,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #fchd  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,janu>y #ab1 #bjbb,mr4
 ,h>d] ( ,cali=nia 7= himself & ,mr4    
,c\rtney7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,education & 
,labor1 & 9 addition to ! ,committees on
 ,en]gy & ,comm]ce1 & ,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 am5d 
! ,employee ,retirem5t ,income ,security
 ,act ( #aigd1 title ,,xxii ( ! ,public 
,heal? ,s]vice ,act1 & ! ,int]nal       
,rev5ue ,code ( #aihf to improve c]ta9  
notifications provid$ to qualifi$       
b5efici>ies by gr\p heal? plans 9 ! case
 ( ,,cobra qualify+ ev5ts4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,improv+
 ,aw>5ess ( ,heal? ,cov]age ,options    
,act ( #bjbb4  #b4 ,improvem5t ( c]ta9  
notifications provid$ to qualifi$       
b5efici>ies by gr\p heal? plans 9 ! case
 ( ,,cobra qualify+ ev5ts  7a7 ,employee

 ,retirem5t ,income ,security ,act (    
#aigd  7#a7 ,9 g5]al ,section #fjf ( !  
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4 #aaff7 is   
am5d$-- 7,a7 9 subsection 7a77#d71 9 !  
matt] foll[+ subp>agraph 7,b71 by /rik+ 
"u ?is subsection & ins]t+ "u ?is "p 9  
accordance ) ! notification requirem5ts 
"u subsection 7c72 &  7,b7 9 subsection 
7c7-- 7i7 by /rik+ ,= purposes (        
subsection 7a77#d71 any notification &  
ins]t+ ,= purposes ( subsection         
7a77#d7-- 7#a7 any notification  2  7ii7
 by /rik+ 1 :i*ev] is applicable1 & any 
su* notification & ins]t+ ( subsection  
7a71 :i*ev] is applicable2 7#b7 any su* 
notification  2 &  7iii7 by /rik+ su*   
notification is made & ins]t+ su*       
notification is made2 & 7#c7 any su*    
notification %all1 ) respect to ea*     
qualifi$ b5efici>y ) respect to :om su* 
notification is made1 include in=mation 
reg>d+ any ,ex*ange e/abli%$ "u title ,i
 ( ! ,pati5t ,protection & ,af=dable    
,c>e ,act ?r\gh :i* su* a qualifi$      

b5efici>y may be eligible to enroll 9 a 
qualifi$ heal? plan 7z def9$ 9 section  
#acja ( ! ,pati5t ,protection &         
,af=dable ,c>e ,act71 includ+-- 7,a7 !  
publicly accessible ,int]net website    
address = su* ,ex*ange2  7,b7 ! publicly
 accessible ,int]net website address = !
 ,f9d ,local ,help directory ma9ta9$ by 
! ,dep>tm5t ( ,heal? & ,human ,s]vices  
on ! heal?c>e4gov ,int]net website 7or a
 successor website72  7,c7 a cle>       
explanation t-- 7i7 an individual :o is 
eligible = cont9uation cov]age may be   
eligible to enroll in/ead1 ) f9ancial   
assi/ance1 9 a qualifi$ heal? plan (f]$ 
?r\gh su* ,ex*ange1 b1 9 ! case t su*   
individual elects to enroll 9 su*       
cont9uation cov]age & subsequ5tly elects
 to t]m9ate su* cont9uation cov]age be=e
 ! p]iod ( su* cont9uation cov]age      
expires1 su* individual may n be        
eligible to enroll 9 a qualifi$ heal?   
plan (f]$ ?r\gh su* ,ex*ange dur+ a     
special enrollm5t p]iod if m ?an #fj    
days h elaps$ s9ce ! individual's loss (

 cov]age z an employee2  7ii7 an        
individual :o elects to enroll 9        
cont9uation cov]age w rema9 eligible to 
enroll 9 a qualifi$ heal? plan (f]$     
?r\gh su* ,ex*ange dur+ an op5 enrollm5t
 p]iod or ano!r special enrollm5t p]iod 
= :i* ! individual is eligible & may be 
eligible = f9ancial assi/ance ) respect 
to enroll+ 9 su* a qualifi$ heal? plan2 
&  7iii7 an individual may apply =1 & if
 eligible1 enroll 9 ,m$icaid or !       
,*ildr5's ,heal? ,insurance ,program    
7,,*ip71 at any "t1 ) no special        
enrollm5t p]iod requir$2  7,d7 in=mation
 on consum] protections ) respect to    
enroll+ 9 a qualifi$ heal? plan (f]$    
?r\gh su* ,ex*ange1 includ+ ! requirem5t
 = su* a qualifi$ heal? plan to provide 
cov]age = ess5tial heal? b5efits 7z     
def9$ 9 section #acjb7;b7 ( ! ,pati5t   
,protection & ,af=dable ,c>e ,act7 & !  
requirem5ts applicable to su* a qualifi$
 heal? plan "u "p ,a ( title ,,xxvii ( !
 ,public ,heal? ,s]vice ,act2 &  7,e7   
in=mation on ! availability ( f9ancial  

