,,ii #aad? ,,congress #a/ ,session ,s4 #fgc ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #d1 #bjae,mr4 ,sasse introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to provide a transition plan = ^? individuals :o may be affect$ by ,obama,care's unlawful implem5tation4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,w9d+ ,d[n ,obama,care ,act4 #b4 ,transitional cov]age ,"p ,c ( title ,,xxvii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#ia et seq47 is am5d$-- 7#a7 by r$esignat+ ! second section #bgid 7relat+ to uni=m fraud & abuse ref]ral =mat7 z section #bgie2 & 7#b7 by add+ at ! end ! foll[+3 #bgif4 ,,cobra-l transitional cov]age 7a7 ,plans mu/ provide cont9uation cov]age 7#a7 ,9 g5]al ,a heal? insurance issu] %all provide1 9 accordance ) ?is section1 t ea* enrollee 9 a qualifi$ heal? plan :o w\ld lose cov]age "u ! plan1 or :o w\ld no long] be eligible = a tax cr$it "u section #cf;,b ( ! ,int]nal ,rev5ue ,code ( #aihf1 z a result ( a qualify+ ev5t is entitl$1 "u ! plan1 to elect1 )9 ! election p]iod1 cont9uation cov]age "u ! plan4 7#b7 ,cov]age ,= purposes ( ?is section1 ! t]m cont9uation cov]age means cov]age t meets ! foll[+ requirem5ts3 7,a7 ,type ( cov]age ,! cov]age mu/ consi/ ( t cov]age :i* ! enrollee 0 enroll$ 9 at ! "t ( ! qualify+ ev5t1 except t if su* cov]age is lat] modifi$ "u ! plan = any gr\p ( simil>ly situat$ enrollees1 su* cov]age %all also be modifi$ 9 ! same mann] = all individuals to :i* ?is section applies4 7,b7 ,premium requirem5t ,! heal? insurance issu] may require paym5t ( a premium = su* cov]age = any p]iod ( ! cont9uation cov]age1 except t su* premium-- 7i7 %all n exce$ #ajj p]c5t ( ! premium am\nt applicable = ! qualifi$ heal? plan involv$ on ! day be=e ! qualify+ ev5t2 7ii7 %all n increase at any "t dur+ ! p]iod ( cont9uation cov]age2 & 7iii7 may1 at ! election ( ! enrollee1 be paid 9 mon?ly in/allm5ts4 7b7 ,qualify+ ev5t ,= purposes ( ?is section1 ! t]m qualify+ ev5t means1 ) respect to any enrollee 9 a qualifi$ heal? plan1 a det]m9ation by ! ,supreme ,c\rt ( ! ,unit$ ,/ates 9 ! case ( ,k+ v4 ,burwell 7#bjae7 t w\ld result 9-- 7#a7 ! enrollee los+ cov]age "u ! plan2 or 7#b7 mak+ ! enrollee ineligible to receive a tax cr$it "u section #cf;,b ( ! ,int]nal ,rev5ue ,code ( #aihf ) respect to su* plan4 7c7 ,cov]age p]iod 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 ! cont9uation cov]age provid$ = "u ?is section %all ext5d = at lea/ ! p]iod beg9n+ on ! date ( ! qualify+ ev5t & end+3 7,a7 ,! date t is #ah mon?s aft] ! date ( ! qualify+ ev5t4 7#b7 ,t]m9ation ,not)/&+ p>agraph 7#a71 ! cont9uation cov]age provid$ = "u ?is section %all t]m9ate ) respect to an enrollee on-- 7,a7 ! date on :i* ! issu] ceases to provide any qualifi$ heal? plans to individuals 7if any72 & 7,b7 ! date on :i* cov]age ceases "u ! plan by reason ( a failure to make timely paym5t ( any premium requir$ "u ! plan ) respect to ! enrollee4 7d7 ,election p]iod ,= purposes ( ?is section1 ! t]m election p]iod means ! p]iod :i*-- 7#a7 beg9s on ! date on :i* ! qualify+ ev5t occurs2 & 7#b7 ends #fj days aft] su* date4 7e7 ,notice ,! ,secret>y %all ensure t-- 7#a7 a heal? insurance issu] %all provide1 n lat] ?an #aj days aft] ! date ( a qualify+ ev5t1 writt5 notice to ea* enrollee 9 a qualifi$ heal? plan ( ! rights