "u subsection 7b7 ( su* section 
& ! level ( cov]age requir$ "u          
subsection 7c7 ( su* section2 &  7ii7   
meets su* ,f$]al & ,/ate b5efit         
requirem5ts z o!rwise appli$ z ( ,octob]
 #a1 #bjac1 9 ! ,/ate 9 :i* ! cov]age is
 (f]$4  7,b7 ,treatm5t  7i7 ,9 g5]al    
,except z provid$ 9 p>agraph 7#b71 heal?
 insurance cov]age t is (f]$ "u p>agraph
 7#a7 %all be treat$ z a qualifi$ heal? 
plan = purposes ( ?is ,act 7& ! am5dm5ts

 made by ?is ,act71 includ+ con/itut+   
m9imum ess5tial cov]age = purposes (    
section #ejjj;,a7f77#a7 ( ! ,int]nal    
,rev5ue ,code ( #aihf4  7ii7 ,n eligible
 = subsidies2 n treat$ z a bronze1      
silv]1 gold1 or plat9um plan ,su* heal? 
insurance cov]age %all n--  7,i7 be     
treat$ z a qualifi$ heal? plan =        
purposes ( apply+ section #cf;,b ( !    
,int]nal ,rev5ue ,code ( #aihf & section
 #adjb ( ?is ,act2 &  7,,ii7 be treat$ z
 a bronze1 silv]1 gold1 or plat9um plan 
or be tak5 into acc\nt 9 apply+ section 
#cf;,b7b77#c77;,b7 ( su* ,code4  4  7b7 
,effective date ,! am5dm5ts made by     
subsection 7a7 %all be effective z if   
includ$ 9 ! enactm5t ( ! ,pati5t        
,protection & ,af=dable ,c>e ,act4