,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #adbe  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,febru>y #bh1         
#bjai,mrs4 ,craig 7= h]self & ,mr4      
,pet]s7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d ! ,pati5t 
,protection & ,af=dable ,c>e ,act to    
provide = a ,improve ,heal? ,insurance  
,af=dability ,fund to provide = c]ta9   
re9surance paym5ts to l[] premiums 9 !  
individual heal? insurance m>ket4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,/ate ,heal? ,c>e ,premium ,r$uction    
,act4  #b4 ,improve ,heal? ,insurance   
,af=dability ,fund ,subtitle ,d ( title 
,i ( ! ,pati5t ,protection & ,af=dable  
,c>e ,act is am5d$ by ins]t+ aft] "p #e 
7#db ,u4,s4,c4 #ahjfa et seq47 ! foll[+ 
new "p3  #f ,improve ,heal? ,insurance  
,af=dability ,fund  #acea4 ,e/abli%m5t (
 program ,!re is h]eby e/abli%$ !       
,improve ,heal? ,insurance ,af=dability 
,fund to be adm9i/]$ by ! ,secret>y (   
,heal? & ,human ,s]vices1 act+ ?r\gh !  

,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices 79 ?is section ref]r$ 
to z ! ,adm9i/rator71 to provide fund+1 
9 accordance ) ?is title1 to ! #ej      
,/ates & ! ,di/rict ( ,columbia 7ea*    
ref]r$ to 9 ?is section z a ,/ate7      
beg9n+ on ,janu>y #a1 #bjbj1 = !        
purposes describ$ 9 section #aceb4      
#aceb4 ,use ( funds  7a7 ,9 g5]al ,a    
,/ate %all use ! funds allocat$ to !    
,/ate "u ?is "p = "o ( ! foll[+         
purposes3  7#a7 ,to provide re9surance  
paym5ts to heal? insurance issu]s )     
respect to individuals enroll$ "u       
individual heal? insurance cov]age 7o!r 
?an ?r\gh a plan describ$ 9 subsection  
7b77 (f]$ by su* issu]s4  7#b7 ,to      
provide assi/ance 7o!r ?an ?r\gh paym5ts
 describ$ 9 p>agraph 7#a77 to r$uce     
out-(-pocket co/s1 su* z copaym5ts1     
co9surance1 premiums1 & d$uctibles1 (   
individuals enroll$ "u qualifi$ heal?   
plans (f]$ on ! individual m>ket ?r\gh  
an ,ex*ange4  7b7 ,exclusion ( c]ta9    
gr&fa!r$ & transitional plans ,=        

purposes ( subsection 7a71 a plan       
describ$ 9 ?is subsection is ! foll[+3  
7#a7 ,a gr&fa!r$ heal? plan 7z def9$ 9  
section #abea74  7#b7 ,a plan 7commonly 
ref]r$ to z a transitional plan7 cont9u$
 "u ! lett] issu$ by ! ,c5t]s = ,m$ic>e 
,m$icaid ,s]vices on ,novemb] #ad1      
#bjac1 to ! ,/ate ,insurance            
,commission]s outl9+ a transitional     
policy = cov]age 9 ! individual & small 
gr\p m>kets to :i* section #abea does n 
apply1 & "u ! ext5sion ( ! transitional 
policy = su* cov]age set =? 9 !         
,insurance ,/&>ds ,bullet9 ,s]ies       
guidance issu$ by ! ,c5t]s = ,m$ic>e    
,m$icaid ,s]vices on ,m>* #e1 #bjad1    
,febru>y #bi1 #bjaf1 ,febru>y #ac1      
#bjag1 & ,april #i1 #bjah1 or "u any    
subsequ5t ext5sions !re(4  #acec4 ,/ate 
eligibility & approval2 ,default        
safegu>d  7a7 ,enc\rag+ ,/ate options = 
allocations  7#a7 ,9 g5]al ,to be       
eligible = an allocation ( funds "u ?is 
"p = a ye> 7beg9n+ ) #bjbj71 a ,/ate    
%all submit to ! ,adm9i/rator an        