provid$ "u ?is section & ! deadl9es = ex]cis+ su* rights1 includ+ a /atem5t t any cont9uation cov]age "u ?is section %all expire z provid$ = 9 subsection 7c72 & 7#b7 ea* enrollee 9 a qualifi$ heal? plan is responsible = notify+ ! heal? insurance issu] involv$1 )9 #de days ( receiv+ ! notice "u p>agraph 7#a71 ( ! int5t ( ! enrollee to ex]cise ! rights provid$ to ! enrollee "u ?is section4 4 #c4 ,prev5t+ bureaucratic work>\nds 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all n ent] into a new contract ) a ,/ate to make available to ! ,/ate te*nology t is o!rwise utiliz$ z "p ( ! ,f$]al heal? insurance ex*ange e/abli%$ "u section #acba ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahjda74 7b7 ,rule ( con/ruction ,no?+ 9 subsection 7a7 %all be con/ru$ to prohibit a ,/ate f e/abli%+ a ,/ate-bas$ ,ex*ange4 #d4 ,transitional f9ancial assi/ance 7a7 ,all[ance ( tax cr$it ,subp>t ,c ( "p ,,iv ( sub*apt] ,a ( *apt] #a ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by ins]t+ aft] section #cf;,b ! foll[+ new section3 #cf;,c4 ,cr$it = transitional cov]age 7a7 ,9 g5]al ,9 ! case ( an eligible individual1 !re %all be all[$ z a cr$it aga9/ ! tax impos$ by subtitle ,a an am\nt equal to ! applicable p]c5tage ( ! am\nt paid by ! taxpay] = cov]age ( ! taxpay] & qualify+ family memb]s "u cont9uation cov]age = eligible cov]age mon?s beg9n+ 9 ! taxable ye>4 7b7 ,applicable p]c5tage ,= purposes ( subsection 7a71 ! applicable p]c5tage is #fe p]c5t r$uc$ by #e p]c5tage po9ts = ea* cov]age mon? = :i* a cr$it is all[able to ! taxpay] "u ?is section aft] ! six? su* cov]age mon?4 7c7 ,eligible individual ,= purposes ( ?is section-- 7#a7 ,9 g5]al ,! t]m eligible individual means any individual :o elects to reta9 cont9uation ( cov]age "u section #bgif ( ! ,public ,heal? ,s]vice ,act4 7#b7 ,id5tification requirem5ts ,! t]m eligible individual %all n include any individual = any mon? unless ! policy numb] associat$ ) ! qualifi$ heal? insurance & ! ,,t9 ( ea* eligible individual cov]$ "u su* heal? insurance = su* mon? are includ$ on ! return ( tax = ! taxable ye> 9 :i* su* mon? occurs4 7d7 ,cov]age mon? ,= purposes ( ?is section-- 7#a7 ,9 g5]al ,! t]m cov]age mon? means any mon? if z ( ! fir/ date ( su* mon? ! taxpay] is an eligible individual :o does n h o!r specifi$ cov]age4 7#b7 ,o!r specifi$ cov]age ,= purposes ( p>agraph 7#a71 an individual has o!r specifi$ cov]age = any mon? if1 z ( ! fir/ day ( su* mon? if su* individual-- 7,a7 is cov]$ "u employ]-provid$ heal? insurance1 7,b7 is entitl$ to b5efits "u "p ,a ( title ,,xviii ( ! ,social ,security ,act or is enroll$ "u "p ,b ( su* title1 7,c7 is enroll$ "u ! program "u title ,,xix or ,,xxi ( su* ,act 7o!r ?an "u section #aibh ( su* ,act71 or 7,d7 is entitl$ to b5efits "u *apt] #ee ( title #aj1 ,unit$ ,/ates ,code4 7e7 ,o!r def9itions ,= purposes ( ?is section-- 7#a7 ,cont9uation cov]age ,! t]m cont9uation cov]age means cov]age describ$ 9 section #bgif7;a77#b7 ( ! ,public ,heal? ,s]vice ,act4 7#b7 ,qualify+ family memb] ,! t]m qualify+ family memb] has ! mean+ giv5 su* t]m "u section #ce7;d74 7f7 ,special rules 7#a7 ,limitation on am\nt ( cr$it ,) respect to any taxable ye>1 ! am\nt :i* w\ld 7b = ?is subsection7 be all[$ z a cr$it to ! taxpay] "u subsection 7a7 %all be r$uc$ 7b n bel[ z]o7 by ! aggregate am\nt paid on behalf ( su* taxpay] "u section #gebg;,a = mon?s beg9n+ 9 su* taxable ye>4 7#b7 ,coord9ation ) m$ical d$uction ,any am\nt paid by a taxpay] = insurance to :i* subsection 7a7 applies %all n be tak5 into acc\nt 9 comput+ ! am\nt all[able to ! taxpay] z a cr$it "u ?is *apt] or z a d$uction "u section #bac7;a74 7#c7 ,d5ial ( cr$it to dep5d5ts ,no cr$it %all be all[$ "u ?is section to any individual ) respect to :om a d$uction "u section #aea is all[able to ano!r taxpay] = a taxable ye> beg9n+ 9 ! cal5d> ye> 9 :i* su* individual's taxable ye> beg9s4 7#d7 ,m>ri$ c\ples mu/ file jo9t return 7,a7 ,9 g5]al ,if ! taxpay] is m>ri$ at ! close ( ! taxable ye>1 ! cr$it %all be all[$ "u subsection 7a7 only if ! taxpay] & 8 sp\se file a jo9t return = ! taxable ye>4 7,b7 ,m>ital /atus2 c]ta9 m>ri$ individuals liv+ ap>t ,rules simil> to ! rules ( p>agraphs 7#c7 & 7#d7 ( section #ba7;e7 %all apply = purposes ( ?is p>agraph4 7#e7 ,v]ification ( cov]age1 etc ,! ,secret>y %all ensure t proc$ures are 9 place to ensure t ! cov]age eligibility ( ! individual is v]ifi$4 7#f7 ,insurance :i* cov]s o!r individuals2 treatm5t ( paym5ts2 etc4 ,rules simil> to ! rules ( p>agraphs 7#g7 & 7#h7 ( section #ce7;g7 %all apply = purposes ( ?is section4 4 7b7 ,advance paym5t ( cr$it ,*apt] #gg ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by ins]t+ aft] section #gebg ! foll[+ new section3 #gebg;,a4 ,advance paym5t ( transitional cont9uation cov]age cr$it 7a7 ,9 g5]al ,! ,secret>y %all e/abli% a program = mak+ paym5ts on behalf ( taxpay]s :o are eligible individuals )9 ! mean+ ( section #cf;,c7c7 to provid]s ( cont9uation cov]age 7z def9$ 9 section #cf;,c7e77#a77 = su* individuals4 7b7 ,limitation ,! ,secret>y may make paym5ts "u subsection 7a7 only to ! ext5t t ! ,secret>y det]m9es t ! am\nt ( su* paym5ts made on behalf ( any taxpay] = any mon? does n exce$ ! applicable p]c5tage "u section #cf;,c7b7 = ! taxpay] = su* mon?4 4 7c7 ,in=mation report+ 7#a7 ,9 g5]al ,subp>t ,b ( "p ,,iii ( sub*apt] ,a ( *apt] #fa ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by ins]t+ aft] section #fjej,w ! foll[+ new section3 #fjej,x4 ,returns relat+ to cont9uation cov]age cr$it 7a7 ,requirem5t ( report+ ,e p]son :o is entitl$ to receive paym5ts = any mon? ( any cal5d> ye> "u section #gebg;,a ) respect to any individual %all make ! return describ$ 9 subsection 7b7 ) respect to ea* su* individual4 7b7 ,=m & mann] ( returns ,a return is describ$ 9 ?is subsection if su* return-- 7#a7 is 9 su* =m z ! ,secret>y may prescribe1 & 7#b7 conta9s1 ) respect to ea* individual ref]r$ to 9 subsection 7a7-- 7,a7 ! "n1 address1 & ,,t9 ( ea* su* individual1 7,b7 ! mon?s = :i* am\nts paym5ts "u section #gebg;,a 7 receiv$1 7,c7 ! am\nt ( ea* su* paym5t1 7,d7 ! type ( insurance cov]age provid$ by su* p]son ) respect to su* individual & ! policy numb] associat$ ) su* cov]age1 if applicable1 7,e7 ! "n1 address1 & ,,t9 ( ! sp\se & ea* dep5d5t cov]$ "u su* cov]age1 & 7,f7 su* o!r in=mation z ! ,secret>y may prescribe4 7c7 ,/atem5ts ,to be furni%$ to individuals ) respect to :om in=mation is requir$ ,e p]son requir$ to make a return "u subsection 7a7 %all furni% to ea* individual ^: "n is requir$ to be set =? 