,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #face  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #i1 #bjbj,ms4    
,s*ak[sky 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    
require ,ex*anges to e/abli% network    
adequacy /&>ds = qualifi$ heal? plans4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,no ,m ,n>r[ ,networks ,act ( #bjbj4  
#b4 ,requir+ ,ex*anges to e/abli%       
network adequacy /&>ds = qualifi$ heal? 
plans  7a7 ,9 g5]al ,section #acaa7;d7 (
 ! ,pati5t ,protection & ,af=dable ,c>e 
,act 7#db ,u4,s4,c4 #ahjca7;d77 is am5d$
 by add+ at ! end ! foll[+ new p>agraph3
  7#h7 ,network adequacy /&>ds  7,a7    
,c]ta9 ,ex*anges ,9 ! case ( an ,ex*ange
 op]at$ by ! ,secret>y pursuant section 
#acba7;c77#a7 or an ,ex*ange describ$ 9 
section #aee4bjj7;f7 ( title #db1 ,code 
( ,f$]al ,regulations 7or a successor   
regulation71 ! ,ex*ange %all require ea*
 qualifi$ heal? plan (f]$ ?r\gh su*     

,ex*ange to meet su* quantitative       
network adequacy /&>ds z ! ,secret>y may
 prescribe = purposes ( ?is subp>agraph4
  7,b7 ,/ate ,ex*anges ,9 ! case ( an   
,ex*ange n describ$ 9 subp>agraph 7,a71 
! ,ex*ange %all e/abli% quantitative    
network adequacy /&>ds ) respect to     
qualifi$ heal? plans (f]$ ?r\gh su*     
,ex*ange & require su* plans to meet su*
 /&>ds4  7,c7 ,preemption ,no?+ 9       
subp>agraph 7,a7 %all be con/ru$ to     
preempt any ,/ate law to ! ext5t t su*  
law provides = network adequacy /&>ds   
applicable to a qualifi$ heal? plan (f]$
 ?r\gh an ,ex*ange describ$ 9 su*       
subp>agraph t are great] ?an su* /&>ds  
prescrib$ pursuant to su* subp>agraph4  
4  7b7 ,effective date ,! am5dm5t made  
by ?is section %all apply ) respect to  
plan ye>s beg9n+ on or aft] ,janu>y #a1 
#bjba4