,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #fdhf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #aj1 #bjbj,mr4 
,ruiz 7= himself & ,ms4 ,und]wood7      
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committees on ,ways &    
,means1 & ,education & ,labor1 = a p]iod
 to be subsequ5tly det]m9$ by ! ,speak]1
 9 ea* case = consid]ation ( su*        
provisions z fall )9 ! jurisdiction ( ! 
committee conc]n$  ,a ,,bill  ,to am5d !
 ,pati5t ,protection & ,af=dable ,c>e   
,act to require ! ,secret>y ( ,heal? &  
,human ,s]vices to e/abli% a special    
enrollm5t p]iod dur+ ! ,,covid-#ai      
em]g5cy p]iod1 to require ! ,secret>y to
 c>ry out outrea* & educational         
activities = su* special enrollm5t      
p]iod1 to require gr\p heal? plans &    
heal? insurance issu]s (f]+ gr\p or     
individual heal? insurance cov]age to   
provide cov]age )\t any co/ %>+ = c]ta9 
items & s]vices furni%$ dur+ any portion
 ( su* em]g5cy p]iod1 & = o!r purposes4 

#a4 ,%ort title ,?is ,act may be cit$ z 
! ,c>e = ,,covid-#ai ,act #b4j4  #b4    
,special enrollm5t p]iod ?r\gh          
,ex*anges2 ,f$]al ,ex*ange outrea* &    
educational activities  7a7 ,special    
enrollm5t p]iod ?r\gh ,ex*anges ,section
 #acaa7;c7 ( ! ,pati5t ,protection &    
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjca7;c77 is am5d$-- 7#a7 9 p>agraph  
7#f7-- 7,a7 9 subp>agraph 7,c71 by /rik+
 at ! end &2  7,b7 9 subp>agraph 7,d71  
by /rik+ at ! end ! p]iod & ins]t+ 2 &2 
&  7,c7 by add+ at ! end ! foll[+ new   
subp>agraph3  7,e7 subject to           
subp>agraph 7,b7 ( p>agraph 7#h71 !     
special enrollm5t p]iod describ$ 9      
subp>agraph 7,a7 ( su* p>agraph4  2 &   
7#b7 by add+ at ! end ! foll[+ new      
p>agraph3  7#h7 ,special enrollm5t p]iod
 = c]ta9 public heal? em]g5cy  7,a7 ,9  
g5]al ,! ,secret>y %all1 subject to     
subp>agraph 7,b71 require an ,ex*ange to
 provide-- 7i7 = a special enrollm5t    
p]iod dur+ ! em]g5cy p]iod describ$ 9   
section #aace7;g77#a77;,b7 ( ! ,social  

,security ,act-- 7,i7 :i* %all beg9 on !
 date t is "o week aft] ! date ( !      
enactm5t ( ?is p>agraph & :i*1 9 ! case 
( an ,ex*ange e/abli%$ or op]at$ by !   
,secret>y )9 a ,/ate pursuant to section
 #acba7;c71 %all be an #h-week p]iod2 & 
7,,ii7 dur+ :i* any individual :o is    
o!rwise eligible to enroll 9 a qualifi$ 
heal? plan ?r\gh ! ,ex*ange may enroll 9
 su* a qualifi$ heal? plan2 &  7ii7 t1 9
 ! case ( an individual :o enrolls 9 a  
qualifi$ heal? plan ?r\gh ! ,ex*ange    
dur+ su* enrollm5t p]iod1 ! cov]age     
p]iod "u su* plan %all beg91 at ! option
 ( ! individual1 on ,april #a1 #bjbj1 or
 on ! fir/ day ( ! mon? foll[+ ! day !  
individual selects a plan ?r\gh su*     
special enrollm5t p]iod4  7,b7          
,exception ,! requirem5t ( subp>agraph  
7,a7 %all n apply to a ,/ate-op]at$ or  
,/ate-e/abli%$ ,ex*ange if su* ,ex*ange1
 prior to ! date ( ! enactm5t ( ?is     
p>agraph1 e/abli%$ or o!rwise provid$ = 
a special enrollm5t p]iod to address    
access to cov]age "u qualifi$ heal?     

plans (f]$ ?r\gh su* ,ex*ange dur+ !    
em]g5cy p]iod describ$ 9 section        
#aace7;g77#a77;,b7 ( ! ,social ,security
 ,act4  4  7b7 ,f$]al ,ex*ange outrea* &
 educational activities ,section        
#acba7;c7 ( ! ,pati5t ,protection &     
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjda7;c77 is am5d$ by add+ at ! end ! 
foll[+ new p>agraph3  7#c7 ,outrea* &   
educational activities  7,a7 ,9 g5]al ,9
 ! case ( an ,ex*ange e/abli%$ or op]at$
 by ! ,secret>y )9 a ,/ate pursuant to  
?is subsection1 ! ,secret>y %all c>ry   
out outrea* & educational activities =  
purposes ( in=m+ pot5tial enrollees 9   
qualifi$ heal? plans (f]$ ?r\gh !       
,ex*ange ( ! availability ( cov]age "u  
su* plans & f9ancial assi/ance = cov]age
 "u su* plans4 ,su* outrea* &           
educational activities %all be provid$ 9
 a mann] t is culturally & l+ui/ically  
appropriate to ! ne$s ( ! populations   
be+ s]v$ by ! ,ex*ange 7includ+         
h>d-to-rea* populations1 su* z racial & 
sexual m9orities1 limit$ ,engli%        

