,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #hhge  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,decemb] #d1 #bjbj    
,mr4 ,k5n$y introduc$ ! foll[+ bill2 :i*
 0 ref]r$ to ! ,committee on ,en]gy &   
,comm]ce1 & 9 addition to ! ,committee  
on ,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 & !   
,employee ,retirem5t ,income ,security  
,act ( #aigd to e/abli% a special       
enrollm5t p]iod = eligible individuals  
:o are enroll$ 9 non-compliant heal?    
plans1 & = o!r purposes4  #a4 ,%ort     
title ,?is ,act may be cit$ z ! ,heal?  
,insurance ,lemon ,law ,act4  #b4       
,e/abli%m5t ( a special enrollm5t p]iod 
= eligible individuals :o are enroll$ 9 
a non-compliant heal? plan  7a7 ,special
 enrollm5t p]iods = individuals enroll$ 
9 non-,compliant heal? plans  7#a7      
,option = eligible individuals to enroll

 9 ,ex*ange plans ?r\gh a special       
enrollm5t p]iod ,section #acaa7;c7 ( !  
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahjca7;c77 is      
am5d$--  7,a7 9 p>agraph 7#f7-- 7i7 9   
subp>agraph 7,c71 by /rik+ at ! end &2  
7ii7 9 subp>agraph 7,d71 by /rik+ !     
p]iod at ! end & ins]t+ 2 &2 &  7iii7 by
 add+ at ! end ! foll[+ new subp>agraph3
  7,e7 special enrollm5t p]iods describ$
 9 p>agraph 7#h77;,a74  2 &  7,b7 by    
add+ at ! end ! foll[+ new p>agraph3    
7#h7 ,special enrollm5t p]iod =         
individuals enroll$ 9 non-compliant     
,ex*ange plans to enroll 9 diff]5t      
,ex*ange plans  7,a7 ,9 g5]al ,a special
 enrollm5t p]iod describ$ 9 ?is         
subp>agraph is1 beg9n+ #fj days aft] !  
date ( ! enactm5t ( ?is p>agraph1 !     
#fj-;day p]iod beg9n+ on ! date an      
eligible individual confirms receiv+ a  
notification t ! heal? plan 9 :i* !     
eligible individual is enroll$ is a     
non-compliant heal? plan4  7,b7         
,self-atte/ation ,= purposes ( qualify+ 

= ! special enrollm5t p]iod describ$ 9  
subp>agraph 7,a71 ! receipt ( a         
notification t ! heal? plan 9 :i* !     
eligible individual is enroll$ is a     
non-compliant heal? plan %all be det]m9$
 by ! self-atte/ation ( an eligible     
individual4  7,c7 ,def9itions ,9 ?is    
p>agraph3 7i7 ,eligible individual  7,i7
 ,9 g5]al ,! t]m eligible individual    
means a qualifi$ individual :o is       
enroll$ 9 a non-compliant heal? plan4   
7,,ii7 ,inclusion ,su* t]m includes a   
cov]$ employee 7z def9$ 9 section       
#fjg7b7 ( ! ,employee ,retirem5t ,income
 ,security ,act ( #aigd7 :o is enroll$ 9
 a non-compliant heal? plan4  7ii7      
,non-compliant heal? plan ,! t]m        
non-compliant heal? plan means a gr\p   
heal? plan or heal? insurance cov]age   
(f]$ by a heal? insurance issu] 9 !     
individual or small gr\p m>ket t is n s 
9 compliance 7z applicable7 ) any (--   
7,i7 sections #bgja1 #bgjb1 #bgjc1      
#bgjd1 #bgje1 #bgjf1 #bgjh1 #bgji1      
#bgaa1 #bgab1 #bgac1 #bgad1 #bgae1      

