,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #bhbi  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #ah1 #bjae ,mr4 
,diaz-,bal>t 7= himself & ,ms4          
,ros-,leht957 introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce1 & 9 addition to ! ,committees
 on ,ways & ,means1 ,education & !      
,work=ce1 ,natural ,res\rces1 !         
,judici>y1 ,h\se ,adm9i/ration1 ,rules1 
,appropriations1 & ! ,budget1 = 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 repeal
 ! ,pati5t ,protection & ,af=dable ,c>e 
,act & heal? c>e-relat$ provisions 9 !  
,heal? ,c>e & ,education ,reconciliation
 ,act ( #bjaj1 & = o!r purposes4  #a4   
,%ort title2 table ( cont5ts  7a7 ,%ort 
title ,?is ,act may be cit$ z ! ,free   
,m>ket ,heal?c>e ,re/oration & ,cov]age 
,act ( #bjae4  7b7 ,table ( cont5ts ,!  
table ( cont5ts ( ?is ,act is z foll[s3 
,sec4 #a4 ,%ort title2 table ( cont5ts4 

,sec4 #b4 ,repeal+ ! individual m&ate4  
,sec4 #c4 ,repeal+ ! employ] m&ate4     
,sec4 #d4 ,modifications to premium     
assi/ance cr$it4 ,sec4 #e4 ,fre$om to   
ma9ta9 exi/+ cov]age4 ,sec4 #f4         
,ess5tial heal? b5efits4 ,sec4 #g4      
,repeal ( ,,ppaca & heal? c>e-relat$    
provisions 9 ! ,heal? ,c>e & ,education 
,reconciliation ,act ( #bjaj4 ,sec4 #h4 
,budget>y effects4  #b4 ,repeal+        
retroactively ! individual m&ate        
,sections #aeja & #aejb & subsections   
7a71 7b71 7c71 & 7d7 ( section #ajajf ( 
! ,pati5t ,protection & ,af=dable ,c>e  
,act 7& ! am5dm5ts made by su* sections 
& subsections7 are repeal$ & ! ,int]nal 
,rev5ue ,code ( #aihf %all be appli$ &  
adm9i/]$ z if su* provisions & am5dm5ts 
_h nev] be5 enact$4  #c4 ,repeal+       
retroactively ! employ] m&ate ,sections 
#aeac & #aead & subsections 7e71 7f71 & 
7g7 ( section #ajajf ( ! ,pati5t        
,protection & ,af=dable ,c>e ,act 7& !  
am5dm5ts made by su* sections &         
subsections7 are repeal$ & ! ,int]nal   

,rev5ue ,code ( #aihf %all be appli$ &  
adm9i/]$ z if su* provisions & am5dm5ts 
_h nev] be5 enact$4  #d4 ,modifications 
retrospectively to premium assi/ance    
cr$it  7a7 ,ext5sion ( cr$it = c]ta9    
individuals n enroll$ ?r\gh ,/ate       
,ex*anges ,subject to section           
#h7;c77#b71 p>agraph 7#c7 ( section     
#cf;,b7b7 ( ! ,int]nal ,rev5ue ,code (  
#aihf is am5d$ by add+ at ! end ! foll[+
 new subp>agraph3  7,f7 ,special rule = 
individuals enroll$ ?r\gh a ,f$]al      
,ex*ange ,9 ! case ( any applicable     
taxpay] :o is n eligible = ! cr$it all[$
 "u subsection 7a7 7det]m9$ )\t reg>d to
 ?is subp>agraph7 solely z a result ( a 
det]m9ation by ! ,supreme ,c\rt ( !     
,unit$ ,/ates 9 ! case ( ,k+ v4 ,burwell
 7#bjae71 p>agraph 7#b77;,a7 %all be    
appli$ to mon?s beg9n+ be=e ,septemb]   
#bjag1 by sub/itut+ enroll$ 9 ?r\gh an  
,ex*ange e/abli%$ "u ! ,pati5t          
,protection & ,af=dable ,c>e ,act =     
enroll$ 9 ?r\gh an ,ex*ange e/abli%$ by 
! ,/ate "u #acaa ( ! ,pati5t ,protection

