,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #bgab  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #aj1 #bjae ,mrs4
 ,black 7= h]self & ,mr4 ,?ompson (     
,cali=nia7 introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,ways &     
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to /reaml9e !      
employ] report+ process & /r5g!n !      
eligibility v]ification process = !     
heal? c>e premium tax cr$it & co/-%>+   
subsidy1 & = o!r purposes4  #a4 ,%ort   
title2 table ( cont5ts  7a7 ,%ort title 
,?is ,act may be cit$ z ! ,commons5se   
,report+ & ,v]ification ,act ( #bjae4   
7b7 ,table ( cont5ts ,! table ( cont5ts 
( ?is ,act is z foll[s3  ,sec4 #a4 ,%ort
 title2 table ( cont5ts4 ,sec4 #b4      
,f9d+s4 ,sec4 #c4 ,prospective report+  
sy/em4 ,sec4 #d4 ,protection ( dep5d5t  
privacy4 ,sec4 #e4 ,electronic /atem5ts4

 ,sec4 #f4 ,,gao /udies4 ,sec4 #g4      
,eligibility v]ification process = ,,aca
 subsidies4  #b4 ,f9d+s ,congress f9ds !
 foll[+3 7#a7 ,! ,dep>tm5t ( ! ,treasury
 & ! ,int]nal ,rev5ue ,s]vice %\ld "w   
toge!r ) o!r relevant dep>tm5ts &       
ag5cies to id5tify & implem5t me?ods to 
m9imize compliance burd5s on bus9esses1 
insurance c>ri]s1 & individuals "u      
provisions ( ! ,pati5t ,protection &    
,af=dable ,c>e ,act4  7#b7 ,su*         
collaboration %\ld /rike an appropriate 
balance betwe5 suffici5t report+ to     
en=ce ! law & protect+ ! privacy (      
individuals4  #c4 ,prospective report+  
sy/em  7a7 ,9 g5]al ,n lat] ?an #ahj    
days aft] ! enactm5t ( ?is ,act1 !      
,secret>y ( ! ,treasury1 9 consultation 
) ! ,secret>y ( ,heal? & ,human         
,s]vices1 ! ,secret>y ( ,labor1 & !     
,adm9i/rator ( ! ,small ,bus9ess        
,adm9i/ration1 %all implem5t a volunt>y 
prospective report+ sy/em meet+ !       
requirem5ts ( subsection 7b74 ,su* sy/em
 %all be e/abli%$ n lat] ?an ,septemb]  

#b1 #bjaf1 & %all be available = use by 
employ]s ) respect to plan ye>s beg9n+  
aft] ,decemb] #ca1 #bjae4  7b7          
,requirem5ts ,! sy/em creat$ "u         
subsection 7a7 %all be ma9ta9$ by !     
,secret>y ( ! ,treasury & %all include--
  7#a7 a process :]eby employ]s may     
volunt>ily report-- 7,a7 ! "n & employ] 
id5tification numb] ( ! employ]2  7,b7 a
 c]tification (-- 7i7 :e!r cov]age meet+
 ! def9ition ( m9imum ess5tial cov]age 9
 section #ejjj;,a7f7 ( ! ,int]nal       
,rev5ue ,code ( #aihf is (f]$ to !      
full-"t employees2  7ii7 :e!r su*       
cov]age is (f]$ to dep5d5ts ( su*       
employees2  7iii7 :e!r su* cov]age is   
(f]$ to sp\ses ( su* employees2  7iv7   
:e!r su* cov]age is (f]$ to "p-"t       
employees2  7v7 :e!r su* cov]age meets !
 m9imum value requirem5t ( section      
#cf;,b7c77#b77;,c77ii7 ( su* ,code2 &   
7vi7 :e!r su* cov]age satisfies !       
requirem5ts to qualify = "o ( !         
af=dability safe h>bors promulgat$ by ! 
,secret>y ( ! ,treasury = purposes (    

section #dihj;,h ( su* ,code2  7,c7 !   
mon?s dur+ ! prospective report+ p]iod t
 su* cov]age is available to full "t    
employees ( ! employ]2 &  7,d7 :e!r any 
wait+ p]iods apply ) respect to su*     
cov]age2  to be report$ n lat] ?an #fj  
days be=e ! />t ( ! op5 enrollm5t p]iod 
"u section #acaa7;c77#f77;,b7 ( !       
,pati5t ,protection & ,af=dable ,c>e    
,act ) respect to ea* su* cal5d> ye>2   
7#b7 a process to ensure t ,ex*anges1 ! 
,f$]al ,m>ketplace ,data ,s]vices ,hub1 
& ! ,int]nal ,rev5ue ,s]vice c securely 
& confid5tially access ! in=mation      
describ$ 9 p>agraph 7#a7 z necess>y to  
c>ry out _! respective missions1 & to   
provide to ! ,secret>y ( ,heal? & ,human
 ,s]vices additional in=mation relat+ to
 eligibility det]m9ations = advance     
paym5t ( ! premium tax cr$its "u section
 #cf;,b ( su* ,code & ! co/-%>+         
subsidies "u section #adjb ( ! ,pati5t  
,protection & ,af=dable ,c>e ,act       
7,public ,law #aaa-adh72  7#c7 a process
 to all[ ! appropriate ag5cy describ$ 9 

