,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #cgde  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #ab1         
#bjac,mrs4 ,kirkpatrick 7= h]self1 ,mr4 
,van ,holl51 ,ms4 ,mi*elle ,lujan       
,gri%am ( ,new ,mexico1 ,ms4            
,%ea-,port]1 ,mrs4 ,bu/os1 ,mr4 ,b>b]1  
,mr4 ,israel1 ,mr4 ,george ,mill] (     
,cali=nia1 ,mr4 ,waxman1 & ,mr4 ,lev97  
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 ensure t individuals :o    
attempt$ to1 or :o are enroll$ 91       
qualifi$ heal? plans (f]$ ?r\gh an      
,ex*ange h cont9uity ( cov]age1 & = o!r 
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,cov]age ,protection ,act (
 #bjac4  #b4 ,au?ority to provide timely
 cov]age = individuals :o 7 unable to   
enroll 9 a qualifi$ heal? plan  7a7 ,9  

g5]al ,9 ! case ( an individual :o      
enrolls 9 a qualifi$ heal? plan (f]$    
?r\gh an ,ex*ange e/abli%$ "u title ,i (
 ! ,pati5t ,protection & ,af=dable ,c>e 
,act 7,public ,law #aaa-adh7 be=e       
,febru>y #a1 #bjad1 ! ,secret>y ( ,heal?
 & ,human ,s]vices may require t ! issu]
 ( ! plan treat su* individual z enroll$
 9 su* plan z ( ,decemb] #bc1 #bjac1 if 
! foll[+ conditions are met3 7#a7       
,attempt$ timely enrollm5t ,! individual
 submits1 n lat] ?an ,janu>y #ca1 #bjad1
 an atte/ation 79 su* =m & mann] z !    
,secret>y may require7 t ! individual-- 
7,a7 made reasonable1 good-fai?         
attempts1 b 0 unable1 to successfully   
enroll 9 su* a plan ?r\gh an ,ex*ange   
be=e ,decemb] #bc1 #bjac2 or  7,b7 0    
initially det]m9$ ?r\gh an ,ex*ange to  
be eligible to enroll 9 a ,m$icaid plan 
"u title ,,xix ( ! ,social ,security    
,act b is n eligible to s enroll 9 su* a
 ,m$icaid plan &1 because ( su*         
incorrect eligibility det]m9ation1 0    
subsequ5tly unable to enroll 9 a        

qualifi$ heal? plan be=e ,decemb] #bc1  
#bjac4  7#b7 ,paym5t ( premiums ,!      
individual pays1 n lat] ?an ,janu>y #ca1
 #bjad1 ! am\nt ( ! applicable mon?ly   
premiums = ! plan 9 :i* su* individual  
enrolls = ,janu>y & ,febru>y ( #bjad1   
tak+ into acc\nt ! am\nt ( any premium  
assi/ance made available "u section     
#cf;,b ( ! ,int]nal ,rev5ue ,code (     
#aihf4  7b7 ,application = purposes (   
premium assi/ance1 r$uc$ co/-,%>+1 &    
individual responsibility ,cov]age      
provid$ "u a qualifi$ heal? plan =      
,janu>y & ,febru>y ( #bjad "u subsection
 7a7 %all be c\nt$ z cov]age "u su* a   
plan by or ?r\gh an ,ex*ange = su* mon?s
 = all purposes1 includ+ ! foll[+3 7#a7 
,premium assi/ance ,section #cf;,b ( !  
,int]nal ,rev5ue ,code ( #aihf4  7#b7   
,co/-%>+ r$uctions ,section #adjb ( !   
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahjga74  7#c7      
,individual responsibility requirem5t   
,section #ejjj;,a ( ! ,int]nal ,rev5ue  
,code ( #aihf4  #c4 ,transitional use ( 

receipt ( insurance paym5t z alt]native 
to heal? insurance c>d = ,ex*ange plans 
7a7 ,9 g5]al ,! ,secret>y ( ,heal? &    
,human ,s]vices %all require a heal?    
insurance issu] t (f]s a qualifi$ heal? 
plan ?r\gh an ,ex*ange "u title ,i ( !  
,pati5t ,protection & ,af=dable ,c>e    
,act 7,public ,law #aaa-adh7-- 7#a7 to  
all[ 9-network provid]s 9 su* plan to   
treat1 = purposes ( cov]age "u ! plan1 a
 receipt ( paym5t ( premiums by an      
individual enroll$ "u ! plan = ,janu>y  
or ,febru>y #bjad :o has n receiv$ a    
heal? insurance c>d f ! issu] 9 ! same  
mann] z if su* receipt 7 su* a heal?    
insurance c>d issu$ to su* individual by
 ! issu] = s]vices furni%$ dur+ su*     
mon?2 &  7#b7 to notify su* 9-network   
provid]s ( ! policy "u p>agraph 7#a74   
7b7 ,rule ( con/ruction ,no?+ 9 ?is     
section %all be con/ru$ z preclud+ a    
heal? c>e provid] f directly seek+ to   
v]ify ! /atus ( ! enrollm5t ( an        
individual 9 a qualifi$ heal? plan (f]$ 
?r\gh an ,ex*ange by contact+ ! issu] ( 

su* plan4