,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #cfjg  ,,in ,,the ,,house ,,of  
,,representatives  ,november #ba1       
#bjac,mr4 ,mulvaney 7for himself and    
,mr4 ,gowdy7 introduced the following   
bill2 which was referred to the         
,committee on ,energy and ,commerce1 and
 in addition to the ,committee on ,ways 
and ,means1 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 enable ,states to opt out
 of certain provisions of the ,patient  
,protection and ,affordable ,care ,act4 
#a4 ,short title ,this ,act may be cited
 as the ,state ,health ,care ,choice    
,act4  #b4 ,purpose ,it is the purpose  
of this ,act to protect ,states' rights 
and to ensure that ,states have the     
option to continue to implement ,state  
laws relating to health care delivery   
and health insurance that were in effect
 prior to the date of enactment of the  

,patient ,protection and ,affordable    
,care ,act 7,public ,law #aaa-adh74  #c4
 ,protection of ,state flexibility to   
provide health coverage  7a7 ,state opt 
out of certain provisions of ,,ppaca    
7#a7 ,in general ,a ,state described in 
subsection 7b7 may elect to limit the   
application of any or all of the        
provisions of the ,patient ,protection  
and ,affordable ,care ,act 7,public ,law
 #aaa-adh7 described in paragraph 7#b7  
with respect to health insurance        
coverage within that ,state4  7#b7      
,provisions described ,the provisions of
 the ,patient ,protection and           
,affordable ,care ,act described in this
 paragraph are as follows3 7,a7         
,subtitles ,a through ,c of title ,i    
7and the amendments made by such        
subtitles71 except for sections #abec   
and #abed4  7,b7 ,parts ,i1 ,,ii1 ,,iii1
 and ,v of subtitle ,d of title ,i 7and 
the amendments made by such parts74     
7,c7 ,part ,i of subtitle ,e of title ,i
 7and the amendments made by such part74

  7,d7 ,subtitle ,f of title ,i 7and the
 amendments made by such part74  7,e7   
,section #aefa 7and the amendment made  
by such section74  7,f7 ,sections #ajaja
 through #ajajg 7and the amendments made
 by such sections74  7b7 ,state         
described  7#a7 ,enactment of ,state law
 ,a ,state described in this subsection 
is a ,state that enacts a law after the 
date of enactment of this ,act that--   
7,a7 expresses the intent of the ,state 
to opt out of one or more of the        
provisions of the ,patient ,protection  
and ,affordable ,care ,act 7,public ,law
 #aaa-adh7 described in subsection 7a72 
7,b7 contains a list of the provisions  
of such ,act which will not apply to the
 ,state under the ,state law2 and  7,c7 
expresses the intent of the ,state to   
continue to administer health           
coverage-related laws as in effect in   
the ,state on ,march #bc1 #bjaj1 or that
 provides for the implementation of     
related ,state laws enacted after such  
date4  7#b7 ,repeal ,if a ,state repeals

 a law described in paragraph 7#a71 the 
provisions of the ,patient ,protection  
and ,affordable ,care ,act listed in    
such law shall apply with respect to    
such ,state beginning on the date of    
such repeal4  7c7 ,regulations ,the     
,secretary of ,health and ,human        
,services1 in consultation with the     
,secretary of the ,treasury1 shall      
promulgate regulations to provide for   
the implementation of this ,act4