,,ii  #aadth ,,congress  #ast ,session  
,h4 ,r4 #afbd  ,,in ,,the ,,senate ,,of 
,,the ,,united ,,states  ,september #bi1
 #bjae,received  ,,an ,,act  ,to amend  
title ,i of the ,patient ,protection and
 ,affordable ,care ,act and title       
,,xxvii of the ,public ,health ,service 
,act to revise the definition of small  
employer4  #a4 ,short title  ,this ,act 
may be cited as the ,protecting         
,affordable ,coverage for ,employees    
,act4  #b4 ,revision of definition of   
small employer under health insurance   
market provisions  7a7 ,,ppaca          
amendments ,section #acjd7;b7 of the    
,patient ,protection and ,affordable    
,care ,act 7#db ,u4,s4,c4 #ahjbd7;b77 is
 amended--  7#a7 in paragraph 7#a71 by  
striking #aja and inserting #ea2  7#b7  
in paragraph 7#b71 by striking #ajj and 
inserting #ej2 and  7#c7 by amending    
paragraph 7#c7 to read as follows3  7#c7
 ,state option to extend definition of  
small employer ,notwithstanding         
paragraphs 7#a7 and 7#b71 nothing in    

this section shall prevent a ,state from
 applying this subsection by treating as
 a small employer1 with respect to a    
calendar year and a plan year1 an       
employer who employed an average of at  
least #a but not more than #ajj         
employees on business days during the   
preceding calendar year and who employs 
at least #a employee on the first day of
 the plan year4  4  7b7 ,,phsa          
amendments ,section #bgia7;e7 of the    
,public ,health ,service ,act 7#db      
,u4,s4,c4 #cjj;gg-#ia7;e77 is amended-- 
7#a7 in paragraph 7#b71 by striking #aja
 and inserting #ea2  7#b7 in paragraph  
7#d71 by striking #ajj and inserting    
#ej2 and  7#c7 by adding at the end the 
following new paragraph3  7#g7 ,state   
option to extend definition of small    
employer ,notwithstanding paragraphs    
7#b7 and 7#d71 nothing in this section  
shall prevent a ,state from applying    
this subsection by treating as a small  
employer1 with respect to a calendar    
year and a plan year1 an employer who   

employed an average of at least #a but  
not more than #ajj employees on business
 days during the preceding calendar year
 and who employs at least #a employee on
 the first day of the plan year4  4  7c7
 ,deposit of savings into ,medicare     
,improvement ,fund ,section             
#ahih7;b77#a7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #acie;iii7b77#a77 is
 amended by striking #j and inserting   
#bje1jjj1jjj4  ,passed the ,house of    
,representatives ,september #bh1        
#bjae4,karen ,l4 ,haas1,clerk