application at su* "t 7b1 9 ! case (    
allocations = #bjbj1 n lat] ?an #ij days
 aft] ! date ( ! enactm5t ( ?is title &1
 9 ! case ( allocations = a subsequ5t   
ye>1 n lat] ?an ,m>* #ca ( ! previ\s    
ye>7 & 9 su* =m & mann] z specifi$ by ! 
,adm9i/rator conta9+--  7,a7 a          
description ( h[ ! funds w be us$2 &    
7,b7 su* o!r in=mation z ! ,adm9i/rator 
may require4  7#b7 ,automatic approval  
,an application s submitt$ is approv$   
unless ! ,adm9i/rator notifies ! ,/ate  
submitt+ ! application1 n lat] ?an #fj  
days aft] ! date ( ! submission ( su*   
application1 t ! application has be5    
d5i$ = n be+ 9 compliance ) any         
requirem5t ( ?is "p & ( ! reason = su*  
d5ial4  7#c7 #e-ye> application approval
 ,if an application ( a ,/ate is approv$
 = a purpose describ$ 9 section #aceb = 
a ye>1 su* application %all be treat$ z 
approv$ = su* purpose = ea* ( !         
subsequ5t #d ye>s4  7b7 ,default ,f$]al 
safegu>d  7#a7 #bjbj ,= allocations made
 "u ?is "p = #bjbj1 9 ! case ( a ,/ate t

 does n submit an application "u        
subsection 7a7 by ! #ij-;day submission 
date applicable to su* ye> "u subsection
 7a77#a7 & 9 ! case ( a ,/ate t does    
submit su* an application by su* date t 
is n approv$1 ! ,adm9i/rator1 9         
consultation ) ! ,/ate insurance        
commission]1 %all use1 9 accordance )   
p>agraph 7#c71 ! allocation t w\ld      
o!rwise be provid$ to ! ,/ate "u ?is "p 
= su* ye> = su* ,/ate4  7#b7 #bjba &    
subsequ5t ye>s ,9 ! case ( a ,/ate t    
does n h 9 effect an approv$ application
 "u ?is section = #bjba or a subsequ5t  
ye>1 ! ,adm9i/rator1 9 consultation ) ! 
,/ate insurance commission]1 %all use1 9
 accordance ) p>agraph 7#c71 !          
allocation t w\ld o!rwise be provid$ to 
! ,/ate "u ?is "p = su* ye> = su* ,/ate4
  7#c7 ,specifi$ use ,an allocation = a 
,/ate made pursuant to p>agraph 7#a7 or 
7#b7 = a ye> %all be us$ to c>ry out !  
purpose describ$ 9 section #aceb7a7 9   
su* ,/ate by provid+ re9surance paym5ts 
to heal? insurance issu]s ) respect to  

atta*m5t range claims 7z def9$ 9 section
 #aced7;b77#b71 us+ ! doll> am\nts      
specifi$ 9 subp>agraph 7,b7 ( su*       
section = su* ye>7 9 an am\nt equal to !
 p]c5tage 7specifi$ = su* ye> by !      
,secret>y "u su* subp>agraph7 ( ! am\nt 
( su* claims4  #aced4 ,allocations  7a7 
,appropriation ,= ! purpose ( provid+   
allocations = ,/ates "u ?is "p !re is   
appropriat$1 out ( any money 9 !        
,treasury n o!rwise appropriat$         
#aj1jjj1jjj1jjj = #bjbj & ea* subsequ5t 
ye>4  7b7 ,allocations  7#a7 ,paym5t    
7,a7 ,9 g5]al ,f am\nts appropriat$ "u  
subsection 7a7 = a ye>1 ! ,secret>y     
%all1 ) respect to a ,/ate & n lat] ?an 
! date specifi$ "u subp>agraph 7,b7 =   
su* ye>1 allocate = su* ,/ate ! am\nt   
det]m9$ = su* ,/ate & ye> "u p>agraph   
7#b74  7,b7 ,specifi$ date ,= purposes (
 subp>agraph 7,a71 ! date specifi$ 9 ?is
 subp>agraph is-- 7i7 = #bjbj1 ! date t 
is #de days aft] ! date ( ! enactm5t (  
?is title2 &  7ii7 = #bjba or a         
subsequ5t ye>1 ,janu>y #a ( ! respective

