,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #ebf  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #bh1 #bjba,mr4
 ,doggett 7= himself1 ,mr4 ,fitzpatrick1
 ,ms4 ,de,gette1 ,mr4 ,br5dan ,f4 ,boyle
 ( ,p5nsylvania1 ,mr4 ,mi*ael ,f4 ,doyle
 ( ,p5nsylvania1 ,mr4 ,bey]1 ,mr4       
,blum5au]1 ,mr4 ,butt]field1 ,mr4       
,crd5as1 ,mr4 ,coh51 ,mr4 ,connolly1    
,mr4 ,coop]1 ,mr4 ,cr[1 ,ms4 ,de,lauro1 
,mr4 ,deut*1 ,mr4 ,evans1 ,mr4 ,ha/+s1  
,mrs4 ,hayes1 ,ms4 ,h\lahan1 ,mr4       
,khanna1 ,mr4 ,lieu1 ,ms4 ,moore (      
,wiscons91 ,mr4 ,nadl]1 ,mrs4           
,napolitano1 ,mr4 ,neguse1 ,ms4 ,om>1   
,mr4 ,pocan1 ,ms4 ,port]1 ,mr4 ,ryan1   
,ms4 ,s*ak[sky1 ,mr4 ,s*neid]1 ,mr4     
,trone1 ,ms4 ,velzquez1 ,ms4 ,wass]man  
,s*ultz1 ,mr4 ,wel*1 ,ms4 ,wild1 ,ms4   
,spanb]g]1 ,ms4 ,sn*ez1 ,mr4 ,danny ,k4 
,davis ( ,ill9ois1 & ,ms4 ,ross7        
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committees on ,ways &    
,means1 & ,education & ,labor1 = 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       
provide = special enrollm5t p]iods dur+ 
public heal? em]g5cies4  #a4 ,%ort title
 ,?is ,act may be cit$ z ! ,ensur+      
,cov]age 9 ,public ,heal? ,em]g5cies    
,act ( #bjba4  #b4 ,special enrollm5t   
p]iods dur+ public heal? em]g5cies  7a7 
,public ,heal? ,s]vice ,act ,title      
,,xxvii ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #cjj;gg et seq47 is      
am5d$-- 7#a7 9 section #bgjb7;b77#b7    
7#db ,u4,s4,c4 #cjj;gg-#a7;b77#b771 by  
ins]t+ 1 :i* %all include a special     
enrollm5t p]iod ( #cj days dur+ a public
 heal? em]g5cy decl>$ "u section #cai1  
:i* p]iod may be ext5d$ = su* "t z !    
,secret>y may require be=e ! p]iod at ! 
end2 &  7#b7 9 section #bgjd7;f7 7#db   
,u4,s4,c4 #cjj;gg-#c7;f771 by add+ at ! 
end ! foll[+3  7#d7 ,public heal?       
em]g5cies ,if ! ,secret>y decl>es a     
public heal? em]g5cy "u section #cai1 a 

gr\p heal? plan1 & a gr\p heal?         
insurance issu] (f]+ gr\p heal?         
insurance cov]age 9 connection ) a gr\p 
heal? plan1 %all p]mit an employee :o is
 eligible1 b n enroll$1 = cov]age "u !  
t]ms ( ! plan or cov]age 7or a dep5d5t (
 su* an employee if ! dep5d5t is        
eligible1 b n enroll$1 = cov]age "u su* 
t]ms7 to enroll = cov]age "u ! t]ms ( ! 
plan or cov]age dur+ ! special enrollm5t
 p]iod requir$ "u section #bgjb7;b77#b7 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #cjj;gg-#a7;b77#b774  4  7b7  
,,erisa ,section #gja7;f7 ( ! ,employee 
,retirem5t ,income ,security ,act (     
#aigd 7#bi ,u4,s4,c4 #aaha7;f77 is am5d$
 by add+ at ! end ! foll[+3  7#d7       
,public heal? em]g5cies ,if ! ,secret>y 
( ,heal? & ,human ,s]vices decl>es a    
public heal? em]g5cy "u section #cai ( !
 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #bdg;d71 a gr\p heal? plan1 or
 a heal? insurance issu] (f]+ gr\p heal?
 insurance cov]age 9 connection ) su* a 
plan1 %all p]mit an employee :o is      

eligible1 b n enroll$1 = cov]age "u !   
t]ms ( ! plan or cov]age 7or a dep5d5t (
 su* an employee if ! dep5d5t is        
eligible1 b n enroll$1 = cov]age "u su* 
t]ms7 to enroll = cov]age "u ! t]ms ( ! 
plan or cov]age dur+ ! special enrollm5t
 p]iod requir$ "u section #bgjb7;b77#b7 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #cjj;gg-#a7;b77#b774  4  7c7  
,,irc ,section #ihja7;f7 ( ! ,int]nal   
,rev5ue ,code ( #aihf 7#bf ,u4,s4,c4    
#ihja7;f77 is am5d$ by add+ at ! end !  
foll[+ new p>agraph3  7#d7 ,public heal?
 em]g5cies ,if ! ,secret>y ( ,heal? &   
,human ,s]vices decl>es a public heal?  
em]g5cy "u section #cai ( ! ,public     
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bdg;d71 a gr\p heal? plan %all p]mit an
 employee :o is eligible1 b n enroll$1 =
 cov]age "u ! t]ms ( ! plan 7or a       
dep5d5t ( su* an employee if ! dep5d5t  
is eligible1 b n enroll$1 = cov]age "u  
su* t]ms7 to enroll = cov]age "u ! t]ms 
( ! plan dur+ ! special enrollm5t p]iod 
requir$ "u section #bgjb7;b77#b7 ( !    

,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;gg-#a7;b77#b774  4  7d7  
,rule ( con/ruction ,no?+ 9 ! am5dm5ts  
made by ?is section %all be con/ru$ to  
prev5t a gr\p heal? plan or heal?       
insurance issu] f (f]+ a special        
enrollm5t p]iod 9 addition to any su*   
p]iod requir$ "u ,f$]al law4  #c4       
,effective date2 application ,! am5dm5ts
 made by ?is ,act %all take effect on ! 
date ( enactm5t ( ?is ,act & %all apply 
) respect to plan ye>s 9 effect on !    
date ( enactm5t ( ?is ,act1 & plan ye>s 
beg9n+ on or aft] su* date4