,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #cbeh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #ad1 #bjag,mr4  
,ruiz 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    
improve co/ %>+ subsidies4  #a4 ,%ort   
title ,?is ,act may be cit$ z !         
,m>ketplace ,c]ta9ty ,act4  #b4         
,enhancem5ts = r$uc$ co/ %>+  7a7       
,modification ( am\nt  7#a7 ,9 g5]al    
,section #adjb7;c77#b7 ( ! ,pati5t      
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjga7;c77#b77 is am5d$ to   
read z foll[s3  7#b7 ,additional        
r$uction ,! ,secret>y %all e/abli%      
proc$ures "u :i* ! issu] ( a qualifi$   
heal? plan to :i* ?is section applies   
%all fur!r r$uce co/-%>+ "u ! plan 9 a  
mann] suffici5t to--  7,a7 9 ! case ( an
 eligible insur$ ^: h\sehold income is n
 less ?an #ajj p]c5t b n m ?an #bjj     
p]c5t ( ! pov]ty l9e = a family ( ! size
 involv$1 increase ! plan's %>e ( !     

total all[$ co/s ( b5efits provid$ "u ! 
plan to #ie p]c5t ( su* co/s2  7,b7 9 ! 
case ( an eligible insur$ ^: h\sehold   
income is m ?an #bjj p]c5t b n m ?an    
#cjj p]c5t ( ! pov]ty l9e = a family ( !
 size involv$1 increase ! plan's %>e ( !
 total all[$ co/s ( b5efits provid$ "u !
 plan to #ij p]c5t ( su* co/s2 &  7,c7 9
 ! case ( an eligible insur$ ^: h\sehold
 income is m ?an #cjj p]c5t b n m ?an   
#djj p]c5t ( ! pov]ty l9e = a family ( !
 size involv$1 increase ! plan's %>e ( !
 total all[$ co/s ( b5efits provid$ "u !
 plan to #he p]c5t ( su* co/s4  4  7#b7 
,con=m+ am5dm5t ,clause 7i7 ( section   
#adjb7;c77#a77;,b7 ( su* ,act 7#db      
,u4,s4,c4 #ahjga7;c77#a77;,b77 is am5d$ 
to read z foll[s3  7i7 ,9 g5]al ,!      
,secret>y %all ensure ! r$uction "u ?is 
p>agraph %all n result 9 an increase 9 !
 plan's %>e ( ! total all[$ co/s (      
b5efits provid$ "u ! plan above--  7,i7 
#ie p]c5t 9 ! case ( an eligible insur$ 
describ$ 9 p>agraph 7#b77;,a72  7,,ii7  
#ij p]c5t 9 ! case ( an eligible insur$ 

describ$ 9 p>agraph 7#b77;,b72 &        
7,,iii7 #he p]c5t 9 ! case ( an eligible
 insur$ describ$ 9 p>agraph 7#b77;,c74  
4  7#c7 ,effective date ,! am5dm5ts made
 by ?is subsection %all apply to plan   
ye>s beg9n+ aft] ,decemb] #ca1 #bjag4   
7b7 ,fund+ ,section #adjb ( ! ,pati5t   
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjga7 is am5d$ by add+ at ! 
end ! foll[+ new subsection3  7g7 ,fund+
 ,out ( any funds 9 ! ,treasury n       
o!rwise appropriat$1 !re are appropriat$
 to ! ,secret>y su* sums z may be       
necess>y = paym5ts "u ?is section4  4