 & ,af=dable ,c>e ,act4  4  7b7 ,d5ial (
 cr$it = individuals n previ\sly enroll$
 ,subject to section #h7;c77#b71        
subsection 7b7 ( section #cf;,b ( !     
,int]nal ,rev5ue ,code ( #aihf is am5d$ 
by add+ at ! end ! foll[+ new p>agraph3 
7#d7 ,limitation = individuals n        
previ\sly enroll$ ,! premium assi/ance  
cr$it am\nt %all be z]o ) respect to any
 qualifi$ heal? plan unless su* plan    
cov]s an individual describ$ 9 p>agraph 
7#b77;,a7 :o 0 enroll$ 9 a qualifi$     
heal? plan ?r\gh an ,ex*ange e/abli%$ "u
 ! ,pati5t ,protection & ,af=dable ,c>e 
,act be=e ! date ( ! enactm5t ( ?is     
p>agraph4  4  7c7 ,effective date ,!    
am5dm5ts made by ?is section %all apply 
to mon?s beg9n+ aft] ,decemb] #ca1      
#bjac4  #e4 ,fre$om to ma9ta9 exi/+     
cov]age  7a7 ,9 g5]al ,subject to       
section #h7;c77#b71 "p #b ( subtitle ,c 
( title ,i ( ! ,pati5t ,protection &    
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjaa et seq47 is am5d$ by /rik+       
section #abea & ins]t+ ! foll[+3  #abea4

 ,fre$om to ma9ta9 exi/+ cov]age  7a7   
,no *anges to exi/+ cov]age  7#a7 ,9    
g5]al ,no?+ 9 ?is ,act 7or an am5dm5t   
made by ?is ,act7 %all be con/ru$ to    
require t an individual t]m9ate cov]age 
"u a gr\p heal? plan or heal? insurance 
cov]age 9 :i* su* individual 0 enroll$  
dur+ any "p ( ! p]iod beg9n+ on ! date (
 enactm5t ( ?is ,act & end+ on ,decemb] 
#ca1 #bjag4  7#b7 ,cont9uation ( cov]age
 ,) respect to a gr\p heal? plan or     
heal? insurance cov]age 9 :i* an        
individual 0 enroll$ dur+ any "p ( !    
p]iod beg9n+ on ! date ( enactm5t ( ?is 
,act & end+ on ,decemb] #ca1 #bjag1 ?is 
subtitle & subtitle ,a 7& ! am5dm5ts    
made by su* subtitles7 %all n apply to  
su* plan or cov]age1 reg>dless ( :e!r ! 
individual r5ews su* cov]age4  7b7      
,all[ance = family memb]s ,to jo9 curr5t
 cov]age ,) respect to a gr\p heal? plan
 or heal? insurance cov]age 9 :i* an    
individual 0 enroll$ dur+ any "p ( !    
p]iod beg9n+ on ! date ( enactm5t ( ?is 
,act & end+ on ,decemb] #ca1 #bjag1 &   

:i* is r5ew$1 family memb]s ( su*       
individual %all be p]mitt$ to enroll 9  
su* plan or cov]age if su* enrollm5t is 
p]mitt$ "u ! t]ms ( ! plan 9 effect z ( 
su* date ( enrollm5t4  7c7 ,all[ance =  
new employees ,to jo9 curr5t plan ,a    
gr\p heal? plan t provides cov]age dur+ 
any "p ( ! p]iod beg9n+ on ! date (     
enactm5t ( ?is ,act & end+ on ,decemb]  
#ca1 #bjag1 may provide = ! enroll+ (   
new employees 7& _! families7 9 su*     
plan1 & ?is subtitle & subtitle ,a 7& ! 
am5dm5ts made by su* subtitles7 %all n  
apply ) respect to su* plan & su* new   
employees 7& _! families74  7d7 ,effect 
on collective b>ga9+ agreem5ts ,9 ! case
 ( heal? insurance cov]age ma9ta9$      
pursuant to "o or m collective b>ga9+   
agreem5ts betwe5 employee repres5tatives
 & "o or m employ]s t 0 ratifi$ be=e    
,decemb] #ca1 #bjag1 ! provisions ( ?is 
subtitle & subtitle ,a 7& ! am5dm5ts    
made by su* subtitles7 %all n apply     
until ! date on :i* ! la/ ( ! collective
 b>ga9+ agreem5ts relat+ to ! cov]age   

