,,ii  #aagth ,,congress  #ast ,session  
,s4 #ggi  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,march #af1 #bjba   
,mr4 ,warner 7for himself1 ,mrs4        
,shaheen1 ,mr4 ,cardin1 ,ms4 ,baldwin1  
,mr4 ,carper1 ,mr4 ,murphy1 ,mr4        
,peters1 ,mr4 ,reed1 ,ms4 ,duckworth1   
,mr4 ,kaine1 ,mr4 ,blumenthal1 ,mr4     
,menendez1 ,ms4 ,smith1 ,mr4 ,merkley1  
,ms4 ,cortez ,masto1 ,mr4 ,van ,hollen1 
,mrs4 ,gillibrand1 ,mr4 ,booker1 ,mr4   
,durbin1 ,mr4 ,lujn1 ,mr4 ,markey1 ,ms4 
,warren1 ,ms4 ,rosen1 ,ms4 ,klobuchar1  
,ms4 ,stabenow1 ,mr4 ,casey1 ,mrs4      
,murray1 ,mr4 ,wyden1 ,mr4 ,tester1 and 
,mr4 ,padilla7 introduced the following 
bill2 which was read twice and referred 
to the ,committee on ,finance  ,a ,,bill
  ,to provide that certain rules and    
guidance related to waivers for ,state  
innovation under the ,patient           
,protection and ,affordable ,care ,act  
shall have no force or effect4  #a4     
,short title ,this ,act may be cited as 
the ,protecting ,americans with         

,pre-,existing ,conditions ,act of      
#bjba4  #b4 ,providing that certain     
rules and guidance related to waivers   
for ,state innovation under the ,patient
 ,protection and ,affordable ,care ,act 
shall have no force or effect  7a7 ,in  
general ,the ,secretary of ,health and  
,human ,services and the ,secretary of  
the ,treasury may not take any action to
 implement1 enforce1 or otherwise give  
effect to the rules and guidance        
described in subsection 7b71 and no such
 rules and guidance shall have any force
 or effect4  7b7 ,rules and guidance    
,the rules and guidance described in    
this subsection are the following3 7#a7 
,the provisions in the final rule issued
 by the ,secretary of ,health and ,human
 ,services and the ,secretary of the    
,treasury on ,january #ai1 #bjba1       
relating to ,updates to ,state          
,innovation ,waiver 7,section #accb     
,waiver7 ,implementing ,regulations 7#hf
 ,fed4 ,reg4 #fach74  7#b7 ,the guidance
 issued by such ,secretaries entitled   

,state ,relief and ,empowerment ,waivers
 7#hc ,fed4 ,reg4 #ecege 7,october #bd1 
#bjah771 or any other rule promulgated  
to give effect to such guidance4