,,ii  #aac? ,,congress  #a/ ,session    
,s4 #bd  ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$
 ,,/ates  ,janu>y #bb 7legislative day1 
,janu>y #c71 #bjac ,mr4 ,portman        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to l[] heal?       
premiums & increase *oice = small       
bus9esses4  #a4 ,%ort title2 table (    
cont5ts  7a7 ,%ort title ,?is ,act may  
be cit$ z ! ,small ,bus9ess ,heal?      
,relief ,act ( #bjac4  7b7 ,table (     
cont5ts ,! table ( cont5ts = ?is ,act is
 z foll[s3  ,sec4 #a4 ,%ort title2 table
 ( cont5ts4 ,,title ,i--,mak+ cov]age   
af=dable = small bus9esses ,sec4 #aja4  
,protect+ ,am]ican jobs & wages4 ,sec4  
#ajb4 ,increas+ flexibility = small     
bus9esses4 ,sec4 #ajc4 ,increas+ *oices 
= ,am]icans4 ,sec4 #ajd4 ,protect+      
pati5ts f high] premiums4 ,sec4 #aje4   
,ensur+ af=dable cov]age4 ,,title       
,,ii--,increas+ consum] control ,sec4   
#bja4 ,repeal ( ! re/riction on         
ov]-!-c\nt] m$ic9es4 ,sec4 #bjb4 ,repeal

 ( ! annual cap4 ,,title ,,iii--,all[+  
individuals to keep cov]age !y l ,sec4  
#cja4 ,all[+ individuals to keep !      
cov]age !y h if !y l x4  ,i ,mak+       
cov]age af=dable = small bus9esses      
#aja4 ,protect+ ,am]ican jobs & wages   
,sections #aeac & #aead & subsections   
7e71 7f71 & 7g7 ( section #ajajf ( !    
,pati5t ,protection & ,af=dable ,c>e    
,act 7,public ,law #aaa-adh7 & !        
am5dm5ts made by su* sections &         
subsections are repeal$ & ! ,int]nal    
,rev5ue ,code ( #aihf %all be appli$ &  
adm9i/]$ z if su* provisions & am5dm5ts 
_h nev] be5 enact$4  #ajb4 ,increas+    
flexibility = small bus9esses ,section  
#acjb7;c77#b7 ( ! ,pati5t ,protection & 
,af=dable ,c>e ,act 7,public ,law       
#aaa-adh7 is repeal$4  #ajc4 ,increas+  
*oices = ,am]icans  7a7 ,qualifi$ heal? 
plan cov]age satisfi$ by high d$uctible 
heal? plan ) heal? sav+s acc\nt ,section
 #acjb7;e7 ( ! ,pati5t ,protection &    
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjbb7;e77 is am5d$ to read z foll[s3  

7e7 ,high d$uctible heal? plan ) heal?  
sav+s acc\nt ,a heal? plan n provid+ a  
bronze1 silv]1 gold1 or plat9um level ( 
cov]age %all be treat$ z meet+ !        
requirem5ts ( subsection 7d7 ) respect  
to any plan ye> = any enrollee if ! plan
 meets ! requirem5ts = a high d$uctible 
heal? plan "u section #bbc7;c77#b7 ( !  
,int]nal ,rev5ue ,code ( #aihf & su*    
enrollee has e/abli%$ a heal? sav+s     
acc\nt 7z def9$ 9 section #bbc7;d77#a7 (
 su* ,code7 9 relation to su* plan4  4  
7b7 ,con=m+ am5dm5ts  7#a7 ,subp>agraph 
7,c7 ( section #acab7;d77#c7 ( ! ,pati5t
 ,protection & ,af=dable ,c>e ,act 7#db 
,u4,s4,c4 #ahjcb7;d77#c77 is am5d$ by   
/rik+ 1 except & all t foll[s ?r\gh     
#acjb7;e77#b74  7#b7 ,subp>agraph 7,a7 (
 section #cf;,b7c77#c7 ( ! ,int]nal     
,rev5ue ,code ( #aihf1 z add$ by section
 #adja7;a7 ( ! ,pati5t ,protection &    
,af=dable ,c>e ,act 7,public ,law       
#aaa-adh7 is am5d$ by /rik+ 1 except &  
all t foll[s ?r\gh su* ,act4  7#c7      
,subp>agraph 7,b7 ( section             

