,,ii  #aacth ,,congress  #ast ,session  
,s4 #afdb  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,november #d1  
#bjac,ms4 ,landrieu 7for herself and    
,mr4 ,manchin7 introduced the following 
bill2 which was read twice and referred 
to the ,committee on ,finance  ,a ,,bill
  ,to permit the continuation of certain
 health plans4  #a4 ,short title ,this  
,act may be cited as the ,keeping the   
,affordable ,care ,act ,promise ,act4   
#b4 ,continuation of grandfathered      
health plans ,notwithstanding any other 
provision of law1 an individual may     
elect to continue enrollment under the  
health insurance coverage 7offered in   
the individual market7 in which such    
individual was enrolled on ,december    
#ca1 #bjac1 if such individual meets    
such other eligibility requirements     
7such as payment of premiums7 as are    
applied with respect to such coverage1  
unless such issuer cancels all coverage 
offered in such market and ceases       
operations as a health insurance issuer4

 ,any such coverage shall be deemed to  
be a grandfathered health plan for      
purposes of the ,patient ,protection and
 ,affordable ,care ,act 7or an amendment
 made by that ,act74 ,coverage to which 
this section applies shall be deemed to 
be minimum essential coverage for       
purposes of section #ejjj;,a of the     
,internal ,revenue ,code of #aihf4  #c4 
,transparency of grandfathered health   
plan notifications ,part #b of subtitle 
,c of title ,i of the ,patient          
,protection and ,affordable ,care ,act  
7#db ,u4,s4,c4 #ahjaa et seq47 is       
amended by inserting after section #abea
 the following3  #abea;,a4 ,transparency
 of grandfathered health plan           
notifications  7a7 ,in general ,a health
 insurance issuer that offers health    
insurance coverage in the individual    
market shall annually1 at the time of   
enrollment and renewal1 provide         
enrollees with a notice that states--   
7#a7 if applicable1 the reasons that    
such coverage does not meet the         

requirements under this ,act 7or        
amendment made by this ,act7 for a      
qualified health plan1 including        
citations to the provisions of this ,act
 involved2  7#b7 that the enrollee has  
the right to continue to enroll in such 
coverage2 and  7#c7 that the enrollee   
has the right to enroll in a qualified  
health plan offered through an ,exchange
 and instruction on how to access such  
,exchange4  7b7 ,cancellation notices ,a
 notification provided by a health      
insurance issuer1 that offers health    
insurance coverage in the individual    
market1 to an enrollee stating that such
 coverage is cancelled for such enrollee
 shall contain a statement of the       
reasons for such cancellation1 including
 a reference to any provision of this   
,act 7or an amendment made by this ,act7
 that such issuer relied upon in making 
the determination to cancel such        
coverage4  7c7 ,application ,subsection 
7b7 shall apply beginning on the date of
 enactment of this section1 except that 

with respect to a health plan that has  
provided a notification of cancellation 
prior to such date that has not yet     
taken effect1 an enrollee may elect to  
continue such coverage under such plan  
if the issuer continues to offer such   
plan as provided for in section #b of   
the ,keeping the ,affordable ,care ,act 
,promise ,act and the issuer shall      
provide a subsequent notification to the
 enrollee that states-- 7#a7 that such  
plan will remain in effect at the option
 of the enrollee2 and  7#b7 the reasons 
that such plan does not otherwise meet  
the requirements under this ,act for a  
qualified health plan4  4