,,ii  #aac? ,,congress  #a/ ,session    
,s4 #ahhf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #bj1 #bjac,mr4
 ,m]kley 7= himself1 ,mrs4 ,%ahe51 ,mr4 
,udall ( ,colorado1 ,mr4 ,k+1 ,ms4      
,heitkamp1 & ,ms4 ,l&rieu7 introduc$ !  
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,a ,,bill   
,to ensure t individuals :o attempt$ to1
 or :o are enroll$ 91 qualifi$ heal?    
plans (f]$ ?r\gh an ,ex*ange h cont9uity
 ( cov]age & to require ,ex*anges to    
make cov]age "u qualifi$ heal? plans    
retroactive to ,janu>y #a1 #bjad4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,cov]age ,protection ,act4  #b4         
,au?ority to provide timely cov]age =   
individuals :o 7 unable to enroll 9 a   
qualifi$ heal? plan  7a7 ,9 g5]al ,9 !  
case ( an individual :o enrolls 9 a     
qualifi$ heal? plan (f]$ ?r\gh an       
,ex*ange e/abli%$ "u title ,i ( !       
,pati5t ,protection & ,af=dable ,c>e    
,act 7,public ,law #aaa-adh7 be=e       
,febru>y #a1 #bjad1 ! ,secret>y ( ,heal?

 & ,human ,s]vices %all require t !     
issu] ( ! plan treat su* individual z   
enroll$ 9 su* plan z ( ,decemb] #bc1    
#bjac1 if ! foll[+ conditions are met3  
7#a7 ,attempt$ timely enrollm5t ,!      
individual submits1 n lat] ?an ,janu>y  
#ca1 #bjad1 an atte/ation 79 su* =m &   
mann] z ! ,secret>y may require7 t !    
individual-- 7,a7 made reasonable1      
good-fai? attempts1 b 0 unable1 to      
successfully enroll 9 su* a plan ?r\gh  
an ,ex*ange be=e ,decemb] #bc1 #bjac2 or
  7,b7 0 initially det]m9$ ?r\gh        
heal?c>e4gov to be eligible to enroll 9 
a ,m$icaid plan "u title ,,xix ( !      
,social ,security ,act b is n eligible  
to s enroll 9 su* a ,m$icaid plan &1    
because ( su* incorrect eligibility     
det]m9ation1 0 subsequ5tly unable to    
enroll 9 a qualifi$ heal? plan be=e     
,decemb] #bc1 #bjac4  7#b7 ,paym5t (    
premiums ,! individual pays to ! heal?  
insurance issu] issu+ ! qualifi$ heal?  
plan 9 :i* su* individual is enroll$    
7ei!r directly or ?r\gh ! ,ex*ange7 any 

applicable premiums ow$ by su*          
individual = enrollm5t 9 ! plan tak+    
into acc\nt ! am\nt ( any premium       
assi/ance made available "u section     
#cf;,b ( ! ,int]nal ,rev5ue ,code (     
#aihf4  7b7 ,application = purposes (   
premium assi/ance1 r$uc$ co/-,%>+1 &    
individual responsibility ,cov]age      
provid$ "u a qualifi$ heal? plan =      
,janu>y & ,febru>y ( #bjad "u subsection
 7a7 %all be c\nt$ z cov]age "u su* a   
plan by or ?r\gh an ,ex*ange = su* mon?s
 = all purposes1 includ+ ! foll[+3 7#a7 
,premium assi/ance ,section #cf;,b ( !  
,int]nal ,rev5ue ,code ( #aihf4  7#b7   
,co/-%>+ r$uctions ,section #adjb ( !   
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahjga74  7#c7      
,individual responsibility requirem5t   
,section #ejjj;,a ( ! ,int]nal ,rev5ue  
,code ( #aihf4  #c4 ,retroactive cov]age
 & premium assi/ance ,section #acaa7;c7 
( ! ,pati5t ,protection & ,af=dable ,c>e
 ,act 7#db ,u4,s4,c4 #ahjca7;c77 is     
am5d$ by add+ at ! end ! foll[+3  7#g7  

