,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #gcb  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,febru>y #a1 #bjbc,mr4
 ,pocan 7= himself1 ,mr4 ,khanna1 ,ms4  
,s*ak[sky1 ,mr4 ,coh51 ,mr4 ,davis (    
,ill9ois1 ,mr4 ,c>son1 ,ms4 ,de,lauro1  
,mr4 ,doggett1 ,ms4 ,port]1 ,mr4 ,fro/1 
,mr4 ,nadl]1 ,ms4 ,lee ( ,cali=nia1 ,mr4
 ,deluzio1 ,mrs4 ,*]filus-,mc,cormick1  
,ms4 ,jayapal1 ,mr4 ,johnson ( ,georgia1
 ,mr4 ,grijalva1 ,ms4 ,tlaib1 ,mr4      
,b[man1 & ,mrs4 ,napolitano7 introduc$ !
 foll[+ bill2 :i* 0 ref]r$ to !         
,committee on ,ways & ,means1 & 9       
addition to ! ,committee on ,en]gy &    
,comm]ce1 = 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 r5ame ! program "u "p ,c ( 
title ,,xviii ( ! ,social ,security     
,act1 & = o!r purposes4  #a4 ,%ort title
 ,?is ,act may be cit$ z ! ,save ,m$ic>e
 ,act4  #b4 ,m$ic>e ,advantage r5am$    
7a7 ,9 g5]al ,!re is h]eby e/abli%$ !   

,alt]native ,private ,heal? ,plan       
program4 ,! ,alt]native ,private ,heal? 
,plan program %all consi/ ( ! program "u
 "p ,c ( title ,,xviii ( ! ,social      
,security ,act 7#db ,u4,s4,c4 #aciew-#ba
 et seq474  7b7 ,ref]5ces ,not)/&+      
section #bja ( ! ,m$ic>e ,prescription  
,drug1 ,improvem5t1 & ,mod]nization ,act
 ( #bjjc 7,public ,law #ajh-agc7 &      
subject to subsection 7c71 any ref]5ce  
to ! program "u "p ,c ( title ,,xviii ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#aciew-#ba et seq47 %all be deem$ a     
ref]5ce to ! ,alt]native ,private ,heal?
 ,plan program &1 ) respect to su* "p1  
any ref]5ce to ,m$ic>e,*oice1 ,m$ic>e   
,advantage1 or ,,ma is deem$ a ref]5ce  
to ! ,alt]native ,private ,heal? ,plan  
program4  7c7 ,transition ,9 ord] to    
provide = an ord]ly transition & avoid  
b5efici>y & provid] confusion1 !        
,secret>y ( ,heal? & ,human ,s]vices    
%all provide = an appropriate transition
 9 ! use ( ! t]ms ,m$ic>e ,advantage1   
,,ma1 & ,alt]native ,private ,heal?     

,plan 9 ref]5ce to ! program "u "p ,c ( 
title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciew-#ba et seq474    
,su* transition %all be fully complet$ =
 all mat]ials = plan ye>s beg9n+ on or  
aft] ,octob] #ae1 #bjbc4 ,be=e !        
completion ( su* transition1 any ref]5ce
 to ! ,alt]native ,private ,heal? ,plan 
program %all be deem$ to include a      
ref]5ce to ,m$ic>e,*oice1 ,m$ic>e       
,advantage1 & ,,ma4  #c4 ,civil money   
p5alty ,section #aabh;,a ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acbj;a-#g;a7 is am5d$ by add+ at ! end 
! foll[+3  7t7 7#a7 ,any entity t       
adv]tises a plan "u "p ,c ( title       
,,xviii ( ?is ,act by us+ ! t]m ,m$ic>e 
9 ! title ( ! plan on or aft] ! date (  
enactm5t ( ?is ,act %all be subject to a
 civil money p5alty ( #ajj1jjj = ea*    
in/ance ( ! use ( ! t]m 9 a plan title4 
7#b7 ,! provisions ( subsections 7c71   
7g71 & 7h7 %all apply to a civil money  
p5alty "u ?is subsection 9 ! same mann] 
z su* provisions apply to a p5alty1     

assessm5t1 or proce$+ "u subsection 7a74
  4