,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #ifd  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,april #a1 #bjai,mrs4  
,%ahe5 7= h]self1 ,ms4 ,/ab5[1 ,mr4     
,casey1 ,mr4 ,re$1 ,mr4 ,blum5?al1 ,ms4 
,hassan1 ,ms4 ,klobu*>1 ,mr4 ,te/]1 ,mr4
 ,ka9e1 ,mr4 ,k+1 ,ms4 ,h>ris1 ,mr4     
,:iteh\se1 ,ms4 ,baldw91 ,ms4 ,hirono1 &
 ,mr4 ,murphy7 introduc$ ! 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 improve co/-%>+ subsidies4  #a4 
,%ort title ,?is ,act may be cit$ z !   
,m>ketplace ,c]ta9ty ,act4  #b4         
,enhancem5ts = r$uc$ co/-%>+  7a7       
,modification ( am\nt  7#a7 ,9 g5]al    
,section #adjb7;c77#b7 ( ! ,pati5t      
,protection & ,af=dable ,c>e ,act is    
am5d$ to read z foll[s3  7#b7           
,additional r$uction ,! ,secret>y %all  
e/abli% proc$ures "u :i* ! issu] ( a    
qualifi$ heal? plan to :i* ?is section  
applies %all fur!r r$uce co/-%>+ "u !   

plan 9 a mann] suffici5t to--  7,a7 9 ! 
case ( an eligible insur$ ^: h\sehold   
income is n less ?an #ajj p]c5t b n m   
?an #bjj p]c5t ( ! pov]ty l9e = a family
 ( ! size involv$1 increase ! plan's %>e
 ( ! total all[$ co/s ( b5efits provid$ 
"u ! plan to #ie p]c5t ( su* co/s2  7,b7
 9 ! case ( an eligible insur$ ^:       
h\sehold income is m ?an #bjj p]c5t b n 
m ?an #cjj p]c5t ( ! pov]ty l9e = a     
family ( ! size involv$1 increase !     
plan's %>e ( ! total all[$ co/s (       
b5efits provid$ "u ! plan to #ij p]c5t (
 su* co/s2 &  7,c7 9 ! case ( an        
eligible insur$ ^: h\sehold income is m 
?an #cjj p]c5t b n m ?an #djj p]c5t ( ! 
pov]ty l9e = a family ( ! size involv$1 
increase ! plan's %>e ( ! total all[$   
co/s ( b5efits provid$ "u ! plan to #he 
p]c5t ( su* co/s4  4  7#b7 ,con=m+      
am5dm5t ,clause 7i7 ( section           
#adjb7;c77#a77;,b7 ( su* ,act is am5d$  
to read z foll[s3  7i7 ,9 g5]al ,!      
,secret>y %all ensure ! r$uction "u ?is 
p>agraph %all n result 9 an increase 9 !

 plan's %>e ( ! total all[$ co/s (      
b5efits provid$ "u ! plan above--  7,i7 
#ie p]c5t 9 ! case ( an eligible insur$ 
describ$ 9 p>agraph 7#b77;,a72  7,,ii7  
#ij p]c5t 9 ! case ( an eligible insur$ 
describ$ 9 p>agraph 7#b77;,b72 &        
7,,iii7 #he p]c5t 9 ! case ( an eligible
 insur$ describ$ 9 p>agraph 7#b77;,c74  
4  7#c7 ,effective date ,! am5dm5ts made
 by ?is subsection %all apply to plan   
ye>s beg9n+ aft] ,decemb] #ca1 #bjai4   
7b7 ,fund+ ,section #adjb ( ! ,pati5t   
,protection & ,af=dable ,c>e ,act is    
am5d$ by add+ at ! end ! foll[+ new     
subsection3  7g7 ,fund+ ,out ( any funds
 9 ! ,treasury n o!rwise appropriat$1   
!re are appropriat$ to ! ,secret>y su*  
sums z may be necess>y = paym5ts "u ?is 
section4  4