,,ii  #aacth ,,congress  #ast ,session  
,s4 #agbi  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,november #ai1 
#bjac,mr4 ,begich introduced the        
following bill2 which was read twice and
 referred to the ,committee on ,health1 
,education1 ,labor1 and ,pensions  ,a   
,,bill  ,to amend the ,patient          
,protection and ,affordable ,care ,act  
to provide further options with respect 
to levels of coverage under qualified   
health plans4  #a4 ,short title ,this   
,act may be cited as the ,expanded      
,consumer ,choice ,act4  #b4 ,providing 
for a new level of coverage under       
qualified health plans  7a7 ,in general 
,section #acjb of the ,patient          
,protection and ,affordable ,care ,act  
7#db ,u4,s4,c4 #ahjbb7 is amended-- 7#a7
 in subsection 7a77#c71 by inserting    
copper1 after either the2  7#b7 in      
subsection 7c7-- 7,a7 in paragraph 7#a71
 by adding at the end the following3    
7,c7 ,copper plans ,the cost-sharing    
incurred under a health plan in the     

copper level with respect to self-only  
coverage or coverage other than         
self-only coverage for a plan year      
beginning in #bjae shall not be less    
than an amount determined appropriate by
 the ,secretary 7such amount to be in   
excess of the amount applicable to a    
bronze plan7 increased as provided for  
in subparagraph 7,b7 for later plan     
years4  2  7,b7 in paragraph 7#b7-- 7i7 
in subparagraph 7,a7-- 7,i7 in clause   
7i71 by striking and at the end2  7,,ii7
 in clause 7ii71 by striking the period 
and inserting 2 and2 and  7,,iii7 by    
adding at the end the following3  7iii7 
for plan years beginning in #bjae1 the  
amount provided for under paragraph     
7#a77;,c7 in the case of a plan in the  
copper level4  2 and  7ii7 in           
subparagraph 7,c71 by inserting or      
copper after bronze2 and  7,c7 by adding
 at the end the following3  7#e7        
,regulations relating to plans in the   
copper level ,the ,secretary shall      
promulgate regulations to provide for   

annual limits on deductibles and        
cost-sharing for plans in the copper    
level to ensure that such limits are    
reasonable for every marketplace and to 
take into account the feasibility of the
 relative plan design in each local     
insurance marketplace4  2  7#c7 in      
subsection 7d7-- 7,a7 in paragraph 7#a71
 by adding at the end the following3    
7,e7 ,copper level ,beginning in plan   
year #bjae1 a plan in the copper level  
shall provide a level of coverage that  
is designed to provide benefits that are
 actuarially equivalent to #ej percent  
of the full actuarial value of the      
benefits provided under the plan4  2 and
  7,b7 in paragraph 7#d71 by inserting  
copper1 after providing a2 and  7#d7 in 
subsection 7e77#a71 in the matter       
preceding subparagraph 7,a71 by         
inserting copper1 after providing a4    
7b7 ,multi-,state plans ,section        
#accd7;c77#a77;,b7 of the ,patient      
,protection and ,affordable ,care ,act  
7#db ,u4,s4,c4 #ahjed7;c77#a77;,b77 is  

amended by inserting copper1 after      
offering of the4