t]m9ates4 ,any cov]age am5dm5t made     
pursuant to a collective b>ga9+ agreem5t
 relat+ to ! cov]age :i* am5ds ! cov]age
 solely to con=m to any requirem5t add$ 
by ?is subtitle or subtitle ,a 7or      
am5dm5ts7 %all n be treat$ z a t]m9ation
 ( su* collective b>ga9+ agreem5t4  7e7 
,def9ition ,9 ?is title1 ! t]m gr&fa!r$ 
heal? plan means any gr\p heal? plan or 
heal? insurance cov]age to :i* ?is      
section applies4  4  7b7 ,effective date
 ,! am5dm5t made by subsection 7a7 %all 
take effect z if includ$ 9 ! ,pati5t    
,protection & ,af=dable ,c>e ,act       
7,public ,law #aaa-adh74  #f4 ,ess5tial 
heal? b5efits  7a7 ,9 g5]al ,subject to 
section #h7;c77#b71 subsections 7a7 &   
7b7 ( section #acjb ( ! ,pati5t         
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjbb7 are am5d$ to read z   
foll[s3  7a7 ,ess5tial heal? b5efits    
package ,9 ?is title1 ! t]m ess5tial    
heal? b5efits package means1 ) respect  
to any heal? plan1 cov]age t provide =  
b5efits & co/ %>+ z requir$ 9 ! ,/ates 9

 :i* su* plan is (f]$4  7b7 ,ess5tial   
heal? b5efits ,ess5tial heal? b5efits   
%all be def9$ to include ^? requir$ by !
 ,/ate 9 :i* a heal? plan is (f]$4  4   
7b7 ,effective date ,! am5dm5t made by  
subsection 7a7 %all take effect z if    
includ$ 9 ! ,pati5t ,protection &       
,af=dable ,c>e ,act 7,public ,law       
#aaa-adh74  #g4 ,repeal ( ,,ppaca &     
heal? c>e-relat$ provisions 9 ! ,heal?  
,c>e & ,education ,reconciliation ,act (
 #bjaj  7a7 ,,ppaca ,effective on ,may  
#ca1 #bjag1 ! ,pati5t ,protection &     
,af=dable ,c>e ,act 7,public ,law       
#aaa-adh7 is repeal$1 & ! provisions (  
law am5d$ or repeal$ by su* ,act are    
re/or$ or reviv$ z if su* ,act _h n be5 
enact$4  7b7 ,heal? c>e-,relat$         
provisions 9 ! ,heal? ,c>e & ,education 
,reconciliation ,act ( #bjaj ,effective 
on ,may #ca1 #bjag1 title ,i & subtitle 
,b ( title ,,ii ( ! ,heal? ,c>e &       
,education ,reconciliation ,act ( #bjaj 
7,public ,law #aaa-aeb7 are repeal$1 & !
 provisions ( law am5d$ or repeal$ by   

su* title or subtitle1 respectively1 are
 re/or$ or reviv$ z if su* title &      
subtitle _h n be5 enact$4  7c7 ,treatm5t
 ( ov]lapp+ provisions ,subsections 7a7 
& 7b7--  7#a7 %all n apply to provisions
 ( law repeal$ by sections #b & #c ( ?is
 ,act2 &  7#b7 %all apply ) respect to  
sup]s$+ ! am5dm5ts made by sections #d  
?r\gh #f ( ?is ,act4  #h4 ,budget>y     
effects ,! budget>y effects ( ?is ,act  
%all n be ent]$ on ei!r ,,paygo scorec>d
 ma9ta9$ pursuant to section #d7;d7 ( ! 
,/atutory ,pay-,z-,y-,g ,act ( #bjaj4