,,ib  ,union ,cal5d> ,no4 #bg  #aaf?    
,,congress  #a/ ,session  ,h4 ,r4 #ache 
,report ,no4 #aaf-di  ,,9 ,,! ,,h\se ,,(
 ,,repres5tatives  ,febru>y #bg1 #bjai  
,mr4 ,kim 7= himself & ,mr4             
,fitzpatrick7 introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,may #c1 #bjai ,additional   
sponsors3 ,ms4 ,s*ak[sky1 ,mrs4 ,watson 
,coleman1 ,ms4 ,blunt ,ro*e/]1 ,mr4     
,pallone1 ,mr4 ,ru%1 ,mrs4 ,d+ell1 ,mr4 
,ruiz1 ,ms4 ,e%oo1 ,mr4 ,k5n$y1 ,ms4    
,matsui1 ,mr4 ,van ,drew1 ,ms4 ,cl>ke ( 
,new ,york1 ,ms4 ,h\lahan1 ,ms4         
,scanlon1 ,ms4 ,mc,collum1 & ,ms4       
,muc>sel-,p[ell  ,may #c1 #bjai ,report$
 ) an am5dm5t1 committ$ to ! ,committee 
( ! ,:ole ,h\se on ! ,/ate ( ! ,union1 &
 ord]$ to be pr9t$ ,/rike out all aft] !
 enact+ clause & ins]t ! "p pr9t$ 9     
italic ,= text ( introduc$ bill1 see    
copy ( bill z introduc$ on ,febru>y #bg1
 #bjai  ,a ,,bill  ,to am5d ! ,pati5t   
,protection & ,af=dable ,c>e ,act to    
pres]ve ! option ( ,/ates to implem5t   

heal? c>e m>ketplaces1 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,/ate ,all[ance = a ,v>iety (       
,ex*anges ,act or ! ,,save ,act4  #b4   
,pres]v+ ,/ate option to implem5t heal? 
c>e m>ketplaces  7a7 ,9 g5]al ,section  
#acaa ( ! ,pati5t ,protection &         
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjca7 is am5d$--  7#a7 9 subsection   
7a7-- 7,a7 9 p>agraph 7#d77;,b71 by     
/rik+ "u ?is subsection & ins]t+ "u ?is 
p>agraph or p>agraph 7#a72 &  7,b7 by   
add+ at ! end ! foll[+ new p>agraph3    
7#f7 ,additional plann+ & e/abli%m5t    
grants  7,a7 ,9 g5]al ,!re %all be      
appropriat$ to ! ,secret>y1 out ( any   
moneys 9 ! ,treasury n o!rwise          
appropriat$1 #bjj1jjj1jjj to aw>d grants
 to eligible ,/ates = ! uses describ$ 9 
p>agraph 7#c74  7,b7 ,duration &        
r5ewability ,a grant aw>d$ "u           
subp>agraph 7,a7 %all be = a p]iod ( two
 ye>s & may n be r5ew$4  7,c7           
,limitation ,a grant may n be aw>d$ "u  
subp>agraph 7,a7 aft] ,decemb] #ca1     

#bjbb4  7,d7 ,eligible ,/ate def9$ ,=   
purposes ( ?is p>agraph1 ! t]m eligible 
,/ate means a ,/ate t1 z ( ! date ( !   
enactm5t ( ?is p>agraph1 is n op]at+ an 
,ex*ange 7o!r ?an an ,ex*ange describ$ 9
 section #aee4bjj7;f7 ( title #de1 ,code
 ( ,f$]al ,regulations74  2 &  7#b7 9   
subsection 7d77#e77;,a7--  7,a7 by /rik+
 op]ations4--,9 e/abli%+ an ,ex*ange "u 
?is section & ins]t+ op]ations4--  7i7  
,9 g5]al ,9 e/abli%+ an ,ex*ange "u ?is 
section 7o!r ?an 9 e/abli%+ an ,ex*ange 
pursuant to a grant aw>d$ "u subsection 
7a77#f77  2 &  7,b7 by add+ at ! end !  
foll[+3  7ii7 ,additional plann+ &      
e/abli%m5t grants ,9 e/abli%+ an        
,ex*ange pursuant to a grant aw>d$ "u   
subsection 7a77#f71 ! ,/ate %all ensure 
t su* ,ex*ange is self-su/a9+ beg9n+ on 
,janu>y #a1 #bjbd1 includ+ all[+ !      
,ex*ange to *>ge assessm5ts or us] fees 
to p>ticipat+ heal? insurance issu]s1 or
 to o!rwise g5]ate fund+1 to support its
 op]ations4  4  7b7 ,cl>ification reg>d+
 failure ,to e/abli% ,ex*ange or        

implem5t requirem5ts ,section #acba7;c7 
( ! ,pati5t ,protection & ,af=dable ,c>e
 ,act 7#db ,u4,s4,c4 #ahjda7;c77 is     
am5d$--  7#a7 9 p>agraph 7#a71 by /rik+ 
,if & ins]t+ ,subject to p>agraph 7#c71 
if2 &  7#b7 by add+ at ! end ! foll[+   
new p>agraph3  7#c7 ,cl>ification ,?is  
subsection %all n apply 9 ! case ( a    
,/ate t elects to apply ! requirem5ts   
describ$ 9 subsection 7a7 & satisfies ! 
requirem5t describ$ 9 subsection 7b7 on 
or aft] ,janu>y #a1 #bjad4  4  ,may #c1 
#bjai ,report$ ) an am5dm5t1 committ$ to
 ! ,committee ( ! ,:ole ,h\se on ! ,/ate
 ( ! ,union1 & ord]$ to be pr9t$