,,ii  ,cal5d> ,no4 #gh  #aac? ,,congress
  #a/ ,session  ,h4 ,r4 #de  ,,9 ,,!    
,,s5ate ,,( ,,! ,,unit$ ,,/ates  ,may   
#bj1 #bjac ,receiv$  ,may #ba1 #bjac    
,read ! fir/ "t  ,may #bb1 #bjac ,read !
 second "t & plac$ on ! cal5d>  ,,an    
,,act  ,to repeal ! ,pati5t ,protection 
& ,af=dable ,c>e ,act & heal? c>e-relat$
 provisions 9 ! ,heal? ,c>e & ,education
 ,reconciliation ,act ( #bjaj4  #a4     
,repeal ( ,,ppaca & heal? c>e-relat$    
provisions 9 ! ,heal? ,c>e & ,education 
,reconciliation ,act ( #bjaj  7a7       
,,ppaca ,effective z ( ! enactm5t ( !   
,pati5t ,protection & ,af=dable ,c>e    
,act 7,public ,law #aaa-adh71 su* ,act  
is repeal$1 & ! provisions ( law am5d$  
or repeal$ by su* ,act are re/or$ or    
reviv$ z if su* ,act _h n be5 enact$4   
7b7 ,heal? c>e-,relat$ provisions 9 !   
,heal? ,c>e & ,education ,reconciliation
 ,act ( #bjaj ,effective z ( ! enactm5t 
( ! ,heal? ,c>e & ,education            
,reconciliation ,act ( #bjaj 7,public   
,law #aaa-aeb71 title ,i & subtitle ,b (

 title ,,ii ( su* ,act are repeal$1 & ! 
provisions ( law am5d$ or repeal$ by su*
 title or subtitle1 respectively1 are   
re/or$ or reviv$ z if su* title &       
subtitle _h n be5 enact$4  #b4 ,budget>y
 effects ( ?is ,act ,! budget>y effects 
( ?is ,act1 = ! purpose ( comply+ ) !   
,/atutory ,pay-,z-,y-,g ,act ( #bjaj1   
%all be det]m9$ by ref]5ce to ! late/   
/atem5t titl$ ,budget>y ,effects (      
,,paygo ,legislation = ?is ,act1        
submitt$ = pr9t+ 9 ! ,congressional     
,record by ! ,*airman ( ! ,committee on 
! ,budget ( ! ,h\se ( ,repres5tatives1 z
 long z su* /atem5t has be5 submitt$    
prior to ! vote on passage ( ?is ,act4  
,pass$ ! ,h\se ( ,repres5tatives ,may   
#af1 #bjac4 ,k>5 ,l4 ,haas1 ,cl]k  ,may 
#bb1 #bjac ,read ! second "t & plac$ on 
! cal5d>