,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #face  ,,in ,,the ,,house ,,of  
,,representatives  ,march #i1 #bjbj,ms4 
,schakowsky introduced the following    
bill2 which was referred to the         
,committee on ,energy and ,commerce  ,a 
,,bill  ,to amend the ,patient          
,protection and ,affordable ,care ,act  
to require ,exchanges to establish      
network adequacy standards for qualified
 health plans4  #a4 ,short title ,this  
,act may be cited as the ,no ,more      
,narrow ,networks ,act of #bjbj4  #b4   
,requiring ,exchanges to establish      
network adequacy standards for qualified
 health plans  7a7 ,in general ,section 
#acaa7;d7 of the ,patient ,protection   
and ,affordable ,care ,act 7#db         
,u4,s4,c4 #ahjca7;d77 is amended by     
adding at the end the following new     
paragraph3  7#h7 ,network adequacy      
standards  7,a7 ,certain ,exchanges ,in 
the case of an ,exchange operated by the
 ,secretary pursuant section            
#acba7;c77#a7 or an ,exchange described 

in section #aee4bjj7;f7 of title #db1   
,code of ,federal ,regulations 7or a    
successor regulation71 the ,exchange    
shall require each qualified health plan
 offered through such ,exchange to meet 
such quantitative network adequacy      
standards as the ,secretary may         
prescribe for purposes of this          
subparagraph4  7,b7 ,state ,exchanges   
,in the case of an ,exchange not        
described in subparagraph 7,a71 the     
,exchange shall establish quantitative  
network adequacy standards with respect 
to qualified health plans offered       
through such ,exchange and require such 
plans to meet such standards4  7,c7     
,preemption ,nothing in subparagraph    
7,a7 shall be construed to preempt any  
,state law to the extent that such law  
provides for network adequacy standards 
applicable to a qualified health plan   
offered through an ,exchange described  
in such subparagraph that are greater   
than such standards prescribed pursuant 
to such subparagraph4  4  7b7 ,effective

 date ,the amendment made by this       
section shall apply with respect to plan
 years beginning on or after ,january   
#a1 #bjba4