,i  #aaeth ,,congress  #ast ,session    
,h4 ,r4 #cigf  ,,in ,,the ,,house ,,of  
,,representatives  ,october #e1         
#bjag,mr4 ,cramer 7for himself1 ,mr4    
,garamendi1 ,ms4 ,stefanik1 ,mr4        
,lamborn1 ,mr4 ,franks of ,arizona1 ,mr4
 ,allen1 ,mr4 ,cook1 ,ms4 ,mc,sally1    
,mr4 ,goodlatte1 ,mr4 ,de,saulnier1 ,mr4
 ,brat1 ,mr4 ,peterson1 ,mr4 ,gallagher1
 ,ms4 ,pingree1 ,mr4 ,higgins of        
,louisiana1 and ,mr4 ,duncan of         
,tennessee7 introduced the following    
bill2 which was referred to the         
,committee on ,energy and ,commerce  ,a 
,,bill  ,to amend the ,patient          
,protection and ,affordable ,care ,act  
to allow for certain third-party        
payments4  #a4 ,short title ,this ,act  
may be cited as the ,access to          
,marketplace ,insurance ,act4  #b4      
,payment of premiums by certain third   
parties on behalf of qualified          
individuals  7a7 ,in general ,section   
#acab of the ,patient ,protection and   
,affordable ,care ,act 7#db ,u4,s4,c4   

#ahjcb7 is amended--  7#a7 by           
redesignating subsections 7c7 through   
7f7 as subsections 7d7 through 7g71     
respectively2 and  7#b7 by inserting    
after subsection 7b7 the following new  
subsection3  7c7 ,payment of premiums by
 certain qualified third parties on     
behalf of a qualified individual ,a     
qualified individual enrolled in any    
qualified health plan may allow certain 
third parties to pay any applicable     
premium or cost sharing owed by such    
individual to the health insurance      
issuer issuing such qualified health    
plan1 and the health insurance issuer   
shall accept and count toward the annual
 limitations in section #acjb7;c7 such  
payments made on behalf of qualified    
individuals1 including payments from the
 following3  7#a7 ,a ,state or ,federal 
government program1 including assistance
 provided under a grant under title     
,,xxvi of the ,public ,health ,service  
,act4  7#b7 ,indian tribes1 tribal      
organizations1 or urban ,indian         

organizations4  7#c7 ,a program         
conducted by an organization which is-- 
7,a7 exempt from taxation under section 
#eja7;a7 of the ,internal ,revenue ,code
 of #aihf2  7,b7 described in clause 7i7
 or 7vi7 of section #agj7;b77#a77;,a7 of
 such ,code2 and  7,c7 operated in      
compliance with applicable ,federal     
laws1 including sections #cgbi through  
#cgcc of title #ca1 ,united ,states     
,code 7known as the ,false ,claims      
,act74  7d7 ,education ,the ,secretary  
is authorized to make and enforce such  
regulations as necessary to assure that 
individuals eligible for the ,medicare  
program under part ,a of title ,,xviii  
of the ,social ,security ,act1 the      
,medicaid program under title ,,xix of  
such ,act1 or coverage under an         
available ,medicare supplemental health 
insurance policy under section #ahhb of 
such ,act receive proper education      
related to all of their coverage        
options1 including qualified health plan
 coverage4  4  7b7 ,effective date ,the 

amendments made by subsection 7a7 shall 
apply with respect to premiums and      
cost-sharing paid on or after the date  
that is #ij days after the date of the  
enactment of this ,act4