9 su* return a writt5 /atem5t %[+-- 7#a7 ! "n & address ( ! p]son requir$ to make su* return & ! phone numb] ( ! in=mation contact = su* p]son1 & 7#b7 ! in=mation requir$ to be %[n on ! return ) respect to su* individual4 ,! writt5 /atem5t requir$ "u ! prec$+ s5t5ce %all be furni%$ on or be=e ,janu>y #ca ( ! ye> foll[+ ! cal5d> ye> = :i* ! return "u subsection 7a7 is requir$ to be made4 4 7#b7 ,assessable p5alties 7,a7 ,subp>agraph 7,b7 ( section #fgbd7;d77#a7 ( su* ,code is am5d$ by /rik+ or at ! end ( clause 7xxiv71 by /rik+ & at ! end ( clause 7xxv7 & ins]t+ or1 & by ins]t+ aft] clause 7xxiii7 ! foll[+ new clause3 7xxvii7 section #fjej,x 7relat+ to returns relat+ to qualifi$ heal? insurance cr$it71 & 4 7,b7 ,p>agraph 7#b7 ( section #fgbd7;d7 ( su* ,code is am5d$ by /rik+ or at ! end ( subp>agraph 7,,gg71 by /rik+ ! p]iod at ! end ( subp>agraph 7,,hh7 & ins]t+ 1 or1 & by ins]t+ aft] subp>agraph 7,,hh7 ! foll[+ new subp>agraph3 7,,ii7 section #fjej,x 7relat+ to returns relat+ to qualifi$ heal? insurance cr$it74 4 7d7 ,con=m+ am5dm5ts 7#a7 ,p>agraph 7#b7 ( section #acbd7;b7 ( title #ca1 ,unit$ ,/ates ,code1 is am5d$ by ins]t+ #cf;,c1 aft] #cf;,b14 7#b7 ,! table ( sections = subp>t ,c ( "p ,,iv ( sub*apt] ,a ( *apt] #a ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by ins]t+ aft] ! item relat+ to section #cf;,b ! foll[+ new item3 ,sec4 #cf;,c4 ,cr$it = cont9uation cov]age "u a qualifi$ heal? plan4 4 7#c7 ,! table ( sections = *apt] #gg ( su* ,code is am5d$ by ins]t+ aft] ! item relat+ to section #gebg ! foll[+ new item3 ,sec4 #gebg;,a4 ,advance paym5t ( cont9uation cov]age cr$it4 4 7#d7 ,! table ( sections = subp>t ,b ( "p ,,iii ( sub*apt] ,a ( *apt] #fa ( su* ,code is am5d$ by add+ at ! end ! foll[+ new item3 ,sec4 #fjej,x4 ,returns relat+ to cont9uation cov]age cr$it4 4 7e7 ,effective date ,! am5dm5ts made by ?is section %all apply to cov]age mon?s beg9n+ aft] ! date ( a qualify+ ev5t det]m9$ "u section #bgif7;b7 ( ! ,public ,heal? ,s]vice ,act 7z add$ by section #b7 ) respect to ! individual4 #e4 ,/opp+ bureaucrats f sp5d+ taxpay] doll>s 7a7 ,9 g5]al ,section #aaae ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acae7 is am5d$ by add+ at ! end ! foll[+3 7g7 ,no exp]im5tal1 pilot1 or demon/ration project und]tak5 "u subsection 7a7 to promote ! objectives ( title ,,xix %all be approv$1 r5ew$1 or ext5d$ unless-- 7#a7 ! ,secret>y e/abli%es sp5d+ limits = ! project 7:i* may be annual p] population-bas$ limits1 aggregate limits 7annual or = ! waiv] p]iod71 or a comb9ation !re(7 only by apply+ b5*m>k gr[? rates t are det]m9$ bas$ on ! av]age ( ! mo/ rec5t e/imates ( nationwide ,m$icaid b5efici>y co/s & enrollm5t gr[? produc$ by ! ,director ( ! ,congressional ,budget ,(fice & ! ,director ( ! ,(fice ( ,managem5t & ,budget1 respectively2 & 7#b7 ! e/abli%m5t & application ( su* sp5d+ limits to ! project & ! e/imat$ sav+s result+ f ! project are review$ & c]tifi$ by an individual :o is a memb] ( ! ,am]ican ,academy ( ,actu>ies or ! ,society ( ,actu>ies1 us+ g5]ally accept$ actu>ial pr9ciples & me?odologies1 & :o is n a ,f$]al (fic] or employee4 4 7b7 ,effective date ,! am5dm5t made by subsection 7a7 takes effect on ! date ( enactm5t ( ?is ,act & applies to ,m$icaid waiv]s approv$1 r5ew$1 or ext5d$ "u section #aaae ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acae7 aft] t date4