#accd7;c77#a7 ( ! ,pati5t ,protection & 
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjed7;c77#a77 is am5d$ by /rik+ &     
cata/rophic cov]age4  #ajd4 ,protect+   
pati5ts f high] premiums ,section #ijaj 
( ! ,pati5t ,protection & ,af=dable ,c>e
 ,act 7,public ,law #aaa-adh71 z am5d$  
by section #ajije ( su* ,act1 is        
repeal$4  #aje4 ,ensur+ af=dable cov]age
 ,section #bgja7;a77#a77;,a77iii7 ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj7;a77#a77;,a77iii771 z    
add$ by section #abja ( ! ,pati5t       
,protection & ,af=dable ,c>e ,act       
7,public ,law #aaa-adh71 is am5d$ by    
/rik+ 1 except & all t foll[s ?r\gh     
#bgjg7;c774  ,,ii ,increas+ consum]     
control  #bja4 ,repeal ( ! re/riction on
 ov]-!-c\nt] m$ic9es ,section #ijjc ( ! 
,pati5t ,protection & ,af=dable ,c>e    
,act 7,public ,law #aaa-adh7 & !        
am5dm5ts made by su* section are        
repeal$2 & ! ,int]nal ,rev5ue ,code (   
#aihf %all be appli$ z if su* section1 &
 am5dm5ts1 _h nev] be5 enact$4  #bjb4   

,repeal ( ! annual cap ,sections #ijje &
 #ajijb ( ! ,pati5t ,protection &       
,af=dable ,c>e ,act 7,public ,law       
#aaa-adh7 & section #adjc ( ! ,heal?    
,c>e & ,education ,reconciliation ,act (
 #bjaj 7,public ,law #aaa-aeb7 & !      
am5dm5ts made by su* sections are       
repeal$4  ,,iii ,all[+ individuals to   
keep cov]age !y l  #cja4 ,all[+         
individuals to keep ! cov]age !y h if !y
 l x  7a7 ,9 g5]al ,section             
#abea7;a77#b7 ( ! ,pati5t ,protection & 
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjaa7 is am5d$--  7#a7 by /rik+       
,except z provid$ 9 p>agraph 7#c71 &    
ins]t+ ! foll[+3  7,a7 ,9 g5]al ,except 
z provid$ 9 p>agraphs 7#c7 & 7#d71  2 & 
7#b7 by add+ at ! end ! foll[+3  7,b7   
,protect+ employ]s & consum]s ) gr&fa!r$
 cov]age  7i7 ,9 g5]al ,a gr\p heal?    
plan or heal? insurance cov]age 9 :i* an
 individual is enroll$ on or aft] ,m>*  
#bc1 #bjaj1 b be=e any plan ye> beg9n+ n
 lat] ?an #a ye> aft] ! date ( !        
enactm5t ( ?is subp>agraph1 & :i* is    

deem$ to be a gr&fa!r$ heal? plan "u ?is
 section1 %all cont9ue to be consid]$ a 
gr&fa!r$ heal? plan ) respect to su*    
individual reg>dless ( any modification 
to ! co/-%>+ levels1 employ]            
contribution rates1 or cov]$ b5efits "u 
su* plan or cov]age z o!rwise p]mitt$ "u
 ?is ,act 7& ! am5dm5ts made by ?is     
,act74  7ii7 ,regulations ,! ,secret>y  
%all promulgate regulations to cl>ify ! 
application ( clause 7i7 to a plan or   
cov]age t cont9ues to be a gr&fa!r$     
heal? plan pursuant to su* clause4  4   
7b7 ,effective date2 previ\sly          
promulgat$ regulations void$  7#a7      
,effective date ,! am5dm5ts made by ?is 
section %all take effect z if includ$ 9 
! enactm5t ( ! ,pati5t ,protection &    
,af=dable ,c>e ,act4  7#b7 ,previ\sly   
promulgat$ regulations void$ ,any       
regulations relat+ to section           
#abea7;a77#b7 ( su* ,act promulgat$ be=e
 ! date ( ! enactm5t ( ?is ,act %all h  
no =ce or effect4