,,ii #aae? ,,congress #a/ ,session ,s4 #bjeb ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,novemb] #a1 #bjag ,mr4 ,hat* introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to provide = tempor>y fund+ = heal? insurance co/-%>+ r$uction paym5ts & provide t>get$ tax relief1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,heal? ,c>e ,m>ket ,c]ta9ty & ,m&ate ,relief ,act 4 #b4 ,co/-%>+ r$uction paym5ts 7a7 ,9 g5]al 7#a7 ,appropriations ,!re is appropriat$ to ! ,secret>y ( ,heal? & ,human ,s]vices1 out ( any funds 9 ! ,treasury n o!rwise appropriat$1 su* sums z may be necess>y = paym5ts = co/-%>+ r$uctions au?oriz$ by section #adjb ( ,public ,law #aaa-adh1 includ+ ?r\gh advanc$ paym5t ( su* r$uctions "u section #adab ( su* ,public ,law = plan ye>s #bjag1 #bjah1 & #bjai 7& includ+ = adju/m5ts to any prior obligations = su* paym5ts74 7#b7 ,adju/m5ts ,not)/&+ any o!r provision ( ?is ,act1 paym5ts & o!r actions = adju/m5ts to obligations incurr$ prior to ,decemb] #ca1 #bjai1 may be made ?r\gh ,decemb] #ca1 #bjbj4 7#c7 ,limitation ,am\nts appropriat$ "u p>agraph 7#a7 %all n include paym5t to an issu] ( a qualifi$ heal? plan t includes cov]age ( abortion 7o!r ?an any abortion necess>y to save ! life ( ! "m or any abortion ) respect to a pregnancy t is ! result ( an act ( rape or ince/74 7b7 ,special rule = plan ye> #bjah paym5ts ,section #adjb7;c7 ( ,public ,law #aaa-adh 7#db ,u4,s4,c4 #ahjga7;c77 is am5d$-- 7#a7 9 p>agraph 7#c77;,a71 by /rik+ ,an issu] & ins]t+ ,subject to p>agraph 7#f71 an issu]2 & 7#b7 by add+ at ! end ! foll[+ new p>agraph3 7#f7 ,special rule = plan ye> #bjah paym5ts 7,a7 ,9 g5]al ,! ,secret>y %all make paym5ts "u p>agraph 7#c77;,a71 includ+ ?r\gh advanc$ paym5t = co/-%>+ r$uction "u section #adab1 = plan ye> #bjah to an issu] ( a qualifi$ heal? plan1 subject to subp>agraph 7,c71 only if ! ,secret>y det]m9es1 bas$ on a c]tification & appropriate docum5tation f ! issu] & a c]tification f ,/ate regulators1 t ! premium rates appli$ "u su* plan = su* plan ye> 7 bas$ on ! assumption ( receiv+ paym5ts "u p>agraph 7#c77;,a7 = su* plan ye> 7includ+ by reason ( ! plan be+ (f]$ 9 a ,/ate 9 :i* ! ,/ate regulators in/ruct$ issu]s ( heal? plans 9 su* ,/ate to make su* an assumption74 7,b7 ,recov]y ( pa/ paym5ts ,if ! ,secret>y makes paym5ts to an issu] ( a qualifi$ heal? plan "u p>agraph 7#c77;,a7 = plan ye> #bjah & subsequ5tly det]m9es t su* issu] increas$ premium rates = t plan ye> because ! issu] expect$1 or 0 in/ruct$ by applicable ,/ate regulators to expect1 t ! issu] w\ld n receive su* paym5ts 7or1 9 ! case ( su* paym5ts made to an issu] ( a qualifi$ heal? plan = plan ye> #bjah pursuant to subp>agraph 7,c71 det]m9es t su* issu] did n r$uce premium rates "u su* plan = su* plan ye> to su* rates z describ$ 9 clause 7i77,i7 ( su* subp>agraph7 ! ,secret>y may r$uce paym5ts due to su* issu] "u p>agraph 