,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #fead  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,decemb] #h1 #bjaf,mr4
 ,lance introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d ! ,pati5t 
,protection & ,af=dable ,c>e ,act to    
r$irect us] fees assess$ ( heal?        
insurance issu]s on ,f$]al ,ex*anges1 & 
= o!r purposes4  #a4 ,r$irect+ us] fees 
assess$ ( heal? insurance issu]s on     
,f$]al ,ex*anges  7a7 ,transf] ( funds  
,section #acda ( ! ,pati5t ,protection &
 ,af=dable ,c>e ,act 7#db ,u4,s4,c4     
#ahjfa7 is am5d$ by add+ at ! end !     
foll[+ new subsection3  7e7 ,transf] (  
funds  7#a7 ,9 g5]al ,) respect to ea*  
mon? ( plan ye> #bjah & ( ea* plan ye>  
!reaft]1 ! ,secret>y %all deposit into !
 g5]al fund ( ! ,treasury ( ! ,unit$    
,/ates ! am\nt describ$ 9 p>agraph 7#b74
  7#b7 ,am\nt ( deposit ,! am\nt        
describ$ 9 ?is p>agraph1 ) respect to a 
mon? describ$ 9 p>agraph 7#a71 is an    
am\nt t is equal to #a4ej multipli$ by !

 numb] ( individuals t1 ) respect to !  
mon? prior to su* mon?1 7 enroll$ 9     
heal? insurance cov]age ?r\gh an        
,ex*ange e/abli%$ & op]at$ by !         
,secret>y "u section #acba 7includ+ an  
,ex*ange e/abli%$ & op]at$ by !         
,secret>y 9 conjunction ) a ,/ate1      
commonly kn[n z a hybrid ,ex*ange74     
7#c7 ,tim+ ( deposit ,) respect to ea*  
deposit t ! ,secret>y makes pursuant to 
p>agraph 7#a7 ) respect to a mon?1 !    
,secret>y %all make su* deposit n lat]  
?an #fj days aft] ! date on :i* !       
applicable re9surance entity describ$ 9 
subsection 7b77#a77;,a7 collects paym5ts
 ) respect to su* mon? f heal? insurance
 issu]s describ$ 9 su* subsection       
pursuant to su* subsection4  4  7b7 ,cap
 on ,f$]al ,ex*ange us] fees ,section   
#acaa7;d77#e7 ( ! ,pati5t ,protection & 
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjca7;d77#e77 is am5d$ by add+ at !   
end ! foll[+ new subp>agraph3  7,c7 ,cap
 on ,f$]al ,ex*ange us] fees ,9 ! case t
 an ,ex*ange e/abli%$ & op]at$ by !     

,secret>y "u section #acba 7includ+ an  
,ex*ange e/abli%$ & op]at$ by !         
,secret>y 9 conjunction ) a ,/ate1      
commonly kn[n z a hybrid ,ex*ange7 *>ges
 us] fees to a p>ticipat+ heal?         
insurance issu]1 su* us] fees *>g$ to   
su* issu] may n exce$ a mon?ly rate t is
 equal to #c4e p]c5t ( ! mon?ly premium 
= ea* plan (f]$ by ! issu] on !         
,ex*ange4  4