,i #aag? ,,congress #a/ ,session ,h4 ,r4 #efbb ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,octob] #ai1 #bjba,mr4 ,gallego introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ! ,judici>y1 = 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 am5d title ,,xxvii ( ! ,public ,heal? ,s]vice ,act to all[ = premium rates 9 ! gr\p & individual heal? insurance m>kets to v>y dur+ ! ,,covid-#ai em]g5cy p]iod bas$ on ,,covid-#ai vacc9ation /atus1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,vacc9e ,acc\ntability & ,premium ,protection ,act4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,m ?an #gjj1jjj ,,covid-#ai dea?s h be5 report$ 9 ! ,unit$ ,/ates & _m public heal? exp]ts believe ?is to be an und]c\nt ( ! actual dea? toll ( ! virus4 7#b7 ,!re are ?ree vacc9es t h receiv$ ei!r ,,fda approval or ,em]g5cy ,use ,au?orization1 h und]gone rigor\s te/+1 & h be5 prov5 to be safe & highly effective4 7#c7 ,^! vacc9es are free & widely available 9 ! ,unit$ ,/ates to protect individuals aga9/ ,,covid-#ai4 7#d7 ,full vacc9ation has be5 prov5 to r$uce ! risk ( mod]ate to sev]e ,,covid-#ai infection by five times & hospitalization & dea? by m ?an t5 times4 7#e7 ,ov] #bj p]c5t ( ,am]icans eligible to receive ! vacc9e rema9 unvacc9at$4 7#f7 ,,covid-#ai hospitalizations ( unvacc9at$ individuals h co/ ! ,u4,s4 heal? sy/em an e/imat$ #e4g billion betwe5 ,june #bjba & ,augu/ #bjba4 7#g7 ,"s heal? insur]s h propos$ or pr$ict$ increases 9 premium co/s due to high] heal? c>e co/s & high] utilization because ( ,,covid-#ai-relat$ s]vices4 7#h7 ,evid5ce %[s t ! ongo+ ,,covid-#ai p&emic cont9ues to impact ,am]icans' physical & m5tal heal? negatively1 has increas$ sub/ance use & drug ov]doses1 & has l$ to hospitals ration+ c>e = non-,,covid-#ai-relat$ c>e4 7#i7 ,! ov] #bj p]c5t ( eligible ,am]icans :o h n be5 vacc9at$ aga9/ ,,covid-#ai are jeop>diz+ _! own heal?1 ! heal? ( _! communities1 & ! ability ( local heal? sy/ems to provide compreh5sive1 high-quality c>e to ev]yone :o ne$s x4 7#aj7 ,! ov] #bj p]c5t ( eligible ,am]icans :o h n be5 vacc9at$ aga9/ ,,covid-#ai are disproportionately responsible = ! cont9uation ( community spread ( ,,covid-#ai & ! public heal? em]g5cy 9 ,am]ica1 z well z its associat$ economic consequ5ces4 #c4 ,all[+ premium rates 9 gr\p & individual heal? insurance m>kets to v>y bas$ on ,,covid-#ai vacc9ation /atus ,section #bgja7;a7 ( ! ,public ,heal? ,s]vice ,act 7#cjj;gg7a77 is am5d$-- 7#a7 9 p>agraph 7#a77;,a7-- 7,a7 9 clause 7iii71 by /rik+ at ! end &2 7,b7 by add+ at ! end ! foll[+ new clause3 7v7 dur+ any portion ( ! em]g5cy p]iod 7z describ$ 9 section #aace7;g77#a77;,b7 ( ! ,social ,security ,act7 7beg9n+ on or aft] ! date ( ! enactm5t ( ?is clause71 consi/5t ) p>agraph 7#f71 /atus z n be+ fully vacc9at$ 7z def9$ by ! ,c5t]s = ,disease ,control & ,prev5tion7 = ,,covid-#ai1 except t su* rate %all n v>y by m ?an #a4e to #a2 & 2 7#b7 9 p>agraph 7#d7-- 7,a7 9 ! head]1 by /rik+ or tobacco use & ins]t+ 1 tobacco use1 or vacc9ation /atus2 & 7,b7 by /rik+ clauses 7iii7 & 7iv7 & ins]t+ clauses 7iii71 7iv71 & 7v72 & 7#c7 by add+ at ! end ! foll[+ new p>agraph3 7#f7 ,conditions = v>y+ premiums by vacc9ation /atus ,a heal? insurance issu] (f]+ heal? insurance cov]age 9 ! individual or small gr\p m>ket 7or1 if applicable "u p>agraph 7#e71 ! l>ge gr\p