7#c77;,a7 = a subsequ5t plan ye> by ! am\nt paid to su* issu] "u su* p>agraph = plan ye> #bjah4 7,c7 ,paym5ts all[$ 9 case ( issu]s 9 ,/ates provid+ = premium adju/m5t process ,not)/&+ subp>agraph 7,a71 ! ,secret>y may make paym5ts "u p>agraph 7#c77;,a7 = plan ye> #bjah to an issu] ( a qualifi$ heal? plan n o!rwise eligible = su* paym5ts pursuant to subp>agraph 7,a7 if-- 7i7 ! qualifi$ heal? plan is (f]$ 9 a ,/ate = su* plan ye> = :i* ! ,/ate insurance commission] notifies ! ,secret>y ( ! ,treasury & ! ,secret>y ( ,heal? & ,human ,s]vices ( a process provid$ = 9 ! ,/ate "u :i*-- 7,i7 issu]s ( qualifi$ heal? plans 9 su* ,/ate *oos+ to p>ticipate 9 su* process are requir$ to r$uce premium rates "u su* plans = plan ye> #bjah to ! rates t w\ld h be5 appli$ "u su* plans = su* plan ye> _h ! issu]s assum$ paym5ts = co/-%>+ r$uctions "u su* p>agraph w\ld be receiv$ = su* plan ye>2 & 7,,ii7 ! ,/ate submits to ! ,secret>ies in=mation to v]ify t ! r$uction ( ! premium rate "u a qualifi$ heal? plan (f]$ by an issu] p>ticipat+ "u su* process satisfies ! r$uction requirem5t describ$ 9 subclause 7,i72 & 7ii7 ! issu] ( su* qualifi$ heal? plan *ooses to p>ticipate 9 su* process4 7,d7 ,reconciliation process ,! ,secret>y ( ! ,treasury & ! ,secret>y ( ,heal? & ,human ,s]vices %all adju/ ! me?odologies "u section #aef4dcj ( title #de1 ,code ( ,f$]al ,regulations 7z 9 effect on ! date ( enactm5t ( ! ,heal? ,c>e ,m>ket ,c]ta9ty & ,m&ate ,relief ,act71 z may be necess>y to correct = any ov]paym5ts or und]paym5ts made "u ?is section to an issu] 9 accordance ) ?is p>agraph4 4 #c4 ,moratorium on individual m&ate ,section #ejjj;,a ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$-- 7#a7 9 subsection 7a71 by /rik+ ,an applicable & ins]t+ ,except z provid$ 9 subsection 7h71 an applicable2 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7h7 ,susp5sion ,?is section %all n apply to any mon? beg9n+ aft] ,decemb] #ca1 #bjaf1 & be=e ,janu>y #a1 #bjbb4 4 #d4 ,moratorium on employ] m&ate ,section #dihj;,h ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new subsection3 7e7 ,susp5sion ,?is section %all n apply to any mon? beg9n+ aft] ,decemb] #ca1 #bjad1 & be=e ,janu>y #a1 #bjah4 4 #e4 ,maximum contribution limit to heal? sav+s acc\nt increas$ to am\nt ( d$uctible & out-(-pocket limitation 7a7 ,9 g5]al ,subsection 7b7 ( section #bbc ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#i7 ,increas$ limitation ,9 ! case ( any mon? beg9n+ aft] ,decemb] #ca1 #bjag1 & be=e ,janu>y #a1 #bjbc-- 7,a7 p>agraph 7#b77;,a7 %all be appli$ by sub/itut+ ! am\nt 9 effect "u subsection 7c77#b77;,a77ii77,i7 = #b1bej1 & 7,b7 p>agraph 7#b77;,b7 %all be appli$ by sub/itut+ ! am\nt 9 effect "u subsection 7c77#b77;,a77ii77,,ii7 = #d1ejj4 4 7b7 ,effective date ,! am5dm5t made by ?is section %all apply to taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjag4