,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #ecbh  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #ca1 #bjad ,mr4 
,c(fman 7= himself1 ,mr4 ,pe>ce1 & ,mr4 
,valadao7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,en]gy &     
,comm]ce  ,a ,,bill  ,to am5d ! ,public 
,heal? ,s]vice ,act to prohibit         
application ( preexi/+ condition        
exclusions & to gu>antee availability ( 
heal? insurance cov]age 9 ! individual &
 gr\p m>ket1 cont+5t on ! enactm5t (    
legislation repeal+ ! ,pati5t           
,protection & ,af=dable ,c>e ,act1 & =  
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,gu>ante$ ,heal?       
,cov]age = ,pre-,exi/+ ,conditions ,act 
( #bjad4  #b4 ,prohibition ( preexi/+   
condition exclusions  7a7 ,gr\p m>ket   
,subp>t #a ( "p ,a ( title ,,xxvii ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;gg et seq47 is am5d$ by  
/rik+ section #bgja & ins]t+ ! foll[+3  
#bgja4 ,prohibition ( preexi/+ condition
 exclusions  7a7 ,9 ,g5]al ,a gr\p heal?

 plan or a heal? insurance issu] (f]+   
gr\p heal? insurance cov]age may n      
impose any preexi/+ condition exclusion 
) respect to su* plan or cov]age4  7b7  
,def9itions ,= purposes ( ?is section3  
7#a7 ,preexi/+ condition exclusion  7,a7
 ,9 g5]al ,! t]m preexi/+ condition     
exclusion means1 ) respect to a gr\p    
heal? plan or heal? insurance cov]age1 a
 limitation or exclusion ( b5efits      
relat+ to a condition bas$ on ! fact t !
 condition 0 pres5t be=e ! date (       
enrollm5t 9 su* plan or = su* cov]age1  
:e!r or n any m$ical advice1 diagnosis1 
c>e1 or treatm5t 0 recomm5d$ or receiv$ 
be=e su* date4  7,b7 ,treatm5t ( g5etic 
in=mation ,g5etic in=mation %all n be   
treat$ z a preexi/+ condition 9 ! abs5ce
 ( a diagnosis ( ! condition relat$ to  
su* in=mation4  7#b7 ,date ( enrollm5t  
,! t]m date ( enrollm5t means1 ) respect
 to an individual cov]$ "u a gr\p heal? 
plan or heal? insurance cov]age1 ! date 
( enrollm5t ( ! individual 9 ! plan or  
cov]age or1 if e>li]1 ! fir/ day ( !    

wait+ p]iod = su* enrollm5t4  7#c7      
,wait+ p]iod ,! t]m wait+ p]iod means1 )
 respect to a gr\p heal? plan & an      
individual :o is a pot5tial p>ticipant  
or b5efici>y 9 ! plan1 ! p]iod t mu/    
pass ) respect to ! individual be=e !   
individual is eligible to be cov]$ =    
b5efits "u ! t]ms ( ! plan4  4  7b7     
,individual m>ket ,subp>t #a ( "p ,b (  
title ,,xxvii ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #cjj;gg-#da et     
seq47 is am5d$ by add+ at ! end !       
foll[+3  #bgdf4 ,prohibition ( preexi/+ 
condition exclusions or o!r             
discrim9ation bas$ on heal? /atus ,!    
provisions ( section #bgja %all apply to
 heal? insurance cov]age (f]$ to        
individuals by a heal? insurance issu] 9
 ! individual m>ket 9 ! same mann] z x  
applies to heal? insurance cov]age (f]$ 
by a heal? insurance issu] 9 ! gr\p     
m>ket4  4  #c4 ,gu>ante$ availability ( 
cov]age  7a7 ,gr\p m>ket ,subp>t #c ( "p
 ,a ( title ,,xxvii ( ! ,public ,heal?  
,s]vice ,act is am5d$ by /rik+ section  

#bgaa 7#db ,u4,s4,c4 #cjj;gg-#aa7 &     
ins]t+ ! foll[+3  #bgaa4 ,gu>ante$      
availability ( cov]age  7a7 ,gu>ante$   
issuance ( cov]age 9 ! gr\p m>ket       
,subject to subsection 7b71 ea* heal?   
insurance issu] t (f]s heal? insurance  
cov]age 9 ! gr\p m>ket 9 a ,/ate %all   
accept e employ] & e individual 9 a gr\p
 9 ! ,/ate t applies = su* cov]age4  7b7
 ,enrollm5t  7#a7 ,re/riction ,a heal?  
insurance issu] describ$ 9 subsection   
7a7 may re/rict enrollm5t 9 cov]age     
describ$ 9 su* subsection to op5 or     
special enrollm5t p]iods4  7#b7         
,e/abli%m5t ,a heal? insurance issu]    
describ$ 9 subsection 7a7 %all e/abli%  
special enrollm5t p]iods = qualify+     
ev5ts 7z su* t]m is def9$ 9 section #fjc
 ( ! ,employee ,retirem5t ,income       
,security ,act ( #aigd74  4  7b7        
,individual m>ket ,subp>t #a ( "p ,b (  
title ,,xxvii ( ! ,public ,heal? ,s]vice
 ,act is am5d$ by /rik+ section #bgda ( 
su* ,act 7#db ,u4,s4,c4 #cjj;gg-#da7 &  
ins]t+ ! foll[+3  #bgda4 ,gu>ante$      

availability ( cov]age ,! provisions (  
section #bgaa %all apply to heal?       
insurance cov]age (f]$ to individuals by
 a heal? insurance issu] 9 ! individual 
m>ket 9 ! same mann] z su* provisions   
apply to heal? insurance cov]age (f]$ to
 employ]s by a heal? insurance issu] 9  
connection ) heal? insurance cov]age 9 !
 gr\p m>ket4 ,= purposes ( ?is section1 
! ,secret>y %all treat any ref]5ce ( !  
^w employ] 9 su* section z a ref]5ce to 
! t]m individual4  4  #d4 ,effective    
date cont+5t on repeal ( ,,ppaca  7a7 ,9
 g5]al ,sections #b & #c & ! am5dm5ts   
made by su* section %all take effect ^u 
! enactm5t ( ,,ppaca repeal legislation 
describ$ 9 subsection 7b7 & su* sections
 & am5dm5ts %all h no =ce or effect if  
su* ,,ppaca repeal legislation is n     
enact$4  7b7 ,,ppaca repeal legislation 
describ$ ,= purposes ( subsection 7a71  
,,ppaca repeal legislation describ$ 9   
?is subsection is legislation t--  7#a7 
repeals ,public ,law #aaa-adh1 & re/ores
 or revives ! provisions ( law am5d$ or 

repeal$1 respectively1 by su* ,act z if 
su* ,act _h n be5 enact$ & )\t fur!r    
am5dm5t to su* provisions ( law2 &  7#b7
 repeals title ,i & subtitle ,b ( title 
,,ii ( ! ,heal? ,c>e & ,education       
,reconciliation ,act ( #bjaj 7,public   
,law #aaa-aeb71 & re/ores or revives !  
provisions ( law am5d$ or repeal$1      
respectively1 by su* title or subtitle1 
respectively1 z if su* title & subtitle 
_h n be5 enact$ & )\t fur!r am5dm5t to  
su* provisions ( law4