,,ii  #aac? ,,congress  #a/ ,session    
,s4 #afdb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #d1 #bjac,ms4 
,l&rieu 7= h]self & ,mr4 ,man*97        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to p]mit !         
cont9uation ( c]ta9 heal? plans4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,keep+ ! ,af=dable ,c>e ,act ,promise   
,act4  #b4 ,cont9uation ( gr&fa!r$ heal?
 plans ,not)/&+ any o!r provision ( law1
 an individual may elect to cont9ue     
enrollm5t "u ! heal? insurance cov]age  
7(f]$ 9 ! individual m>ket7 9 :i* su*   
individual 0 enroll$ on ,decemb] #ca1   
#bjac1 if su* individual meets su* o!r  
eligibility requirem5ts 7su* z paym5t ( 
premiums7 z are appli$ ) respect to su* 
cov]age1 unless su* issu] cancels all   
cov]age (f]$ 9 su* m>ket & ceases       
op]ations z a heal? insurance issu]4    
,any su* cov]age %all be deem$ to be a  
gr&fa!r$ heal? plan = purposes ( !      
,pati5t ,protection & ,af=dable ,c>e    

,act 7or an am5dm5t made by t ,act74    
,cov]age to :i* ?is section applies %all
 be deem$ to be m9imum ess5tial cov]age 
= purposes ( section #ejjj;,a ( !       
,int]nal ,rev5ue ,code ( #aihf4  #c4    
,transp>5cy ( gr&fa!r$ heal? plan       
notifications ,"p #b ( subtitle ,c (    
title ,i ( ! ,pati5t ,protection &      
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjaa et seq47 is am5d$ by ins]t+ aft] 
section #abea ! foll[+3  #abea;,a4      
,transp>5cy ( gr&fa!r$ heal? plan       
notifications  7a7 ,9 g5]al ,a heal?    
insurance issu] t (f]s heal? insurance  
cov]age 9 ! individual m>ket %all       
annually1 at ! "t ( enrollm5t & r5ewal1 
provide enrollees ) a notice t /ates--  
7#a7 if applicable1 ! reasons t su*     
cov]age does n meet ! requirem5ts "u ?is
 ,act 7or am5dm5t made by ?is ,act7 = a 
qualifi$ heal? plan1 includ+ citations  
to ! provisions ( ?is ,act involv$2     
7#b7 t ! enrollee has ! "r to cont9ue to
 enroll 9 su* cov]age2 &  7#c7 t !      
enrollee has ! "r to enroll 9 a qualifi$

 heal? plan (f]$ ?r\gh an ,ex*ange &    
in/ruction on h[ to access su* ,ex*ange4
  7b7 ,cancellation notices ,a          
notification provid$ by a heal?         
insurance issu]1 t (f]s heal? insurance 
cov]age 9 ! individual m>ket1 to an     
enrollee /at+ t su* cov]age is cancell$ 
= su* enrollee %all conta9 a /atem5t ( !
 reasons = su* cancellation1 includ+ a  
ref]5ce to any provision ( ?is ,act 7or 
an am5dm5t made by ?is ,act7 t su* issu]
 reli$ ^u 9 mak+ ! det]m9ation to cancel
 su* cov]age4  7c7 ,application         
,subsection  7b7 %all apply beg9n+ on ! 
date ( enactm5t ( ?is section1 except t 
) respect to a heal? plan t has provid$ 
a notification ( cancellation prior to  
su* date t has n yet tak5 effect1 an    
enrollee may elect to cont9ue su*       
cov]age "u su* plan if ! issu] cont9ues 
to (f] su* plan z provid$ = 9 section #b
 ( ! ,keep+ ! ,af=dable ,c>e ,act       
,promise ,act & ! issu] %all provide a  
subsequ5t notification to ! enrollee t  
/ates-- 7#a7 t su* plan w rema9 9 effect

 at ! option ( ! enrollee2 &  7#b7 !    
reasons t su* plan does n o!rwise meet !
 requirem5ts "u ?is ,act = a qualifi$   
heal? plan4  4