,,ib  ,union ,cal5d> ,no4 #ca  #aaf?    
,,congress  #a/ ,session  ,h4 ,r4 #ihg  
,report ,no4 #aaf-ec1 ,"p ,i  ,,9 ,,!   
,,h\se ,,( ,,repres5tatives  ,febru>y   
#f1 #bjai ,ms4 ,blunt ,ro*e/] 7= h]self1
 ,ms4 ,ca/or ( ,florida1 ,mrs4 ,mc,bath1
 & ,mr4 ,kildee7 introduc$ ! foll[+     
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce1 & 9 addition to !    
,committee on ! ,budget1 = 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$  ,may #aj1 #bjai;,additional    
sponsors3 ,mr4 ,wel*1 ,ms4 ,s*ak[sky1   
,mr4 ,lujn1 ,mr4 ,ru%1 ,ms4 ,e%oo1 ,mr4 
,pallone1 ,ms4 ,matsui1 ,mr4 ,van ,drew1
 ,ms4 ,cl>ke ( ,new ,york1 ,ms4         
,mc,collum1 ,ms4 ,sewell ( ,alabama1    
,mr4 ,payne1 ,ms4 ,wass]man ,s*ultz1    
,mr4 ,s*rad]1 ,ms4 ,muc>sel-,p[ell1 ,mr4
 ,cisn]os1 ,mr4 ,sires1 ,ms4 ,h\lahan1  
,mrs4 ,d+ell1 ,ms4 ,scanlon1 ,ms4       
,moore1 & ,mr4 ,khanna  ,may #aj1 #bjai 
,report$ f ! ,committee on ,en]gy &     

,comm]ce ) an am5dm5t ,/rike out all    
aft] ! enact+ clause & ins]t ! "p pr9t$ 
9 italic  ,may #aj1 #bjai;,committee on 
! ,budget dis*>g$2 committ$ to !        
,committee ( ! ,:ole ,h\se on ! ,/ate ( 
! ,union & ord]$ to be printed,for text 
( introduc$ bill1 see copy ( bill z     
introduc$ on ,febru>y #f1 #bjai  ,a     
,,bill  ,to am5d ! ,pati5t ,protection &
 ,af=dable ,c>e ,act to provide = ,f$]al
 ,ex*ange outrea* & educational         
activities4  #a4 ,%ort title ,?is ,act  
may be cit$ z ! ,m>ket+ & ,outrea*      
,re/oration to ,emp[] ,heal? ,education 
,act ( #bjai or ! ,,m ,heal? ,education 
,act4  #b4 ,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+ individuals ab\t       
qualifi$ heal? plans (f]$ ?r\gh !       
,ex*ange1 includ+ by in=m+ su*          
individuals ( ! 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 ( ?is     
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$1 !re are
 h]eby appropriat$ = fiscal ye> #bjbj & 
ea* subsequ5t fiscal ye>1 #ajj1jjj1jjj  
to c>ry out ?is p>agraph4 ,funds        
appropriat$ "u ?is subp>agraph %all     
rema9 available until exp5d$4  4  #c4   
,det]m9ation ( budget>y effects ,!      
budget>y effects ( ?is ,act1 = ! purpose
 ( comply+ ) ! ,/atutory ,pay-,z-,y-,g  
,act ( #bjaj1 %all be det]m9$ by ref]5ce
 to ! late/ /atem5t titl$ ,budget>y     
,effects ( ,,paygo ,legislation = ?is   
,act1 submitt$ = pr9t+ 9 !              
,congressional ,record by ! ,*airman ( !
 ,h\se ,budget ,committee1 provid$ t su*
 /atem5t has be5 submitt$ prior to !    
vote on passage4  ,may #aj1 #bjai       
,report$ f ! ,committee on ,en]gy &     
,comm]ce ) an amendment,may #aj1        
#bjai;,committee on ! ,budget dis*>g$2  
committ$ to ! ,committee ( ! ,:ole ,h\se
 on ! ,/ate ( ! ,union & ord]$ to be    

pr9t$