,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #ciaj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #aa1 #bjbe,ms4  
,davids ( ,kansas 7= h]self & ,mr4      
,evans ( ,colorado7 introduc$ ! foll[+  
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce1 & 9 addition to !    
,committees on ,ways & ,means1 &        
,education & ,work=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 am5d title      
,,xxvii ( ! ,public ,heal? ,s]vice ,act1
 ! ,employee ,retirem5t ,income         
,security ,act ( #aigd1 & ! ,int]nal    
,rev5ue ,code ( #aihf to all[ p>5tal    
*oice 9 ! selection ( prim>y heal?      
insurance cov]age or prim>y cov]age "u a
 gr\p heal? plan = c]ta9 dep5d5t *ildr54
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,emp[]+ ,p>5ts' ,heal?c>e ,*oices   
,act4  #b4 ,all[+ p>5tal *oice 9 !      
selection ( prim>y heal? insurance      
cov]age or prim>y cov]age "u a gr\p     

heal? plan = c]ta9 dep5d5t *ildr5  7a7  
,public ,heal? ,s]vice ,act ,"p ,d (    
title ,,xxvii ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #cjj;gg-#aaa et    
seq47 is am5d$ by add+ at ! end ! foll[+
 new section3  #bgii;,a-#aa4 ,p>5tal    
*oice ( prim>y heal? insurance cov]age  
or prim>y cov]age "u a gr\p heal? plan =
 c]ta9 dep5d5t *ildr5  7a7 ,9 g5]al ,9 !
 case ( a dep5d5t *ild ( two individuals
 :]e bo? su* individuals1 at ! "t ( bir?
 ( su* *ild1 are cov]$ "u sep>ate       
policies ( heal? insurance cov]age (f]$ 
by a heal? insurance issu] or sep>ate   
gr\p heal? plans1 if bo? su* policies ( 
heal? insurance cov]age or plans 7z     
applicable7 w\ld provide cov]age ( su*  
*ild1 su* heal? insurance cov]age or    
plan 7z applicable7 %all provide prim>y 
cov]age ( su* *ild if bo? su*           
individuals submit to ! issu] ( su*     
cov]age or to su* plan 7z applicable71  
)9 #fj days ( ! bir? ( su* *ild & 9 a   
mann] specifi$ by ! ,secret>y1 a        
notification elect+ prim>y cov]age ( su*

 *ild "u su* heal? insurance cov]age or 
plan4 ,su* prim>y cov]age ( su* *ild "u 
su* heal? insurance cov]age or gr\p     
heal? plan %all cont9ue until ! e>li] ( 
! foll[+3 7#a7 ,a submission ( a        
notification1 9 a mann] specifi$ by !   
,secret>y1 by bo? su* individuals to !  
issu] ( su* heal? insurance cov]age or  
plan elect+ to discont9ue su* prim>y    
cov]age = su* *ild4  7#b7 ,! loss (     
cov]age "u su* heal? insurance cov]age  
or plan ( su* individual :o is enroll$  
"u su* heal? insurance cov]age or plan4 
7b7 ,election ( prim>y cov]age ) respect
 to s+le cov]age or plan ,! provisions (
 subsection 7a7 %all n apply if bo?     
individuals describ$ 9 su* p>agraph     
submit notifications = a *ild ) respect 
to multiple policies ( heal? insurance  
cov]age or gr\p heal? plans4  4  7b7    
,employee ,retirem5t ,income ,security  
,act ( #aigd  7#a7 ,9 g5]al ,subp>t ,b (
 "p #g ( subtitle ,b ( title ,i ( !     
,employee ,retirem5t ,income ,security  
,act ( #aigd is am5d$ by add+ at ! end !