subsection 7a7 to foll[ up ) employ]s 9 
ord] to obta9 additional necess>y       
in=mation relat+ to an employee's       
eligibility = su* advance paym5t or su* 
co/-%>+ subsidies1 & to all[ an employee
 to receive notification ( any problem 9
 v]ify+ su* eligibility2 &  7#d7 a      
process to all[ employ]s us+ ! sy/em to 
provide timely updates to ! ,f$]al      
,m>ketplace ,data ,s]vices ,hub reg>d+  
any cancellation ( cov]age or           
significant *ange 9 availability (      
cov]age = p>ticipat+ employees4  7c7    
,exemption f report+ requirem5t "u      
,int]nal ,rev5ue ,code ( #aihf ,if1     
?r\gh ! sy/em creat$ "u subsection 7a71 
an employ] provides prospective report+ 
= a cal5d> ye> 9 :i* a plan ye> ends t  
meets ! requirem5ts ( subsection        
7b77#a7--  7#a7 su* employ] %all be     
treat$ z satisfy+ ! return requirem5ts (
 subsections 7a7 & 7b7 ( section #fjef (
 ! ,int]nal ,rev5ue ,code ( #aihf = !   
cal5d> ye> 9 :i* su* plan ye> ends2 &   
7#b7 su* employ] %all be treat$ z       

satisfy+ ! requirem5ts ( section        
#fjef7;c7 ( su* ,code = ! cal5d> ye> 9  
:i* su* plan ye> ends if ! employ]      
furni%es ! /atem5t describ$ 9 su*       
section to ! ,int]nal ,rev5ue ,s]vice & 
to ^? employees ( ! employ] = :om !     
employ] has receiv$ a notice "u section 
#adaa7;e77#d77;,b77iii7 ( ! ,pati5t     
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjha7 f ! ,ex*ange 7e/abli%$
 "u section #acaa or #acba ( ! ,pati5t  
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjca1 #ahjda77 t ! employee1
 or ! sp\se or dep5d5t ( ! employee1 has
 enroll$ 9 a qualifi$ heal? plan 7z     
def9$ 9 section #acja ( su* ,act 7#db   
,u4,s4,c4 #ahjba77 ?r\gh ! ,ex*ange or  
be5 deem$ eligible = an advance paym5t (
 premium tax cr$its "u section #cf;,b ( 
su* ,code or co/-%>+ subsidies "u       
section #adjb ( ! ,pati5t ,protection & 
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjga74  7d7 ,?ird-,p>ty fil+ ,employ]s
 may use ?ird p>ties to complete ! fil+ 
describ$ 9 subsection 7b77#a74 ,use (   

su* a ?ird p>ty to complete ! fil+ does 
n affect an employ]'s liability "u      
sections #fjee or #fjef ( ! ,int]nal    
,rev5ue ,code ( #aihf4  7e7 ,employ]    
notification ( employee enrollm5ts ,ea* 
,ex*ange e/abli%$ "u title ,i ( !       
,pati5t ,protection & ,af=dable ,c>e    
,act %all provide notice to ea* employ] 
at ! "t an employee 7or dep5d5t ( an    
employee7 is enroll$ "u a qualifi$ heal?
 plan ?r\gh ! ,ex*ange4  #d4 ,protection
 ( dep5d5t privacy  7a7 ,9 g5]al        
,section #fjee7;b7 ( ! ,int]nal ,rev5ue 
,code ( #aihf is am5d$ by add+ at ! end 
! foll[+ new p>agraph3  7#c7 ,t,i,ns n  
collect$ or ma9ta9$ ,= purposes (       
subp>agraph 7,b77i71 9 ! case ( an      
individual o!r ?an ! prim>y insur$1 if1 
be=e ,janu>y #a1 #bjad1 ! heal?         
insurance issu] or ! employ] did n      
collect or ma9ta9 in=mation on ! ,t,i,ns
 ( su* individuals 7o!r ?an = purposes (
 ?is section71 ! individual's "n & date 
( bir? may be sub/itut$ = ! "n & ,,t94  
4  7b7 ,effective date ,! am5dm5t made  

