,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #dee  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #ab1          
#bjai,mrs4 ,%ahe5 7= h]self1 ,mr4       
,pet]s1 & ,mr4 ,ka9e7 introduc$ ! foll[+
 bill2 :i* 0 read twice & ref]r$ to !   
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,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+ 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 may be us$ =
 exp5ditures = promot+ heal? insurance  
cov]age t does n meet ,f$]al pati5t     
protection /&>ds1 z def9$ 9 subp>agraph 
7,c74  7,c7 ,f$]al pati5t protection    
/&>ds ,= purposes ( subp>agraph 7,b71   
heal? insurance cov]age t does n meet   
,f$]al pati5t protection /&>ds means any
 heal? insurance cov]age t is n a       
qualifi$ heal? plan1 z def9$ 9 section  
#acja4 ,su* cov]age t does n meet ,f$]al

 pati5t protection /&>ds includes       
association heal? plans & %ort-t]m1     
limit$-duration insurance plans4  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 ( !
 ,s5ate ,budget ,committee1 provid$ t   
su* /atem5t has be5 submitt$ prior to ! 
vote on passage4