,/ate option to make initial cov]age    
retroactive  7,a7 ,9 g5]al ,not)/&+ any 
o!r provision ( law1 ! ,secret>y %all   
p]mit a ,/ate1 at ! option ( ! ,/ate1 to
 make cov]age "u a qualifi$ heal? plan  
retroactive to ,janu>y #a1 #bjad1 )     
respect to an individual :o enrolls 9   
su* plan ?r\gh ! ,/ate ,ex*ange 7or !   
,f$]al ,ex*ange 9 ! case ( a ,/ate t has
 n e/abli%$ a ,/ate ,ex*ange7 dur+ !    
p]iod e/abli%$ by ! ,/ate "u subp>agraph
 7,b74 ,any heal? c>e items or s]vices  
provid$ to su* enrollee 9 ,janu>y (     
#bjad %all be cov]$ retroactively "u !  
plan z if ! enrollee _h be5 enroll$ on  
,janu>y #a ( su* ye>4  7,b7 ,p]iod ,!   
p]iod e/abli%$ "u ?is subp>agraph %all  
be ! p]iod beg9n+ on ,decemb] #bc1      
#bjac1 & end+ on a date det]m9$ by !    
,/ate1 b 9 no ev5t lat] ?an ,janu>y #ca1
 #bjad1 except t a ,/ate t has an       
enrollm5t deadl9e t is prior to ,decemb]
 #bc1 #bjac1 may modify ! p]iod "u ?is  
subp>agraph to encompass su* deadl9e4   
7,c7 ,tax cr$its & co/ %>+ assi/ance ,if

 an individual is det]m9$ to be eligible
 = a tax cr$it "u section #cf;,b ( !    
,int]nal ,rev5ue ,code ( #aihf or       
co/-%>+ assi/ance "u section #adjb1 b   
su* det]m9ation has n be5 v]ifi$ by !   
date on :i* ! individual enrolls 9 !    
qualifi$ heal? plan involv$1 ! cr$it &  
assi/ance %all be appli$ on a           
retroactive basis to ,janu>y #a1 #bjad1 
& ! initial premium paym5t am\nt %all be
 (fset to include su* cr$it & assi/ance 
am\nts = su* mon?4  4  #d4 ,transitional
 use ( receipt ( insurance paym5t z     
alt]native to heal? insurance c>d =     
,ex*ange plans  7a7 ,9 g5]al ,!         
,secret>y ( ,heal? & ,human ,s]vices    
%all require a heal? insurance issu] t  
(f]s a qualifi$ heal? plan ?r\gh an     
,ex*ange "u title ,i ( ! ,pati5t        
,protection & ,af=dable ,c>e ,act       
7,public ,law #aaa-adh7-- 7#a7 to all[  
9-network provid]s 9 su* plan to treat1 
= purposes ( cov]age "u ! plan1 a       
receipt ( paym5t ( premiums by an       
individual enroll$ "u ! plan = ,janu>y  

or ,febru>y #bjad :o has n receiv$ a    
heal? insurance c>d f ! issu] 9 ! same  
mann] z if su* receipt 7 su* a heal?    
insurance c>d issu$ to su* individual by
 ! issu] = s]vices furni%$ dur+ su*     
mon?2 &  7#b7 to notify su* 9-network   
provid]s ( ! policy "u p>agraph 7#a74   
7b7 ,rule ( con/ruction ,no?+ 9 ?is     
section %all be con/ru$ z preclud+ a    
heal? c>e provid] f directly seek+ to   
v]ify ! /atus ( ! enrollm5t ( an        
individual 9 a qualifi$ heal? plan (f]$ 
?r\gh an ,ex*ange by contact+ ! ,ex*ange
 or ! issu] ( su* plan4