pr(ici5t populations1 & "y adults74     
7,b7 ,limitation on use ( funds ,no     
funds appropriat$ "u ?is p>agraph %all  
be us$ = exp5ditures = promot+ non-,,aca
 compliant heal? insurance cov]age4     
7,c7 ,non-,,aca compliant heal?         
insurance cov]age ,= purposes (         
subp>agraph 7,b73 7i7 ,! t]m non-,,aca  
compliant heal? insurance cov]age means 
heal? insurance cov]age1 or a gr\p heal?
 plan1 t is n a qualifi$ heal? plan4    
7ii7 ,su* t]m includes ! foll[+3 7,i7   
,an association heal? plan4  7,,ii7     
,%ort-t]m limit$ duration insurance4    
7,d7 ,fund+ ,out ( any funds 9 !        
,treasury n o!rwise appropriat$1 !re are
 h]eby appropriat$ #be1jjj1jjj to c>ry  
out ?is p>agraph4 ,funds appropriat$ "u 
?is subp>agraph %all rema9 available    
until exp5d$4  4  7c7 ,implem5tation ,! 
,secret>y ( ,heal? & ,human ,s]vices may
 implem5t ! provisions ( 7includ+       
am5dm5ts made by7 ?is section ?r\gh     
subregulatory guidance1 program         
in/ruction1 or o!rwise4  #c4 ,cov]age ( 

,,covid-#ai relat$ treatm5t at no co/   
%>+  7a7 ,9 g5]al ,a gr\p heal? plan & a
 heal? insurance issu] (f]+ gr\p or     
individual heal? insurance cov]age      
7includ+ a gr&fa!r$ heal? plan 7z def9$ 
9 section #abea7;e7 ( ! ,pati5t         
,protection & ,af=dable ,c>e ,act77 %all
 provide cov]age1 & %all n impose any   
co/ %>+ 7includ+ d$uctibles1 copaym5ts1 
& co9surance7 requirem5ts1 = ! foll[+   
items & s]vices furni%$ dur+ any portion
 ( ! em]g5cy p]iod def9$ 9 p>agraph     
7#a77;,b7 ( section #aace7;g7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acbj;b-#e7;g77 beg9n+ on or aft] ! date
 ( ! enactm5t ( ?is ,act3 7#a7 ,m$ically
 necess>y items & s]vices 7includ+      
9-p]son or teleheal? visits 9 :i* su*   
items & s]vices are furni%$7 t are      
furni%$ to an individual :o has be5     
diagnos$ ) 7or aft] provision ( ! items 
& s]vices is diagnos$ )7 ,,covid-#ai to 
treat or mitigate ! effects (           
,,covid-#ai4  7#b7 ,m$ically necess>y   
items & s]vices 7includ+ 9-p]son or     

teleheal? visits 9 :i* su* items &      
s]vices are furni%$7 t are furni%$ to an
 individual :o is presum$ to h          
,,covid-#ai b is nev] diagnos$ z su*1 if
 ! foll[+ conditions are met3 7,a7 ,su* 
items & s]vices are furni%$ to !        
individual to treat or mitigate !       
effects ( ,,covid-#ai or to mitigate !  
impact ( ,,covid-#ai on society4  7,b7  
,heal? c>e provid]s h tak5 appropriate  
/eps "u ! circum/ances to make a        
diagnosis1 or confirm :e!r a diagnosis 0
 made1 ) respect to su* individual1 =   
,,covid-#ai1 if possible4  7b7 ,items & 
s]vices relat$ to ,,covid-#ai ,=        
purposes ( ?is section-- 7#a7 n lat] ?an
 "o week aft] ! date ( ! enactm5t ( ?is 
section1 ! ,secret>y ( ,heal? & ,human  
,s]vices1 ,secret>y ( ,labor1 &         
,secret>y ( ! ,treasury %all jo9tly     
issue guidance specify+ applicable      
diagnoses & m$ically necess>y items &   
s]vices relat$ to ,,covid-#ai2 &  7#b7  
su* items & s]vices %all include all    
items or s]vices t are relevant to !    

