,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #deeg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #aj1         
#bjbj,ms4 ,baldw9 7= h]self1 ,mr4       
,book]1 ,ms4 ,smi?1 ,ms4 ,cortez ,ma/o1 
,ms4 ,hirono1 ,mr4 ,m]kley1 ,mr4        
,blum5?al1 & ,ms4 ,ros57 introduc$ !    
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to      
support ef=ts to provide int5sive1      
individualiz$ assi/ance = enroll+ 9     
heal? c>e cov]age4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,c,o,vid          
,enrollm5t ,response ,act or ! ,,cov]   
,act4  #b4 ,int5sive1 individualiz$     
assi/ance = enroll+ 9 heal? c>e ,section
 #acaa7;i77#f7 ( ! ,pati5t ,protection &
 ,af=dable ,c>e ,act 7#db ,u4,s4,c4     
#ahjca7;i77#f77 is am5d$-- 7#a7 by /rik+
 ,grants "u ?is subsection %all be made 
f & ins]t+ ! foll[+3  7,a7 ,9 g5]al     
,grants "u ?is subsection %all be made f
 funds appropriat$ "u subp>agraph 7,b7 &
  2 &  7#b7 by add+ at ! end !re( !     

foll[+3  7,b7 ,appropriation  7i7 ,am\nt
 ,out ( any funds 9 ! ,treasury n       
o!rwise appropriat$1 !re are h]eby      
appropriat$1 to c>ry out ?is subsection1
 #aej1jjj1jjj = fiscal ye> #bjbj1 &     
#fjj1jjj1jjj = fiscal ye> #bjba4  7ii7  
,allotm5ts  7,i7 ,9 g5]al ,paym5ts (    
allotm5ts "u ?is subp>agraph %all be    
made z soon z possible & rema9 available
 until exp5d$4  7,,ii7 ,numb] ( un9sur$ 
,fifty p]c5t ( ! funds appropriat$ "u   
?is subp>agraph = a fiscal ye> %all be  
exp5d$ 9 annual allotm5ts = a ,/ate & ! 
,di/rict ( ,columbia 9 proportion to !  
numb] ( un9sur$ individuals 9 su* ,/ate 
or ,di/rict dur+ cal5d> ye> #bjah1 z    
demon/rat$ by ,am]ican ,community       
,survey ,/ate-level data4  7,,iii7      
,recipi5ts ( unemploym5t insurance      
,fifty p]c5t ( ! funds appropriat$ "u   
?is subp>agraph = a fiscal ye> %all be  
exp5d$ 9 qu>t]ly allotm5ts = a ,/ate & !
 ,di/rict ( ,columbia 9 proportion to ! 
av]age numb] ( recipi5ts ( unemploym5t  
insurance 9 ! ,/ate or ,di/ricts1       

includ+ all categories ( assi/ance1 dur+
 ! mo/ rec5t cal5d> qu>t] = :i* data are
 available f ! ,dep>tm5t ( ,labor4      
7iii7 ,use ,not)/&+ any o!r provision ( 
?is subsection1 funds describ$ 9 ?is    
subp>agraph %all be-- 7,i7 us$ at any   
po9t dur+ ! cal5d> ye> to facilitate    
enroll+ individuals into & ma9ta9+      
individuals' cov]age 9 ,/ate ,m$icaid   
plans "u title ,,xix ( ! ,social        
,security ,act1 ,/ate ,*ildr5's ,heal?  
,insurance ,programs "u title ,,xxi (   
su* ,act1 qualifi$ heal? plans1 ,,cobra 
cont9uation cov]age1 gr\p heal? plans   
(f]$ to furl\gh$ employees on ! same    
t]ms !y are (f]$ to o!r employees1 & o!r
 heal? cov]age programs sponsor$ by     
,/ates & localities1 ) c\nsel+ &        
assi/ance provid$ by entities t assume a
 fiduci>y duty to act 9 su* individuals'
 be/ int]e/s2  7,,ii7 us$ to develop    
relation%ips ) ,/ate work=ce ag5cies 7&1
 at ! entity's option1 employ]s7 ?r\gh  
:i* an entity fund$ ?r\gh ?is           
subp>agraph rea*es out to individuals   

los+ employm5t & helps !m enroll into   
m9imum ess5tial cov]age2  7,,iii7 aw>d$ 
to organizations 7:i* may include       
ag5cies ( ,/ates or political           
subdivision us+ hir$ or rehir$          
employees7 ) a demon/rat$ capacity to   
p]=m ! duties specifi$ 9 p>agraph 7#c7  
7ext5d$1 = purposes ( ?is subp>agraph1  
to include all programs describ$ 9      
subclause 7,i77 & ?is subp>agraph1      
includ+ relation%ips ) & exp]i5ce 9     
successfully s]v+ laid-(f & furl\gh$    
work]s1 resid5ts ( rural areas &        
communities ( color1 l[-income          
individuals1 memb]s ( immigrant         
families1 & o!r hi/orically und]s]v$    
populations2  7,,iv7 aw>d$ to           
organizations1 )9 ea* ,/ate1 t include  
at lea/ two organizations locat$ 9 !    
,/ate s]vic$ by su* organizations1 at   
lea/ "o ( :i* is a community-bas$ &     
consum]-ori5t$ nonpr(it gr\p2 &  7,v7   
us$ to supplem5t r ?an supplant o!r     
fund+1 /aff+1 & programm+ provid$ "u ?is
 subsection4  7iv7 ,def9ition ,=        

purposes ( ?is subp>agraph1 ! t]m       
,,cobra cont9uation cov]age means       
cont9uation cov]age provid$ pursuant to 
"p #f ( subtitle ,b ( title ,i ( !      
,employee ,retirem5t ,income ,security  
,act ( #aigd 7o!r ?an "u section #fji71 
title ,,xxii ( ! ,public ,heal? ,s]vice 
,act1 section #dihj;,b ( ! ,int]nal     
,rev5ue ,code ( #aihf 7o!r ?an          
subsection 7f77#a7 ( su* section ins(> z
 x relates to p$iatric vacc9es71 or     
section #hije;a ( title #e1 ,unit$      
,/ates ,code1 or "u a ,/ate program t   
provides comp>able cont9uation cov]age4 
,su* t]m does n include cov]age "u a    
heal? flexible sp5d+ arrangem5t "u a    
cafet]ia plan )9 ! mean+ ( section #abe 
( ! ,int]nal ,rev5ue ,code ( #aihf4  4