#bgaf1 #bgag1 #bgah1 #bgai1 #bgai;,a1   
#bgbe1 #bgbf1 #bgbg1 #bgbh1 or #bgid ( !
 ,public ,heal? ,s]vice ,act2  7,,ii7   
sections #acjb or #acab ( ! ,pati5t     
,protection & ,af=dable ,c>e ,act2      
7,,iii7 section #aje ( ! ,int]nal       
,rev5ue ,code ( #aihf2 or  7,,iv7       
sections #fja ?r\gh #fjh ( ! ,employee  
,retirem5t ,income ,security ,act (     
#aigd4  4  7#b7 ,option = cov]$         
employees enroll$ 9 non-compliant gr\p  
heal? plans to enroll 9 a diff]5t gr\p  
heal? plan ,section #gja ( ! ,employee  
,retirem5t ,income ,security ,act 7#bi  
,u4,s4,c4 #aaha7 is am5d$ by ins]t+ aft]
 p>agraph 7#f7 ! foll[+ new p>agraph3   
7#g7 ,special enrollm5t p]iod = cov]$   
employees enroll$ 9 non-compliant gr\p  
heal? plans to enroll 9 a diff]5t gr\p  
heal? plan  7,a7 ,9 g5]al ,beg9n+ #fj   
days aft] ! date ( ! enactm5t ( ?is     
p>agraph1 a gr\p heal? plan %all p]mit  
an employee :o is enroll$ 9 ! gr\p heal?
 plan t is n 9 compliance ) a requirem5t
 specifi$ "u clause 7,c77ii7 ( section  

#acaa7;c77#h7 ( ! ,pati5t ,protection & 
,af=dable ,c>e ,act 7z applicable7 to   
enroll 9 a diff]5t gr\p heal? plan (f]$ 
by ! employ] = a #fj-;day p]iod beg9n+  
on ! date ! employee confirms receiv+ a 
notification t ! gr\p heal? plan 9 :i* !
 employee is n s 9 compliance4  7,b7    
,self-atte/ation ,= purposes ( qualify+ 
= ! special enrollm5t p]iod describ$ 9  
subp>agraph 7,a71 ! receipt ( a         
notification t ! gr\p heal? plan 9 :i* !
 eligible individual is enroll$ is a    
non-compliant heal? plan %all be det]m9$
 by ! self-atte/ation ( an eligible     
individual4  4  7b7 ,requirem5t = fir/  
day ( cov]age = eligible individuals    
enroll+ dur+ ! special enrollm5t p]iod  
7#a7 ,non-compliant ,ex*ange plans      
,section #acjc ( ! ,pati5t ,protection &
 ,af=dable ,c>e ,act 7#db ,u4,s4,c4     
#ahjbc7 is am5d$ by add+ at ! end !     
foll[+ new subsection3  7e7 ,requirem5t 
= fir/ day ( cov]age = eligible         
individuals enroll+ dur+ ! special      
enrollm5t p]iod  7#a7 ,notification     

requirem5t  7,a7 ,9 g5]al ,) respect to 
heal? insurance cov]age 9 ! individual  
or small gr\p m>ket gr\p (f]$ by a heal?
 insurance issu]1 any heal? insurance   
issu] ( su* cov]age t is n 9 compliance 
) a requirem5t specifi$ "u clause       
7,c77ii7 ( section #acaa7;c77#h7 ( !    
,pati5t ,protection & ,af=dable ,c>e    
,act %all-- 7i7 = ! #cj-;day p]iod      
beg9n+ on ! date ! issu] receives a     
notice f ! ,secret>y ( ,heal? & ,human  
,s]vices t su* cov]age is n s 9         
compliance1 attempt to receive          
confirmation t ea* enrollee ( su*       
cov]age is eligible = ! special         
enrollm5t p]iod describ$ 9 section      
subp>agraph 7,a7 ( su* section2 &  7ii7 
n lat] ?an #fj days aft] ! date ! issu] 
receives ! notice describ$ 9 clause 7i71
 9 ! case ! cov]age does n receive      
confirmation = an enrollee pursuant to  
su* clause1 submit to ! ,secret>y (     
,heal? & ,human ,s]vices ! "n ( !       
enrollee & ef=ts to notify & receive    
confirmation f ! enrollee4  7,b7        

,privacy consid]ations ,9 c>ry+ out ?is 
p>agraph1 ! heal? insurance issu] %all  
take measures to ensure t in=mation z   
may be specifically p]mitt$ or requir$  
"u o!r applicable provisions ( law1     
includ+ ,,hipaa privacy & security law z
 def9$ 9 section #cjji7;a7 ( ! ,public  
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;jj-#ai7;a77 is n made public "u ?is
 p>agraph4  7#b7 ,requirem5t = fir/ day 
( cov]age ,9 ! case ( an eligible       
individual 7z def9$ 9 subp>agraph 7,c7 (
 section #acaa7;c77#h77 :o enrolls 9 a  
qualifi$ heal? plan ?r\gh an ,ex*ange   
dur+ a mon? dur+ ! special enrollm5t    
p]iod describ$ 9 subp>agraph 7,a7 ( su* 
section-- 7,a7 cov]age "u heal?         
insurance cov]age (f]$ a heal? insurance
 issu] 9 ! individual or small gr\p     
m>ket %all t]m9ate on ! la/ day ( ! su* 
mon? 9 :i* ! eligible individual s      
enrolls 9 ! qualifi$ heal? plan2 &  7,b7
 cov]age "u ! qualifi$ heal? plan %all  
be effective beg9n+ on ! fir/ day ( !   
fir/ mon? succe$+ ! mon? t]m9ation (    