treatm5t or mitigation ( ,,covid-#ai1   
reg>dless ( :e!r su* items or s]vices   
are ord9>ily cov]$ "u ! t]ms ( a gr\p   
heal? plan or gr\p or individual heal?  
insurance cov]age (f]$ by a heal?       
insurance issu]4  7c7 ,reimbursem5t to  
plans & cov]age = waiv+ co/ %>+  7#a7 ,9
 g5]al ,a gr\p heal? plan or a heal?    
insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age 7includ+ a      
gr&fa!r$ heal? plan 7z def9$ 9 section  
#abea7;e7 ( ! ,pati5t ,protection &     
,af=dable ,c>e ,act77 t does n impose   
co/ %>+ requirem5ts z describ$ 9        
subsection 7a7 %all notify ! ,secret>y (
 ,heal? & ,human ,s]vices1 ,secret>y (  
,labor1 & ,secret>y ( ! ,treasury 7?r\gh
 a jo9t process e/abli%$ jo9tly by !    
,secret>ies7 ( ! total doll> am\nt ( co/
 %>+ t1 b = ! application ( subsection  
7a71 w\ld h be5 requir$ "u su* plans &  
cov]age = items & s]vices relat$ to     
,,covid-#ai furni%$ dur+ ! p]iod to :i* 
subsection 7a7 applies to enrollees1    
p>ticipants1 & b5efici>ies 9 ! plan or  

cov]age to :om su* subsection applies1 b
 :i* 0 n impos$ = su* items & s]vices s 
furni%$ pursuant to su* subsection & !  
,secret>y ( ,heal? & ,human ,s]vices1 9 
coord9ation ) ! ,secret>y ( ,labor & !  
,secret>y ( ! ,treasury1 %all make      
paym5ts 9 accordance ) ?is subsection to
 ! plan or issu] equal to su* total     
doll> am\nt4  7#b7 ,me?odology = paym5ts
 ,! ,secret>y ( ,heal? & ,human         
,s]vices1 9 coord9ation ) ! ,secret>y ( 
,labor & ! ,secret>y ( ! ,treasury %all 
e/abli% a paym5t sy/em = mak+ paym5ts "u
 ?is subsection4 ,any su* sy/em %all    
make paym5t = ! value ( co/ %>+ n impos$
 by ! plan or issu] involv$4  7#c7 ,tim+
 ( paym5ts ,paym5ts made "u p>agraph    
7#a7 %all be made no lat] ?an ,may #a1  
#bjba1 = am\nts ( co/ %>+ waiv]s )      
respect to #bjbj4 ,paym5ts "u ?is       
subsection ) respect to su* waiv]s )    
respect to a ye> subsequ5t to #bjbj t   
beg9s dur+ ! p]iod to :i* subsection 7a7
 applies %all be made no lat] ?an ,may (
 ! ye> foll[+ su* subsequ5t ye>4  7#d7  

,appropriations ,!re is au?oriz$ to be  
appropriat$1 & !re is appropriat$1 out (
 any monies 9 ! ,treasury n o!rwise     
appropriat$1 su* funds z are necess>y to
 c>ry out ?is subsection4  7d7 ,en=cem5t
  7#a7 ,application ) respect to ,,phsa1
 ,,erisa1 & ,,irc ,! provisions ( ?is   
section %all be appli$ by ! ,secret>y ( 
,heal? & ,human ,s]vices1 ,secret>y (   
,labor1 & ,secret>y ( ! ,treasury to    
gr\p heal? plans & heal? insurance      
issu]s (f]+ gr\p or individual heal?    
insurance cov]age z if includ$ 9 !      
provisions ( "p ,a ( title ,,xxvii ( !  
,public ,heal? ,s]vice ,act1 "p #g ( !  
,employee ,retirem5t ,income ,security  
,act ( #aigd1 & sub*apt] ,b ( *apt] #ajj
 ( ! ,int]nal ,rev5ue ,code ( #aihf1 z  
applicable4  7#b7 ,private "r ( action  
,an individual ) respect to :om an      
action is tak5 by a gr\p heal? plan or  
heal? insurance issu] (f]+ gr\p or      
individual heal? insurance cov]age 9    
violation ( subsection 7a7 may comm5ce a
 civil action aga9/ ! plan or issu] =   

appropriate relief4 ,! previ\s s5t5ce   
%all n be con/ru$ z limit+ any en=cem5t 
me*anism o!rwise applicable pursuant to 
p>agraph 7#a74  7e7 ,implem5tation ,!   
,secret>y ( ,heal? & ,human ,s]vices1   
,secret>y ( ,labor1 & ,secret>y ( !     
,treasury may implem5t ! provisions (   
?is section ?r\gh sub-regulatory        
guidance1 program in/ruction1 or        
o!rwise4  7f7 ,t]ms ,! t]ms gr\p heal?  
plan1 heal? insurance issu]1 gr\p heal? 
insurance cov]age1 & individual heal?   
insurance cov]age h ! mean+s giv5 su*   
t]ms 9 section #bgia ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4             
#cjj;gg-#ia71 section #gcc ( ! ,employee
 ,retirem5t ,income ,security ,act (    
#aigd 7#bi ,u4,s4,c4 #aaia;b71 & section
 #ihcb ( ! ,int]nal ,rev5ue ,code (     
#aihf1 z applicable4