m>ket71 may v>y ! premium rate ) respect to ! p>ticul> plan or cov]age involv$ by ! factor describ$ 9 p>agraph 7#a77;,a77v7 dur+ any portion ( ! p]iod describ$ 9 su* p>agraph only if ea* ( ! foll[+ conditions are met3 7,a7 ,an increase pursuant to p>agraph 7#a77;,a77v7 may be made to ! premium rate ( an enrollee ) respect to ! p>ticul> plan or cov]age only ) respect to mon?s dur+ su* portion ( su* p]iod ) respect to :i* ea* ( ! foll[+ applies to ! enrollee3 7i7 ,! enrollee is1 bas$ on guidel9es ( ! ,food & ,drug ,adm9i/ration & ( ! ,c5t]s = ,disease ,control & ,prev5tion1 eligible = a ,,covid-#ai vacc9e4 7ii7 ,! enrollee is n fully vacc9at$ 7z def9$ by ! ,c5t]s = ,disease ,control & ,prev5tion7 = ,,covid-#ai4 7iii7 ,! enrollee is n an individual :o has n be5 fully vacc9at$ by reason ( a v]ifi$ m$ical condition or an objection to ! vacc9e on ! basis ( s9c]ely held religi\s beliefs4 7,b7 ,! am\nt ( premium appli$ ) respect to an enrollee ) respect to ! p>ticul> plan or cov]age dur+ su* portion ( su* p]iod aft] application ( su* p>agraph 7#a77;,a77v7 does n result 9 a premium rate t exce$s an am\nt equal to #aj p]c5t ( ! enrollee's h\sehold income = su* portion ( su* p]iod4 7,c7 ,! issu] pays to ! ,secret>y ( ! ,treasury an am\nt equal to #be p]c5t ( ! am\nt by :i*-- 7i7 ! total premiums *>g$ ) respect to ! p>ticul> plan or cov]age dur+ su* portion ( su* p]iod aft] application ( su* p>agraph 7#a77;,a77v72 exce$s 7ii7 ! total premiums t w\ld h be5 *>g$ ) respect to su* plan or cov]age dur+ su* portion ( su* p]iod )\t application ( su* p>agraph4 7,d7 ,! issu] c]tifies to ! ,secret>y ( ,heal? & ,human ,s]vices t ! premium rate appli$ ) respect to enrollees :o are fully vacc9at$ 7z def9$ by ! ,c5t]s = ,disease ,control & ,prev5tion7 = ,,covid-#ai ) respect to ! p>ticul> plan or cov]age on vacc9at$ individuals w n be increas$ dur+ su* portion ( su* p]iod by reason ( increas$ co/s associat$ ) ! em]g5cy p]iod describ$ 9 p>agraph 7#a77;,a77v74 7,e7 ,be=e apply+ an increase to ! premium rate pursuant to p>agraph 7#a77;,a77v71 ! issu] notifies ea* enrollee ) respect to ! p>ticul> plan or cov]age :o w be subject to su* increase 9 premium rate & provides ea* su* enrollee ) in=mation on :]e & h[ to receive a vacc9e = ,,covid-#ai )\t co/ to su* enrollee = su* vacc9e4 4 #d4 ,s5se ( ,congress relat$ to ! s]i\sness ( pres5t+1 creat+1 or di/ribut+ fraudul5t vacc9ation c>ds ,x is ! s5se ( ,congress t-- 7#a7 any individual falsely repres5t+ !mselves z vacc9at$ aga9/ ,,covid-#ai und]m9es mitigation ef=ts1 endang]s public heal?1 & puts ^? ar\nd !m at increas$ risk = contract+ ,,covid-#ai2 7#b7 ! pres5tation1 sale1 pur*ase1 or di/ribution ( c\nt]feit ,,covid-#ai vacc9ation c>ds appe>+ to be issu$ by ! ,c5t]s = ,disease ,control & ,prev5tion or (ficial vacc9ation c>ds fill$ out ) in=mation falsely indicat+ t a p]son :o has n receiv$ ! ,,covid-#ai vacc9ation is inde$ vacc9at$ is a s]i\s crime 9 violation ( ,f$]al law2 7#c7 an individual guilty ( ! crime ( pres5t+ or pur*as+ a fraudul5t vacc9ation c>d %\ld1 9 accordance ) law1 be subject to a f9e ( n less ?an #e1jjj2 & 7#d7 an individual or organization guilty ( ! crime ( sell+ or di/ribut+ a fraudul5t vacc9ation c>d %\ld receive ! maximum p5alty p]missible "u section #ajag ( title #ah1 ,unit$ ,/ates ,code1 9 accordance ) ! scope ( ! crime4