,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #geab  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #ad1 #bjbb,mrs4
 ,hayes 7= h]self & ,ms4 ,s*ak[sky7     
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committees on ,education 
& ,labor1 & ,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 title      
,,xxvii ( ! ,public ,heal? ,s]vice ,act1
 title ,i ( ! ,employee ,retirem5t      
,income ,security ,act ( #aigd1 & !     
,int]nal ,rev5ue ,code ( #aihf to limit 
enrollm5t 9 cov]age = except$ b5efits to
 individuals enroll$ 9 a heal? plan     
provid+ m9imum ess5tial cov]age4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,protect+ ,pati5ts f ,deceptive ,heal?  
,plans ,act4  #b4 ,modify+ except$      
b5efits ) respect to c]ta9 plans  7a7   
,public ,heal? ,s]vice ,act  7#a7       
,additional requirem5ts = except$ b5efit

 ,section #bgbb7;c77#b7 ( ! ,public     
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;gg-#ba7;c77#b77 is am5d$-- 7,a7 9  
subp>agraph 7,b71 by /rik+ sponsor4 &   
ins]t+ sponsor1 or ) respect to         
individual cov]age1 "u any heal?        
insurance cov]age ma9ta9$ by ! same     
heal? insurance issu]42 &  7,b7 by add+ 
at ! end ! foll[+3  7,d7 ,su* b5efits   
are paid )\t reg>d to1 & d n v>y bas$   
on1 ! sev]ity ( ! illness1 injury1      
diagnosis1 or o!r *>act]i/ics relat$ to 
treatm5t = :i* su* b5efits are paid4    
7,e7 ,) respect to su* b5efits1 !       
sep>ate policy1 c]tificate1 or contract 
( insurance is provid$ only to an       
individual enroll$ 9 m9imum ess5tial    
cov]age 7z def9$ 9 section #ejjj;,a7f7 (
 ! ,int]nal ,rev5ue ,code ( #aihf71 &   
su* m9imum ess5tial cov]age's %>e ( !   
total all[$ co/s 7z det]m9$ = purposes (
 section #cf;,b7c77#b77;,c77ii7 ( su*   
,code7 ( b5efits provid$ "u su* m9imum  
ess5tial cov]age is great] ?an or equal 
to #fj p]c5t ( su* co/s4  4  7#b7       

,modification ( c]ta9 except$ b5efits   
,section #bgia7;c7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             
#cjj;gg-#ia7;c77 is am5d$-- 7,a7 9      
p>agraph 7#a77;,a71 by /rik+ accid5t &  
all t foll[s ?r\gh comb9ation !re(1 &   
ins]t+ disability income insurance2 &   
7,b7 9 p>agraph 7#c71 by add+ at ! end !
 foll[+3  7,c7 ,cov]age only = accid5t4 
4  7b7 ,employee ,retirem5t ,income     
,security ,act  7#a7 ,additional        
requirem5ts = except$ b5efits ,section  
#gcb7;c77#b7 ( ! ,employee ,retirem5t   
,income ,security ,act ( #aigd 7#bi     
,u4,s4,c4 #aaia;a7c77#b77 is am5d$ by   
add+ at ! end ! foll[+3  7,d7 ,su*      
b5efits are paid )\t reg>d to1 & d n v>y
 bas$ on1 ! sev]ity ( ! illness1 injury1
 diagnosis1 or o!r *>act]i/ics relat$ to
 treatm5t = :i* su* b5efits are paid4   
7,e7 ,) respect to su* b5efits1 !       
sep>ate policy1 c]tificate1 or contract 
( insurance is provid$ only to a        
p>ticipant or b5efici>y enroll$ 9 m9imum
 ess5tial cov]age 7z def9$ 9 section    

#ejjj;,a7f7 ( ! ,int]nal ,rev5ue ,code (
 #aihf71 & su* m9imum ess5tial cov]age's
 %>e ( ! total all[$ co/s 7z det]m9$ =  
purposes ( section                      
#cf;,b7c77#b77;,c77ii7 ( su* ,code7 (   
b5efits provid$ "u su* m9imum ess5tial  
cov]age is great] ?an or equal to #fj   
p]c5t ( su* co/s4  4  7#b7 ,modification
 ( c]ta9 except$ b5efits ,section       
#gcc7;c7 ( ! ,employee ,retirem5t       
,income ,security ,act ( #aigd 7#bi     
,u4,s4,c4 #aaia;b7c77 is am5d$-- 7,a7 9 
p>agraph 7#a77;,a71 by /rik+ accid5t &  
all t foll[s ?r\gh comb9ation !re(1 &   
ins]t+ disability income insurance2 &   
7,b7 9 p>agraph 7#c71 by add+ at ! end !
 foll[+3  7,c7 ,cov]age only = accid5t4 
4  7c7 ,int]nal ,rev5ue ,code  7#a7     
,additional requirem5ts = except$       
b5efits ,section #ihca7;c77#b7 ( !      
,int]nal ,rev5ue ,code ( #aihf is am5d$ 
by add+ at ! end ! foll[+3  7,d7 ,su*   
b5efits are paid )\t reg>d to1 & d n v>y
 bas$ on1 ! sev]ity ( ! illness1 injury1
 diagnosis1 or o!r *>act]i/ics relat$ to

 treatm5t = :i* su* b5efits are paid4   
7,e7 ,) respect to su* b5efits1 !       
sep>ate policy1 c]tificate1 or contract 
( insurance is provid$ only to a        
p>ticipant or b5efici>y enroll$ 9 m9imum
 ess5tial cov]age 7z def9$ 9 section    
#ejjj;,a7f771 & su* m9imum ess5tial     
cov]age's %>e ( ! total all[$ co/s 7z   
det]m9$ = purposes ( section            
#cf;,b7c77#b77;,c77ii77 ( b5efits       
provid$ "u su* m9imum ess5tial cov]age  
is great] ?an or equal to #fj p]c5t (   
su* co/s4  4  7#b7 ,modification ( c]ta9
 except$ b5efits ,section #ihcb7;c7 ( ! 
,int]nal ,rev5ue ,code ( #aihf is       
am5d$-- 7,a7 9 p>agraph 7#a77;,a71 by   
/rik+ accid5t & all t foll[s ?r\gh      
comb9ation !re(1 & ins]t+ disability    
income insurance2 &  7,b7 9 p>agraph    
7#c71 by add+ at ! end ! foll[+3  7,c7  
,cov]age only = accid5t4  4  7d7        
,effective date ,! am5dm5ts made by ?is 
section %all take effect beg9n+ ,janu>y 
#a1 #bjbc1 & %all apply ) respect to    
policies issu$1 sold1 or r5ew$ on or    

aft] su* date4