assi/ance ) respect to enroll+ 9 a      
qualifi$ heal? plan4  4  7#b7 ,effective
 date ,! am5dm5ts made by p>agraph 7#a7 
%all apply ) respect to qualify+ ev5ts  
occurr+ on or aft] ! date t is #ij days 
aft] ! date ( ! enactm5t ( ?is ,act4    
7b7 ,public ,heal? ,s]vice ,act  7#a7 ,9
 g5]al ,section #bbjf ( ! ,public ,heal?
 ,s]vice ,act 7#db ,u4,s4,c4 #cjj;bb-#f7
 is am5d$-- 7,a7 by /rik+ ,9 accordance 
& ins]t+ ! foll[+3  7a7 ,9 g5]al ,9     
accordance  2  7,b7 by /rik+ ( su*      
b5efici>y's rights "u ?is subsection &  
ins]t+ ( su* b5efici>y's rights "u ?is  
title 9 accordance ) ! notification     
requirem5ts "u subsection 7b72 &  7,c7  
by /rik+ ,= purposes ( p>agraph 7#d71 & 
all t foll[s ?r\gh su* notification is  
made4 & ins]t+ ! foll[+3  7b7 ,rules    
relat+ to notification ( qualifi$       
b5efici>ies by plan adm9i/rator ,=      
purposes ( subsection 7a77#d7-- 7#a7 any
 notification %all be made )9 #ad days (
 ! date on :i* ! plan adm9i/rator is    
notifi$ "u p>agraph 7#b7 or 7#c7 (      

subsection 7a71 :i*ev] is applicable2   
7#b7 any su* notification to an         
individual :o is a qualifi$ b5efici>y z 
! sp\se ( ! cov]$ employee %all be      
treat$ z notification to all o!r        
qualifi$ b5efici>ies resid+ ) su* sp\se 
at ! "t su* notification is made2 &     
7#c7 any su* notification %all1 )       
respect to ea* qualifi$ b5efici>y )     
respect to :om su* notification is made1
 include in=mation reg>d+ any ,ex*ange  
e/abli%$ "u title ,i ( ! ,pati5t        
,protection & ,af=dable ,c>e ,act ?r\gh 
:i* su* a qualifi$ b5efici>y may be     
eligible to enroll 9 a qualifi$ heal?   
plan 7z def9$ 9 section #acja ( !       
,pati5t ,protection & ,af=dable ,c>e    
,act71 includ+-- 7,a7 ! publicly        
accessible ,int]net website address =   
su* ,ex*ange2  7,b7 ! publicly          
accessible ,int]net website address = ! 
,f9d ,local ,help directory ma9ta9$ by !
 ,dep>tm5t ( ,heal? & ,human ,s]vices on
 ! heal?c>e4gov ,int]net website 7or a  
successor website72  7,c7 a cle>        

explanation t-- 7i7 an individual :o is 
eligible = cont9uation cov]age may be   
eligible to enroll in/ead1 ) f9ancial   
assi/ance1 9 a qualifi$ heal? plan (f]$ 
?r\gh su* ,ex*ange1 b1 9 ! case t su*   
individual elects to enroll 9 su*       
cont9uation cov]age & subsequ5tly elects
 to t]m9ate su* cont9uation cov]age be=e
 ! p]iod ( su* cont9uation cov]age      
expires1 su* individual may n be        
eligible to enroll 9 a qualifi$ heal?   
plan (f]$ ?r\gh su* ,ex*ange dur+ a     
special enrollm5t p]iod if m ?an #fj    
days h elaps$ s9ce ! individual's loss (
 cov]age z an employee2  7ii7 an        
individual :o elects to enroll 9        
cont9uation cov]age w rema9 eligible to 
enroll 9 a qualifi$ heal? plan (f]$     
?r\gh su* ,ex*ange dur+ an op5 enrollm5t
 p]iod or ano!r special enrollm5t p]iod 
= :i* ! individual is eligible & may be 
eligible = f9ancial assi/ance ) respect 
to enroll+ 9 su* a qualifi$ heal? plan2 
&  7iii7 an individual may apply =1 & if
 eligible1 enroll 9 ,m$icaid or !       

