,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #dffi  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #bb1 #bjba ,ms4 
,s*ri] 7= h]self1 ,ms4 ,sewell1 & ,ms4  
,mann+7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = 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$  ,a ,,bill  ,to exp& co/-%>+    
r$uctions ) respect to qualifi$ heal?   
plans (f]$ ?r\gh an ,ex*ange1 & = o!r   
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,capp+ ,co/s = ,consum]s   
,act ( #bjba4  #b4 ,exp&+ co/-%>+       
r$uctions "u ,ex*ange plans  7a7 ,9     
g5]al ,section #adjb ( ! ,pati5t        
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjga7 is am5d$--  7#a7 9    
subsection 7b7-- 7,a7 9 p>agraph 7#a71  
by /rik+ :o enrolls & ins]t+ subject to 
! la/ s5t5ce ( ?is subsection1 :o       
enrolls2 &  7,b7 by add+ at ! end !     

foll[+ s5t5ce3 ,) respect to plan ye>s  
beg9n+ on or aft] ,janu>y #a1 #bjbc1    
p>agraph 7#a7 %all be appli$ z if !     
ref]5ce to ! silv] level ( cov]age 7 a  
ref]5ce to ! gold level ( cov]age42     
7#b7 9 subsection 7c77#a77;,b77i7--     
7,a7 9 subclause 7,,ii71 by /rik+ an    
eligible insur$ describ$ 9 p>agraph     
7#b77;,b7 & ins]t+ 1 ) respect to plan  
ye>s beg9n+ be=e ,janu>y #a1 #bjbc1 an  
eligible insur$ describ$ 9 p>agraph     
7#b77;,b77i7 &1 ) respect to plan ye>s  
beg9n+ on or aft] ,janu>y #a1 #bjbc1 an 
eligible insur$ describ$ 9 p>agraph     
7#b77;,b77ii72 &  7,b7 by am5d+         
subclauses 7,,iii7 & 7,,iv7 to read z   
foll[s3  7,,iii7 ) respect to plan ye>s 
beg9n+ be=e ,janu>y #a1 #bjbc-- 7aa7 #gc
 p]c5t 9 ! case ( an eligible insur$ ^: 
h\sehold income is m ?an #bjj p]c5t b n 
m ?an #bej p]c5t ( ! pov]ty l9e = a     
family ( ! size involv$2 &  7bb7 #gj    
p]c5t 9 ! case ( an eligible insur$ ^:  
h\sehold income is m ?an #bej p]c5t b n 
m ?an #djj p]c5t ( ! pov]ty l9e = a     

family ( ! size involv$2 &  7,,iv7 )    
respect to plan ye>s beg9n+ on or aft]  
,janu>y #a1 #bjbc1 #he p]c5t 9 ! case ( 
an eligible insur$ describ$ 9 p>agraph  
7#b77;,c77ii74  2  7#c7 9 subsection    
7c77#b71 by am5d+ subp>agraphs 7,b7 &   
7,c7 to read z foll[s3  7,b7 9 ! case   
(--  7i7 ) respect to plan ye>s beg9n+  
be=e ,janu>y #a1 #bjbc1 an eligible     
insur$ ^: h\sehold income is m ?an #aej 
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 #hg 
p]c5t ( su* co/s2 &  7ii7 ) respect to  
plan ye>s beg9n+ on or aft] ,janu>y #a1 
#bjbc1 an eligible insur$ ^: h\sehold   
income is m ?an #aej 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 #hg p]c5t ( su* co/s2 &  7,c7 9
 ! case (-- 7i7 ) respect to plan ye>s  
beg9n+ be=e ,janu>y #a1 #bjbc1 an       
eligible insur$ ^: h\sehold income is m 

?an #bjj p]c5t b n m ?an #bej p]c5t ( ! 
pov]ty l9e = a family ( ! size involv$1 
increase ! plan's %>e ( ! total all[$   
co/s ( b5efits provid$ "u ! plan to #gc 
p]c5t ( su* co/s2 &  7ii7 ) respect to  
plan ye>s beg9n+ on or aft] ,janu>y #a1 
#bjbc1 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  2 &     
7#d7 by add+ at ! end ! foll[+ new      
subsection3  7h7 ,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  7b7 ,con=m+ am5dm5ts to    
,/ate basic heal? programs = c]ta9      
l[-,income individuals ,section         
#acca7;a77#b7 ( ! ,pati5t ,protection & 
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjea7;a77#b77 is am5d$--  7#a7 9      
subp>agraph 7,a77i71 by /rik+ !         
applicable second l[e/ co/ silv] plan 7z

 def9$ 9 section #cf;,b7b77#c77;,b7 ( ! 
,int]nal ,rev5ue ,code ( #aihf7 & ins]t+
 1 ) respect to plan ye>s beg9n+ be=e   
,janu>y #a1 #bjbc1 ! applicable second  
l[e/ co/ silv] plan 7z def9$ 9 section  
#cf;,b7b77#c77;,b7 ( ! ,int]nal ,rev5ue 
,code ( #aihf7 &1 ) respect to plans    
ye>s beg9n+ on or aft] ,janu>y #a1      
#bjbc1 ! applicable second l[e/ co/ gold
 plan 7z def9$ 9 su* section72 &  7#b7 9
 ! matt] foll[+ subp>agraph 7,b71 by    
/rik+ or ! applicable second l[e/ co/   
silv] plan & ins]t+ or1 ) respect to    
plan ye>s beg9n+ be=e ,janu>y #a1 #bjbc1
 ! applicable second l[e/ co/ silv] plan
 7or1 ) respect to plan ye>s beg9n+ on  
or aft] ,janu>y #a1 #bjbc1 ! applicable 
second l[e/ co/ gold plan4  #c4 ,premium
 assi/ance cr$it am\nt det]m9$ us+      
applicable second l[e/ co/ gold plan    
7a7 ,9 g5]al ,section #cf;,b ( !        
,int]nal ,rev5ue ,code ( #aihf is       
am5d$-- 7#a7 by /rik+ silv] ea* place x 
appe>s & ins]t+ gold2 &  7#b7 9 ! head] 
( subsection 7b77#c77;,b71 by /rik+     

silv] & ins]t+ gold4  7b7 ,effective    
date ,! am5dm5ts made by ?is section    
%all apply to taxable ye>s beg9n+ aft]  
,decemb] #ca1 #bjbb4