,,ii  #aae? ,,congress  #a/ ,session    
,s4 #abja  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #bb1 #bjag ,mrs4  
,mc,caskill introduc$ ! foll[+ bill2 :i*
 0 read twice & ref]r$ to ! ,committee  
on ,f9ance  ,a ,,bill  ,to all[         
individuals liv+ 9 areas )\t qualifi$   
heal? plans (f]$ ?r\gh an ,ex*ange to h 
simil> access to heal? insurance cov]age
 z ,memb]s ( ,congress & congressional  
/aff4  #a4 ,%ort title  ,?is ,act may be
 cit$ z ! ,heal? ,c>e ,options = ,all   
,act4  #b4 ,access to cov]age =         
individuals 9 areas )\t any available   
,ex*ange plans ,"p #b ( subtitle ,d (   
title ,i ( ! ,pati5t ,protection &      
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjca et seq47 is am5d$ by add+ at !   
end ! foll[+3  #acad4 ,access to cov]age
 = individuals 9 areas )\t any available
 ,ex*ange plans  7a7 ,9 g5]al  7#a7     
,cov]age ?r\gh ,,dc ,,%op ,ex*ange ,n   
lat] ?an #c mon?s aft] ! date ( enactm5t
 ( ?is section1 ! ,secret>y1 9          
consultation ) ! ,secret>y ( ! ,treasury

 & ! ,director ( ! ,(fice ( ,p]sonnel   
,managem5t1 %all e/abli% a me*anism to  
ensure t1 = any plan ye> beg9n+ on or   
aft] ! date describ$ 9 subsection 7c71  
any individual describ$ 9 p>agraph 7#b7 
may enroll 9 heal? insurance cov]age 9 !
 small gr\p m>ket ?r\gh ! ,ex*ange      
op]at+ 9 ! ,di/rict ( ,columbia1 includ+
 ! heal? insurance cov]age t is         
available to ,memb]s ( ,congress &      
congressional /aff 7z def9$ 9 section   
#acab7;d77#c77;,d774  7#b7 ,individual  
describ$ ,an individual describ$ 9 ?is  
p>agraph is any individual :o-- 7,a7 is 
eligible to pur*ase heal? insurance     
cov]age ?r\gh ! ,ex*ange op]at+ 9 !     
,/ate ( resid5ce ( ! individual2 &  7,b7
 resides 9 a rat+ area or c\nty 9 :i* ! 
,secret>y c]tifies t no qualifi$ heal?  
plan is (f]$ ?r\gh an ,ex*ange e/abli%$ 
"u ?is title4  7b7 ,premium assi/ance   
tax cr$its & co/-,%>+ ,any individual   
describ$ 9 subsection 7a77#b7 :o enrolls
 9 heal? insurance cov]age ?r\gh !      
,ex*ange op]at+ 9 ! ,di/rict ( ,columbia

 pursuant to subsection 7a77#a7 %all be 
eligible = any premium tax cr$it "u     
section #cf;,b ( ! ,int]nal ,rev5ue     
,code ( #aihf1 or r$uc$ co/-%>+ "u      
section #adjb1 t ! individual w\ld      
o!rwise be eligible = if enroll+ 9 heal?
 insurance cov]age 9 ! individual m>ket 
?r\gh ! ,ex*ange op]at+ 9 ! ,/ate ( !   
individual4  7c7 ,date describ$ ,! date 
describ$ 9 ?is subsection is ! date on  
:i* ! ,secret>y e/abli%es ! me*anism "u 
subsection 7a77#a74  4