by ?is section %all apply to returns !  
due date = :i* is aft] ! date t is #fj  
days aft] ! date ( ! enactm5t ( ?is     
,act4  #e4 ,electronic /atem5ts  7a7 ,9 
g5]al ,section #fjef7;c7 ( ! ,int]nal   
,rev5ue ,code ( #aihf is am5d$ by add+  
at ! end ! foll[+ new p>agraph3  7#c7   
,electronic deliv]y ,an individual %all 
be deem$ to h cons5t$ to receive !      
/atem5t "u ?is section 9 electronic =m  
if su* individual has cons5t$ at any    
prior "t1 to ! p]son :o is ! employ] ( !
 individual dur+ ! cal5d> ye> or !      
prec$+ plan ye> to :i* ! /atem5t        
relates1 to receive su* /atem5t 9       
electronic =m4 ,! prec$+ s5t5ce %all n  
apply if ! individual refuses cons5t 9  
writ+ ) respect to ! /atem5t "u ?is     
section4  4  7b7 ,/atem5ts relat+ to    
heal? insurance cov]age ,section        
#fjee7;c7 ( su* ,code1 z am5d$ by ?is   
,act1 is am5d$ by add+ at ! end ! foll[+
 new p>agraph3  7#d7 ,electronic deliv]y
 ,an individual %all be deem$ to h      
cons5t$ to receive ! /atem5t "u ?is     

subsection 9 electronic =m if su*       
individual has cons5t$ at any prior "t  
to receive 9 electronic =m any private  
heal? in=mation 7su* z electronic heal? 
records7 furni%$ to su* individual by ! 
p]son requir$ to make su* /atem5t1      
unless ! individual refuses su* cons5t 9
 writ+4  4  7c7 ,effective date ,!      
am5dm5ts made by ?is section %all apply 
to /atem5ts ! due date = :i* is aft]    
,decemb] #ca1 #bjae4  #f4 ,,gao /udies  
7a7 ,/udy ( fir/ ye>s ( employ] report+ 
7#a7 ,9 g5]al ,! ,comptroll] ,g5]al ( ! 
,unit$ ,/ates %all conduct a /udy t     
evaluates1 ) respect to ! p]iod beg9n+  
on ,janu>y #a1 #bjad1 & end+ on ,decemb]
 #ca1 #bjaf--  7,a7 ! notification (    
employ]s by ,ex*anges e/abli%$ "u title 
,i ( ! ,pati5t ,protection & ,af=dable  
,c>e ,act 7,public ,law #aaa-adh7 t a   
full-"t employee ( ! employ] has be5    
det]m9$ eligible = advance paym5t (     
premium tax cr$its "u section #cf;,b ( !
 ,int]nal ,rev5ue ,code ( #aihf or      
co/-%>+ subsidies "u section #adjb ( su*

 ,act 7#db ,u4,s4,c4 #ahjga71 includ+   
in=mation reg>d+--  7i7 ! data elem5ts  
includ$ 9 ! employ] notification2  7ii7 
! process by :i* ! notification =ms 7   
develop$ & s5t to employ]s1 includ+ :e!r
 ! process provid$ = a =mal notice &    
comm5t p]iod2  7iii7 :e!r employ]s      
report t su* notifications provid$      
suffici5t & relevant in=mation = !m to  
make appropriate decisions ab\t :e!r to 
utilize ! appeals process2  7iv7 ! total
 numb] ( notifications s5t to employ]s &
 ! timel9e ( :5 su* notifications 7 s5t2
  7v7 diff]5ces 9 ! notification process
 betwe5 ! m>ketplace facilitat$ by !    
,f$]al ,gov]nm5t & ! ,/ate-,bas$        
,m>ketplaces2 &  7vi7 *all5ges t h aris5
 9 ! notification process1 &            
recomm5dations to address ^! *all5ges2 &
  7,b7 ! ext5t to :i* ! ,secret>y (     
,heal? & ,human ,s]vices has e/abli%$ a 
sep>ate appeals process = employ]s :o   
receiv$ su* a notification to *all5ge ! 
eligibility det]m9ation1 z requir$ by   
section #adaa7;f77#b7 ( ! ,pati5t       

