,,ii  #aae? ,,congress  #a/ ,session    
,s4 #bbda  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #ad1 #bjag,mr4
 ,k+ introduc$ ! foll[+ bill2 :i* 0 read
 twice & ref]r$ to ! ,committee on      
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,pati5t           
,protection & ,af=dable ,c>e ,act by    
cl>ify+ t ,/ate ,ex*anges are prohibit$ 
f impos+ fees or assessm5ts on issu]s ( 
except$ b5efits & /&alone d5tal plans n 
sold ?r\gh an ,ex*ange4  #a4 ,prohibit+ 
,/ate ex*anges f impos+ assessm5ts or   
fees on except$ b5efits & /&alone d5tal 
plans n sold ?r\gh an ,ex*ange  7a7 ,9  
g5]al ,section #acaa7;d77#e7 ( ! ,pati5t
 ,protection & ,af=dable ,c>e ,act 7#db 
,u4,s4,c4 #ahjca7;d77#e77 is am5d$--    
7#a7 9 subp>agraph 7,a71 by ins]t+ 1    
subject to subp>agraph 7,c7 aft] its    
op]ations2 &  7#b7 by add+ at ! end !   
foll[+ new subp>agraph3  7,c7           
,limitation ,a ,/ate may n *>ge a heal? 
insurance issu]1 solely = purposes (    
support+ an ,ex*ange 9 accordance )     

subp>agraph 7,a71 an assessm5t1 us] fee1
 tax1 or any o!r fee--  7i7 on except$  
b5efits cov]age )9 ! mean+ ( section    
#bgia7;c7 ( ! ,public ,heal? ,s]vice    
,act t is n sold on an ,ex*ange2 or     
7ii7 on /&alone d5tal plans describ$ 9  
p>agraph 7#b77;,b77ii7 t are n sold on  
an ,ex*ange4  4  7b7 ,effective date ,! 
am5dm5ts made by subsection 7a7 %all    
apply to assessm5ts1 us] fees1 taxes1 & 
o!r fees impos$1 assess$1 or collect$ on
 or aft] ,janu>y #a1 #bjah1 except t1 ) 
respect to ! ,ex*ange ( ! ,di/rict (    
,columbia1 su* am5dm5ts %all apply to   
assessm5ts1 us] fees1 taxes1 & o!r fees 
impos$1 assess$1 or collect$ on or aft] 
,janu>y #a1 #bjbj4