 ye>4  7,c7 ,notifications ( allocation 
am\nts ,= #bjba & ea* subsequ5t ye>1 !  
,secret>y %all notify ea* ,/ate ( !     
am\nt det]m9$ = su* ,/ate "u p>agraph   
7#b7 = su* ye> by n lat] ?an ,janu>y #a 
( ! previ\s ye>4  7#b7 ,allocation am\nt
 det]m9ations  7,a7 ,9 g5]al ,= purposes
 ( p>agraph 7#a71 ! am\nt det]m9$ "u ?is
 p>agraph = a ye> = a ,/ate is ! am\nt t
 ! ,secret>y e/imates w\ld be exp5d$ "u 
?is "p = su* ye> on atta*m5t range      
claims ( individuals resid+ 9 su* ,/ate 
if all ,/ates us$ su* funds only = !    
purpose describ$ 9 p>agraph 7#a7 (      
section #aceb at ! doll> am\nts &       
p]c5tage specifi$ "u subp>agraph 7,b7 = 
su* ye>4 ,= purposes ( ! previ\s s5t5ce 
& section #acec7;b77#c71 ! t]m atta*m5t 
range claims means1 ) respect to an     
individual1 ! claims = su* individual t 
exce$ a doll> am\nt specifi$ by !       
,secret>y = a ye>1 b d n exce$ a ceil+  
doll> am\nt specifi$ by ! ,secret>y =   
su* ye>1 "u subp>agraph 7,b74  7,b7     
,specifications ,= purposes (           

subp>agraph 7,a7 & section              
#acec7;b77#c71 ! ,secret>y %all det]m9e 
! doll> am\nts & ! p]c5tage to be       
specifi$ "u subp>agraph 7,a7 = a ye> 9 a
 mann] to ensure t ! total am\nt (      
exp5ditures "u ?is "p = su* ye> is      
e/imat$ to equal ! total am\nt          
appropriat$ = su* ye> "u subsection 7a7 
if su* exp5ditures 7 us$ solely = !     
purpose describ$ 9 p>agraph 7#a7 (      
section #aceb = atta*m5t range claims at
 ! doll> am\nts & p]c5tage s specifi$ = 
su* ye>4  7#c7 ,availability ,funds     
allocat$ to a ,/ate "u ?is subsection = 
a ye> %all rema9 available ?r\gh ! end (
 ! subsequ5t ye>4  7c7 ,annual          
di/ribution ( previ\s ye>'s rema9+ funds
  7#a7 ,9 g5]al ,9 c>ry+ out subsection 
7b71 ! ,secret>y %all1 ) respect to a   
ye> 7beg9n+ ) #bjba71 n lat] ?an ,m>*   
#ca ( su* ye>--  7,a7 det]m9e ! am\nt ( 
funds1 if any1 f ! am\nts appropriat$ "u
 subsection 7a7 = ! previ\s ye> b n     
allocat$ = su* previ\s ye>2 &  7,b7 if !
 ,secret>y det]m9es t any funds 7 n s   

allocat$ = su* previ\s ye>1 allocate su*
 rema9+ funds to ,/ates = su* ye>1 9    
accordance ) p>agraph 7#b74  7#b7       
,allocation me?odology ,= purposes (    
p>agraph 7#a71 ( ! total rema9+ funds to
 be allocat$ = a ye> pursuant to su*    
p>agraph1 ! ,secret>y %all allocate to  
ea* ,/ate an am\nt t be>s ! same ratio  
to su* total rema9+ funds z ! am\nt     
allocat$ pursuant to subsection 7b7 to  
su* ,/ate = su* ye> be>s to ! total     
allocations made "u su* subsection = su*
 ye>4  4