cov]age describ$ 9 subp>agraph 7,a74  4 
7#b7 ,non-compliant gr\p heal? plans    
,section #gja7g7 ( ! ,employee          
,retirem5t ,income ,security ,act (     
#aigd 7#bi ,u4,s4,c4 #aaha7g771 z am5d$ 
by subsection 7a77#b71 is fur!r am5d$1  
by ins]t+ aft] subp>agraph 7,b7 ! foll[+
 new subp>agraphs3  7,c7 ,notification  
requirem5t  7i7 ,9 g5]al ,a gr\p heal?  
plan t is n 9 compliance ) a requirem5t 
specifi$ "u subp>agraph 7,c77ii7 (      
section #acaa7;c77#h7 ( ! ,pati5t       
,protection & ,af=dable ,c>e ,act %all--
 7,i7 = ! #cj-;day p]iod beg9n+ aft] !  
date ! plan receives a notice f !       
,secret>y ( ,labor t su* plan is n 9    
compliance1 attempt to receive          
confirmation t ea* enrollee ( su* plan 0
 s notifi$ ( ! special enroll$ p]iod    
describ$ 9 subp>agraph 7,a7 ( su*       
section & ! special enrollm5t p]iod     
describ$ 9 subp>agraph 7,a72 &  7,,ii7 n
 lat] ?an #fj days aft] ! date ! plan   
receives ! notice describ$ 9 clause 7i71
 9 ! case ! plan does n receive         

confirmation = an enrollee pursuant to  
su* clause1 submit to ! ,secret>y (     
,labor ! "n ( ! enrollee & ef=ts to     
notify & receive confirmation f !       
enrollee4  7ii7 ,privacy consid]ations  
,9 c>ry+ out ?is subp>agraph1 ! gr\p    
heal? plan %all take measures to ensure 
t in=mation z may be specifically       
p]mitt$ or requir$ "u o!r applicable    
provisions ( law1 includ+ ,,hipaa       
privacy & security law z def9$ 9 section
 #cjji7;a7 ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #cjj;jj-#ai7;a77 is 
n made public "u ?is subp>agraph4  7,d7 
,requirem5t = fir/ day ( cov]age ,9 !   
case ( an eligible individual 7z def9$ 9
 subp>agraph 7,c7 ( section             
#acaa7;c77#h7 ( ! ,pati5t ,protection & 
,af=dable ,c>e ,act7 :o is a cov]$      
employee & :o-- 7i7 enrolls 9 a qualifi$
 heal? plan ?r\gh an ,ex*ange dur+ a    
mon? dur+ ! special enrollm5t p]iod     
describ$ 9 subp>agraph 7,a7 ( su*       
section--  7,i7 cov]age "u a gr\p heal? 
plan %all t]m9ate on ! la/ day ( ! su*  

mon? 9 :i* ! eligible individual s      
enrolls 9 ! qualifi$ heal? plan2 &      
7,,ii7 cov]age "u ! qualifi$ heal? plan 
%all be det]m9$ 9 accordance ) section  
#acjc7;e77#b7 ( su* ,act2 or  7ii7      
enrolls 9 a diff]5t gr\p heal? plan (f]$
 by ! employ] ( ! cov]$ employee        
pursuant to ! special enrollm5t p]iod   
describ$ 9 subp>agraph 7,a7-- 7,i7      
cov]age "u a gr\p heal? plan %all       
t]m9ate on ! la/ day ( ! su* mon? 9 :i* 
! eligible individual s enrolls 9 !     
qualifi$ heal? plan2 &  7,,ii7 cov]age  
"u ! diff]5t gr\p heal? plan (f]$ by !  
employ] ( ! qualifi$ b5efici>y %all be  
effective beg9n+ on ! fir/ day ( ! fir/ 
mon? succe$+ ! mon? ( t]m9ation (       
cov]age describ$ 9 subclause 7,i74  4