,protection & ,af=dable ,c>e ,act 7#db  
,u4,s44,c4 #ahjha7;f77#b774  7#b7       
,report ,n lat] ?an #a ye> aft] ! date (
 ! enactm5t ( ?is ,act1 ! ,comptroll]   
,g5]al %all submit to ! ,committees on  
,f9ance & ,heal?1 ,education1 ,labor1 & 
,p5sions ( ! ,s5ate & ! ,committees on  
,ways & ,means1 ,en]gy & ,comm]ce1 &    
,education & ! ,work=ce ( ! ,h\se (     
,repres5tatives a report on ! results ( 
! /udy conduct$ "u p>agraph 7#a74  7b7  
,/udy ( prospective report+ sy/em  7#a7 
,9 g5]al ,! ,comptroll] ,g5]al ( !      
,unit$ ,/ates %all conduct a /udy t     
evaluates1 ) respect to ! p]iod beg9n+  
on ,janu>y #a1 #bjag1 & end+ on ,decemb]
 #ca1 #bjag1 ! functionality ( !        
prospective report+ sy/em e/abli%$ "u   
section #c1 includ+ ! accuracy (        
in=mation collect$1 ! numb] ( employ]s  
elect+ to report "u su* sy/em1 & any    
*all5ges t h aris5 9 implem5t+ su*      
sy/em4  7#b7 ,report ,n lat] ?an ,july  
#a1 #bjah1 ! ,comptroll] ,g5]al %all    
submit to ! ,committees on ,f9ance &    

,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate & ! ,committees on ,ways &    
,means1 ,en]gy & ,comm]ce1 & ,education 
& ! ,work=ce ( ! ,h\se ( ,repres5tatives
 a report on ! results ( ! /udy conduct$
 "u p>agraph 7#a74  #g4 ,eligibility    
v]ification process = ,,aca subsidies   
7a7 ,9 g5]al ,except z specifi$ 9       
subsection 7b71 a m>ketplace 7z def9$ 9 
subsection 7d77 may automatically       
re5roll an individual into a qualifi$   
heal? plan 7z def9$ = purposes ( title  
,i ( ! ,pati5t ,protection & ,af=dable  
,c>e ,act7 s long z ! m>ketplace--  7#a7
 r$et]m9es on an annual basis !         
eligibility ( ! individual = any advanc$
 premium tax cr$it or a co/-%>+ r$uction
 pursuant to section #adab ( ! ,pati5t  
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjhb72 &  7#b7 takes into   
acc\nt1 9 mak+ su* r$et]m9ations1 annual
 *anges 9 premiums & 9 ! ,f$]al pov]ty  
level z well z ! mo/ rec5t income data  
available ) respect to ! individual     
involv$4  7b7 ,re5rollm5t limitations   

,if a m>ketplace does n foll[ !         
processes specifi$ "u ! section )       
respect to an individual1 !n !          
m>ketplace may n automatically re5roll !
 individual into a qualifi$ heal? plan )
 an advanc$ premium tax cr$it or a      
co/-%>+ r$uction until ! individual     
provides curr5t income in=mation to !   
m>ketplace s t eligibility = a cr$it or 
r$uction c be r$et]m9$4  7c7            
,compreh5sive guidance bas$ on curr5t   
guidance ,! provisions ( ?is section are
 int5d$ to g5]ally reflect & be consi/5t
 ) ! guidance on annual eligibility     
r$et]m9ations & re5rollm5ts = m>ketplace
 cov]age issu$ by ! ,c5t]s = ,m$ic>e &  
,m$icaid ,s]vices on ,april #bb1 #bjae4 
,9 c>ry+ out ?is section1 ! ,secret>y   
%all apply rules 7:e!r ?r\gh guidance or
 o!rwise7 reg>d+ ! annual eligibility   
r$et]m9ations & re5rollm5ts = cov]age & 
= tax cr$its & co/-%>+ r$uction =       
individuals ?r\gh a m>ketplace t are    
consi/5t ) ?is section & are at lea/ z  
compreh5sive z ! guidance 7issu$ on     

,april #bb1 #bjae7 appli$ = cov]age =   
#bjaf4 ,su* guidance %all include       
provisions t ensure t--  7#a7 enrollees 
eligible to be automatically re5roll$ 9 
a qualifi$ heal? plan & to cont9ue      
provision ( su* a tax cr$it or co/-%>+  
r$uction %all ma9ta9 on file ) !        
m>ketplace 7or o!rwise provide to !     
m>ketplace7 an au?orization = disclosure
 ( in=mation v]ify+ eligibility = su* a 
cr$it or co/-%>+ r$uction2  7#b7 !      
m>ketplace annually reque/s updat$      
income in=mation to v]ify su*           
eligibility2 &  7#c7 enrollees are      
provid$ timely & appropriate notices ( !
 rules reg>d+ annual r$et]m9ations &    
re5rollm5ts4  7d7 ,m>ketplace def9$ ,9  
?is section1 ! t]m m>ketplace means     
,/ate ,bas$ ,ex*anges & ! ,f$]ally      
,facilitat$ ,ex*ange e/abli%$ "u        
sections #acaa & #acba ( ! ,pati5t      
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjca1 #ahjda71 respectively4