,,ii  #aac? ,,congress  #a/ ,session    
,s4 #agbi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #ai1 #bjac,mr4
 ,begi* 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    
provide fur!r options ) respect to      
levels ( cov]age "u qualifi$ heal?      
plans4  #a4 ,%ort title ,?is ,act may be
 cit$ z ! ,exp&$ ,consum] ,*oice ,act4  
#b4 ,provid+ = a new level ( cov]age "u 
qualifi$ heal? plans  7a7 ,9 g5]al      
,section #acjb ( ! ,pati5t ,protection &
 ,af=dable ,c>e ,act 7#db ,u4,s4,c4     
#ahjbb7 is am5d$-- 7#a7 9 subsection    
7a77#c71 by ins]t+ copp]1 aft] ei!r !2  
7#b7 9 subsection 7c7-- 7,a7 9 p>agraph 
7#a71 by add+ at ! end ! foll[+3  7,c7  
,copp] plans ,! co/-%>+ incurr$ "u a    
heal? plan 9 ! copp] level ) respect to 
self-only cov]age or cov]age o!r ?an    
self-only cov]age = a plan ye> beg9n+ 9 
#bjae %all n be less ?an an am\nt       

det]m9$ appropriate by ! ,secret>y 7su* 
am\nt to be 9 excess ( ! am\nt          
applicable to a bronze plan7 increas$ z 
provid$ = 9 subp>agraph 7,b7 = lat] plan
 ye>s4  2  7,b7 9 p>agraph 7#b7-- 7i7 9 
subp>agraph 7,a7-- 7,i7 9 clause 7i71 by
 /rik+ & at ! end2  7,,ii7 9 clause     
7ii71 by /rik+ ! p]iod & ins]t+ 2 &2 &  
7,,iii7 by add+ at ! end ! foll[+3      
7iii7 = plan ye>s beg9n+ 9 #bjae1 !     
am\nt provid$ = "u p>agraph 7#a77;,c7 9 
! case ( a plan 9 ! copp] level4  2 &   
7ii7 9 subp>agraph 7,c71 by ins]t+ or   
copp] aft] bronze2 &  7,c7 by add+ at ! 
end ! foll[+3  7#e7 ,regulations relat+ 
to plans 9 ! copp] level ,! ,secret>y   
%all promulgate regulations to provide =
 annual limits on d$uctibles & co/-%>+ =
 plans 9 ! copp] level to ensure t su*  
limits are reasonable = e m>ketplace &  
to take into acc\nt ! feasibility ( !   
relative plan design 9 ea* local        
insurance m>ketplace4  2  7#c7 9        
subsection 7d7-- 7,a7 9 p>agraph 7#a71  
by add+ at ! end ! foll[+3  7,e7 ,copp] 

level ,beg9n+ 9 plan ye> #bjae1 a plan 9
 ! copp] level %all provide a level (   
cov]age t is design$ to provide b5efits 
t are actu>ially equival5t to #ej p]c5t 
( ! full actu>ial value ( ! b5efits     
provid$ "u ! plan4  2 &  7,b7 9 p>agraph
 7#d71 by ins]t+ copp]1 aft] provid+ a2 
&  7#d7 9 subsection 7e77#a71 9 ! matt] 
prec$+ subp>agraph 7,a71 by ins]t+      
copp]1 aft] provid+ a4  7b7 ,multi-,/ate
 plans ,section #accd7;c77#a77;,b7 ( !  
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahjed7;c77#a77;,b77
 is am5d$ by ins]t+ copp]1 aft] (f]+ (  
!4