,*ildr5's ,heal? ,insurance ,program    
7,,*ip71 at any "t1 ) no special        
enrollm5t p]iod requir$2  7,d7 in=mation
 on consum] protections ) respect to    
enroll+ 9 a qualifi$ heal? plan (f]$    
?r\gh su* ,ex*ange1 includ+ ! requirem5t
 = su* a qualifi$ heal? plan to provide 
cov]age = ess5tial heal? b5efits 7z     
def9$ 9 section #acjb7;b7 ( ! ,pati5t   
,protection & ,af=dable ,c>e ,act7 & !  
requirem5ts applicable to su* a qualifi$
 heal? plan "u "p ,a ( title ,,xxvii2 & 
7,e7 in=mation on ! availability (      
f9ancial assi/ance ) respect to enroll+ 
9 a qualifi$ heal? plan4  4  7#b7       
,effective date ,! am5dm5ts made by     
p>agraph 7#a7 %all apply ) respect to   
qualify+ ev5ts occurr+ on or aft] ! date
 t is #ij days aft] ! date ( ! enactm5t 
( ?is ,act4  7c7 ,int]nal ,rev5ue ,code 
( #aihf  7#a7 ,9 g5]al ,section         
#dihj;,b7f77#f7 ( ! ,int]nal ,rev5ue    
,code ( #aihf is am5d$-- 7,a7 9         
subp>agraph 7,d7-- 7i7 9 clause 7ii71 by
 /rik+ "u subp>agraph 7,c7 & ins]t+ "u  

clause 7iii72 &  7ii7 by r$esignat+     
clauses 7i7 & 7ii7 z subclauses 7,i7 &  
7,,ii71 respectively1 & mov+ ! m>g9 (   
ea* su* subclause1 z s r$esignat$1 #b   
ems to ! "r2  7,b7 by r$esignat+        
subp>agraphs 7,a7 ?r\gh 7,d7 z clauses  
7i7 ?r\gh 7iv71 respectively1 & mov+ !  
m>g9 ( ea* su* clause1 z s r$esignat$1  
#b ems to ! "r2  7,c7 by /rik+ ,9       
accordance & ins]t+ ! foll[+3  7,a7 ,9  
g5]al ,9 accordance  2  7,d7 by ins]t+  
aft] ( su* b5efici>y's rights "u ?is    
subsection ! foll[+3 9 accordance ) !   
notification requirem5ts "u subp>agraph 
7,c72 &  7,e7 by /rik+ ,! requirem5ts ( 
subp>agraph 7,b7 & all t foll[s ?r\gh   
su* notification is made4 & ins]t+ !    
foll[+3  7,b7 ,alt]native means (       
compliance ) requirem5t = notification (
 multiemploy] plans by employ]s ,!      
requirem5ts ( subp>agraph 7,a77ii7 %all 
be consid]$ satisfi$ 9 ! case ( a       
multiemploy] plan 9 connection ) a      
qualify+ ev5t describ$ 9 p>agraph       
7#c77;,b7 if ! plan provides t !        

det]m9ation ( ! occurr5ce ( su* qualify+
 ev5t w be made by ! plan adm9i/rator4  
7,c7 ,rules relat+ to notification (    
qualifi$ b5efici>ies by plan adm9i/rator
 ,= purposes ( subp>agraph 7,a77iv7--   
7i7 any notification %all be made )9 #ad
 days 7or1 9 ! case ( a gr\p heal? plan 
:i* is a multiemploy] plan1 su* long]   
p]iod ( "t z may be provid$ 9 ! t]ms ( !
 plan7 ( ! date on :i* ! plan           
adm9i/rator is notifi$ "u clause 7ii7 or
 7iii7 ( subp>agraph 7,a71 :i*ev] is    
applicable2  7ii7 any su* notification  
to an individual :o is a qualifi$       
b5efici>y z ! sp\se ( ! cov]$ employee  
%all be treat$ z notification to all o!r
 qualifi$ b5efici>ies resid+ ) su* sp\se
 at ! "t su* notification is made2 &    
7iii7 any su* notification %all1 )      
respect to ea* qualifi$ b5efici>y )     
respect to :om su* notification is made1
 include in=mation reg>d+ any ,ex*ange  
e/abli%$ "u title ,i ( ! ,pati5t        
,protection & ,af=dable ,c>e ,act ?r\gh 
:i* su* a qualifi$ b5efici>y may be     

eligible to enroll 9 a qualifi$ heal?   
plan 7z def9$ 9 section #acja ( !       
,pati5t ,protection & ,af=dable ,c>e    
,act71 includ+-- 7,i7 ! publicly        
accessible ,int]net website address =   
su* ,ex*ange2  7,,ii7 ! publicly        
accessible ,int]net website address = ! 
,f9d ,local ,help directory ma9ta9$ by !
 ,dep>tm5t ( ,heal? & ,human ,s]vices on
 ! heal?c>e4gov ,int]net website 7or a  
successor website72  7,,iii7 a cle>     
explanation t-- 7aa7 an individual :o is
 eligible = cont9uation cov]age may be  
eligible to enroll in/ead1 ) f9ancial   
assi/ance1 9 a qualifi$ heal? plan (f]$ 
?r\gh su* ,ex*ange1 b1 9 ! case t su*   
individual elects to enroll 9 su*       
cont9uation cov]age & subsequ5tly elects
 to t]m9ate su* cont9uation cov]age be=e
 ! p]iod ( su* cont9uation cov]age      
expires1 su* individual may n be        
eligible to enroll 9 a qualifi$ heal?   
plan (f]$ ?r\gh su* ,ex*ange dur+ a     
special enrollm5t p]iod if m ?an #fj    
days h elaps$ s9ce ! individual's loss (

 cov]age z an employee2  7bb7 an        
individual :o elects to enroll 9        
cont9uation cov]age w rema9 eligible to 
enroll 9 a qualifi$ heal? plan (f]$     
?r\gh su* ,ex*ange dur+ an op5 enrollm5t
 p]iod or ano!r special enrollm5t p]iod 
= :i* ! individual is eligible & may be 
eligible = f9ancial assi/ance ) respect 
to enroll+ 9 su* a qualifi$ heal? plan2 
&  7cc7 an individual may apply =1 & if 
eligible1 enroll 9 ,m$icaid or !        
,*ildr5's ,heal? ,insurance ,program    
7,,*ip71 at any "t1 ) no special        
enrollm5t p]iod requir$2  7,,iv7        
in=mation on consum] protections )      
respect to enroll+ 9 a qualifi$ heal?   
plan (f]$ ?r\gh su* ,ex*ange1 includ+ ! 
requirem5t = su* a qualifi$ heal? plan  
to provide cov]age = ess5tial heal?     
b5efits 7z def9$ 9 section #acjb7;b7 ( !
 ,pati5t ,protection & ,af=dable ,c>e   
,act7 & ! requirem5ts applicable to su* 
a qualifi$ heal? plan "u "p ,a ( title  
,,xxvii ( ! ,public ,heal? ,s]vice ,act2
 &  7,v7 in=mation on ! availability (  

f9ancial assi/ance ) respect to enroll+ 
9 a qualifi$ heal? plan4  4  7#b7       
,effective date ,! am5dm5ts made by     
p>agraph 7#a7 %all apply ) respect to   
qualify+ ev5ts occurr+ on or aft] ! date
 t is #ij days aft] ! date ( ! enactm5t 
( ?is ,act4  7d7 ,model notices ,n lat] 
?an #ij days aft] ! date ( ! enactm5t ( 
?is ,act1 ! ,secret>y ( ! ,labor1 9     
consultation ) ! ,secret>y ( ! ,treasury
 & ! ,secret>y ( ,heal? & ,human        
,s]vices1 %all-- 7#a7 update ! model    
,consolidat$ ,omnibus ,budget           
,reconciliation ,act ( #aihe 7ref]r$ to 
9 ?is subsection z ,,cobra7 cont9uation 
cov]age g5]al notice & ! model ,,cobra  
cont9uation cov]age election notice     
develop$ by ! ,secret>y ( ,labor =      
purposes ( facilitat+ compliance ( gr\p 
heal? plans ) ! notification requirem5ts
 "u section #fjf ( ! ,employee          
,retirem5t ,income ,security ,act (     
#aigd 7#bi ,u4,s4,c4 #aaff7 to include !
 in=mation describ$ 9 p>agraph 7#c7 (   
subsection 7c7 ( su* section #fjf1 z    

add$ by subsection 7a77#a72  7#b7       
provide an opportunity = consum] te/+ ( 
ea* su* notice1 z s updat$1 to ensure t 
ea* su* notice is cle> & und]/&able to !
 av]age p>ticipant or b5efici>y ( a gr\p
 heal? plan2 &  7#c7 r5ame ! model      
,,cobra cont9uation cov]age g5]al notice
 & ! model ,,cobra cont9uation cov]age  
election notice z ! model ,,cobra       
cont9uation cov]age & ,af=dable ,c>e    
,act cov]age g5]al notice & ! model     
,,cobra cont9uation cov]age & ,af=dable 
,c>e ,act cov]age election notice1      
respectively4