,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #cifi  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #ag1 #bjba,mr4  
,curtis 7= himself & ,mr4 ,crd5as7      
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d title ,,xxvii ( !      
,public ,heal? ,s]vice ,act to include  
activities to address social det]m9ants 
( heal? 9 ! calculation ( m$ical loss   
ratios4  #a4 ,includ+ activities to     
address social det]m9ants ( heal? 9 !   
calculation ( m$ical loss ratios  7a7 ,9
 g5]al ,section #bgah ( ! ,public ,heal?
 ,s]vice ,act 7#db ,u4,s4,c4            
#cjj;gg-#ah7 is am5d$-- 7#a7 9          
subsection 7a7-- 7,a7 9 p>agraph 7#b71  
by /rik+ & at ! end2  7,b7 by r$esignat+
 p>agraph 7#c7 z p>agraph 7#d72 &  7,c7 
by ins]t+ aft] p>agraph 7#b7 ! foll[+   
new p>agraph3  7#c7 = activities t      
address social det]m9ants ( heal?2 &  2 
7#b7 9 subsection 7b77#a77;,a71 9 !     
matt] prec$+ clause 7i71 by /rik+       
p>agraphs 7#a7 & 7#b7 & ins]t+ p>agraphs

 7#a7 ?r\gh 7#c72 &  7#c7 9 subsection  
7c7-- 7,a7 by ins]t+ &1 ) respect to !  
activities report$ "u subsection        
7a77#c71 n lat] ,decemb] #ca1 #bjbc1    
aft] ,decemb] #ca1 #bjaj12 &  7,b7 by   
/rik+ subsection 7a77#b7 & ins]t+       
p>agraph 7#b7 or 7#c7 ( su* subsection4 
7b7 ,effective date ,! am5dm5ts made by 
p>agraphs 7#a7 & 7#b7 ( subsection 7a7  
%all apply ) respect to plan ye>s beg9n+
 on or aft] ,janu>y #a1 #bjbd4