,,ii  #aad? ,,congress  #a/ ,session    
,s4 #ajaf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #bj1 #bjae ,mr4 
,johnson 7= himself1 ,mr4 ,b>rasso1 ,mr4
 ,blunt1 ,mr4 ,coats1 ,mr4 ,co*ran1 ,mr4
 ,cornyn1 ,mr4 ,da9es1 ,mr4 ,enzi1 ,mrs4
 ,ern/1 ,mr4 ,g>dn]1 ,mr4 ,graham1 ,mr4 
,grassley1 ,mr4 ,hat*1 ,mr4 ,hell]1 ,mr4
 ,isakson1 ,mr4 ,mc,cain1 ,mr4          
,mc,connell1 ,mr4 ,p]due1 ,mr4 ,rob]ts1 
,mr4 ,scott1 ,mr4 ,?une1 ,mr4 ,tillis1  
,mr4 ,wick]1 ,mr4 ,inh(e1 ,mr4 ,r\nds1  
,mrs4 ,fis*]1 ,mr4 ,%elby1 ,mr4 ,ris*1  
,mr4 ,crapo1 & ,mr4 ,sessions7 introduc$
 ! foll[+ bill2 :i* 0 read twice &      
ref]r$ to ! ,committee on ,f9ance  ,a   
,,bill  ,to pres]ve fre$om & *oice 9    
heal? c>e4  #a4 ,%ort title  ,?is ,act  
may be cit$ z ! ,pres]v+ ,fre$om &      
,*oice 9 ,heal? ,c>e ,act4  #b4 ,repeal+
 ! 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$4  #c4 ,repeal+ !     
employ] m&ate ,sections #aeac & #aead & 
subsections 7e71 7f71 & 7g7 ( section   
#ajajf ( ! ,pati5t ,protection &        
,af=dable ,c>e ,act 7& ! am5dm5ts made  
by su* sections & subsections7 are      
repeal$ & ! ,int]nal ,rev5ue ,code (    
#aihf %all be appli$ & adm9i/]$ z if su*
 provisions & am5dm5ts _h nev] be5      
enact$4  #d4 ,modifications to premium  
assi/ance cr$it  7a7 ,ext5sion ( cr$it =
 c]ta9 individuals n enroll$ ?r\gh ,/ate
 ,ex*anges ,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$it = individuals n previ\sly enroll$
 ,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$om to ma9ta9 exi/+     
cov]age  7a7 ,9 g5]al ,"p #b ( subtitle 
,c ( title ,i ( ! ,pati5t ,protection & 
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjaa et seq47 is am5d$ 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 ,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