,,ii  #aac? ,,congress  #a/ ,session    
,s4 #afag  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #cj1 #bjac,mr4 
,johnson ( ,wiscons9 7= himself1 ,ms4   
,ayotte1 ,mr4 ,b>rasso1 ,mr4 ,blunt1    
,mr4 ,boozman1 ,mr4 ,*ambliss1 ,mr4     
,*iesa1 ,mr4 ,coburn1 ,mr4 ,co*ran1 ,ms4
 ,coll9s1 ,mr4 ,cornyn1 ,mr4 ,crapo1    
,mr4 ,enzi1 ,mrs4 ,fis*]1 ,mr4 ,flake1  
,mr4 ,grassley1 ,mr4 ,hat*1 ,mr4 ,hoev51
 ,mr4 ,inh(e1 ,mr4 ,isakson1 ,mr4       
,johanns1 ,mr4 ,kirk1 ,mr4 ,mc,cain1    
,mr4 ,mc,connell1 ,mr4 ,moran1 ,mr4     
,paul1 ,mr4 ,portman1 ,mr4 ,ris*1 ,mr4  
,rob]ts1 ,mr4 ,rubio1 ,mr4 ,scott1 ,mr4 
,sessions1 ,mr4 ,?une1 ,mr4 ,toomey1    
,mr4 ,vitt]1 ,mr4 ,wick]1 ,mr4 ,graham1 
& ,mr4 ,cork]7 introduc$ ! foll[+ bill2 
:i* 0 read twice & ref]r$ to !          
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
! ,pati5t ,protection & ,af=dable ,c>e  
,act to ensure t individuals c keep _!  
heal? insurance cov]age4  #a4 ,%ort     
title ,?is ,act may be cit$ z ! ,if ,y  

,l ,y\r ,heal? ,plan1 ,y ,c ,keep x     
,act4  #b4 ,am5dm5t to ! ,pati5t        
,protection & ,af=dable ,c>e ,act  7a7  
,9 g5]al ,"p #b ( subtitle ,c ( title ,i
 ( ! ,pati5t ,protection & ,af=dable    
,c>e ,act 7#db ,u4,s4,c4 #ahjaa et seq47
 is am5d$ by /rik+ section #abea &      
ins]t+ ! foll[+3  #abea4 ,fre$om to     
ma9ta9 exi/+ cov]age  7a7 ,no *anges to 
exi/+ cov]age  7#a7 ,9 g5]al ,no?+ 9 ?is
 ,act 7or an am5dm5t made by ?is ,act7  
%all be con/ru$ to require t an         
individual t]m9ate cov]age "u a gr\p    
heal? plan or heal? insurance cov]age 9 
:i* su* individual 0 enroll$ dur+ any "p
 ( ! p]iod beg9n+ on ! date ( enactm5t (
 ?is ,act & end+ on ,decemb] #ca1 #bjac4
  7#b7 ,cont9uation ( cov]age ,) respect
 to a gr\p heal? plan or heal? insurance
 cov]age 9 :i* an individual 0 enroll$  
dur+ any "p ( ! p]iod beg9n+ on ! date (
 enactm5t ( ?is ,act & end+ on ,decemb] 
#ca1 #bjac1 ?is subtitle & subtitle ,a  
7& ! am5dm5ts made by su* subtitles7    
%all n apply to su* plan or cov]age1    

reg>dless ( :e!r ! individual r5ews su* 
cov]age4  7b7 ,all[ance = family memb]s 
,to jo9 curr5t cov]age ,) respect to a  
gr\p heal? plan or heal? insurance      
cov]age 9 :i* an individual 0 enroll$   
dur+ any "p ( ! p]iod beg9n+ on ! date (
 enactm5t ( ?is ,act & end+ on ,decemb] 
#ca1 #bjac1 & :i* is r5ew$1 family      
memb]s ( su* individual %all be p]mitt$ 
to enroll 9 su* plan or cov]age if su*  
enrollm5t is p]mitt$ "u ! t]ms ( ! plan 
9 effect z ( su* date ( enrollm5t4  7c7 
,all[ance = new employees ,to jo9 curr5t
 plan ,a gr\p heal? plan t provides     
cov]age dur+ any "p ( ! p]iod beg9n+ on 
! date ( enactm5t ( ?is ,act & end+ on  
,decemb] #ca1 #bjac1 may provide = !    
enroll+ ( new employees 7& _! families7 
9 su* plan1 & ?is subtitle & subtitle ,a
 7& ! am5dm5ts made by su* subtitles7   
%all n apply ) respect to su* plan & su*
 new employees 7& _! families74  7d7    
,effect on collective b>ga9+ agreem5ts  
,9 ! case ( heal? insurance cov]age     
ma9ta9$ pursuant to "o or m collective  

b>ga9+ agreem5ts betwe5 employee        
repres5tatives & "o or m employ]s t 0   
ratifi$ be=e ,decemb] #ca1 #bjac1 !     
provisions ( ?is subtitle & subtitle ,a 
7& ! am5dm5ts made by su* subtitles7    
%all n apply until ! date on :i* ! la/ (
 ! collective b>ga9+ agreem5ts relat+ to
 ! cov]age t]m9ates4 ,any cov]age       
am5dm5t made pursuant to a collective   
b>ga9+ agreem5t relat+ to ! cov]age :i* 
am5ds ! cov]age solely to con=m to any  
requirem5t add$ by ?is subtitle or      
subtitle ,a 7or am5dm5ts7 %all n be     
treat$ z a t]m9ation ( su* collective   
b>ga9+ agreem5t4  7e7 ,def9ition ,9 ?is 
title1 ! t]m gr&fa!r$ heal? plan means  
any gr\p heal? plan or heal? insurance  
cov]age to :i* ?is section applies4  4  
7b7 ,effective date ,! am5dm5t made by  
subsection 7a7 %all take effect z if    
includ$ 9 ! ,pati5t ,protection &       
,af=dable ,c>e ,act 7,public ,law       
#aaa-adh74