 foll[+ new section3  #gbf4 ,p>5tal     
*oice ( prim>y heal? insurance cov]age  
or prim>y cov]age "u a gr\p heal? plan =
 c]ta9 dep5d5t *ildr5  7a7 ,9 g5]al ,9 !
 case ( a dep5d5t *ild ( two individuals
 :]e bo? su* individuals1 at ! "t ( bir?
 ( su* *ild1 are cov]$ "u sep>ate       
policies ( heal? insurance cov]age (f]$ 
by a heal? insurance issu] or sep>ate   
gr\p heal? plans1 if bo? su* policies ( 
heal? insurance cov]age or plans 7z     
applicable7 w\ld provide cov]age ( su*  
*ild1 su* gr\p heal? insurance cov]age  
or plan 7z applicable7 %all provide     
prim>y cov]age ( su* *ild if bo? su*    
individuals submit to ! issu] ( su*     
cov]age or to su* plan 7z applicable71  
)9 #fj days ( ! bir? ( su* *ild & 9 a   
mann] specifi$ by ! ,secret>y1 a        
notification elect+ prim>y cov]age ( su*
 *ild "u su* gr\p heal? insurance       
cov]age or plan4 ,su* prim>y cov]age (  
su* *ild "u su* gr\p heal? insurance    
cov]age or gr\p heal? plan %all cont9ue 
until ! e>li] ( ! foll[+3  7#a7 ,a      

submission ( a notification1 9 a mann]  
specifi$ by ! ,secret>y1 by bo? su*     
individuals to ! issu] ( su* gr\p heal? 
insurance cov]age or plan elect+ to     
discont9ue su* prim>y cov]age = su*     
*ild4  7#b7 ,! loss ( cov]age "u su*    
gr\p heal? insurance cov]age or plan (  
su* individual :o is enroll$ "u su*     
heal? insurance cov]age or plan4  7b7   
,election ( prim>y cov]age ) respect to 
s+le cov]age or plan ,! provisions (    
subsection 7a7 %all n apply if bo?      
individuals describ$ 9 su* p>agraph     
submit notifications = a *ild ) respect 
to multiple policies ( heal? insurance  
cov]age or gr\p heal? plans4  4  7#b7   
,te*nical am5dm5t ,! table ( cont5ts 9  
section #a ( su* ,act is am5d$ by ins]t+
 aft] ! item relat+ to section #gbe !   
foll[+ new item3  ,sec4 #gbf4 ,p>5tal   
*oice ( prim>y heal? insurance cov]age  
or prim>y cov]age "u a gr\p heal? plan =
 c]ta9 dep5d5t *ildr54  4  7c7 ,int]nal 
,rev5ue ,code ( #aihf  7#a7 ,9 g5]al    
,sub*apt] ,b ( *apt] #ajj ( ! ,int]nal  

,rev5ue ,code ( #aihf is am5d$ by add+  
at ! end ! foll[+ new section3  #ihbf4  
,p>5tal *oice ( prim>y heal? insurance  
cov]age or prim>y cov]age "u a gr\p     
heal? plan = c]ta9 dep5d5t *ildr5  7a7  
,9 g5]al ,9 ! case ( a dep5d5t *ild (   
two individuals :]e bo? su* individuals1
 at ! "t ( bir? ( su* *ild1 are cov]$ "u
 sep>ate policies ( heal? insurance     
cov]age (f]$ by a heal? insurance issu] 
or sep>ate gr\p heal? plans1 if bo? su* 
policies ( heal? insurance cov]age or   
plans 7z applicable7 w\ld provide       
cov]age ( su* *ild1 su* gr\p heal? plan 
%all provide prim>y cov]age ( su* *ild  
if bo? su* individuals submit to su*    
plan1 )9 #fj days ( ! bir? ( su* *ild & 
9 a mann] specifi$ by ! ,secret>y1 a    
notification elect+ prim>y cov]age ( su*
 *ild "u su* plan4 ,su* prim>y cov]age (
 su* *ild "u su* gr\p heal? plan %all   
cont9ue until ! e>li] ( ! foll[+3  7#a7 
,a submission ( a notification1 9 a     
mann] specifi$ by ! ,secret>y1 by bo?   
su* individuals to su* plan elect+ to   

discont9ue su* prim>y cov]age = su*     
*ild4  7#b7 ,! loss ( cov]age "u su*    
plan ( su* individual :o is enroll$ "u  
su* plan4  7b7 ,election ( prim>y       
cov]age ) respect to s+le cov]age or    
plan ,! provisions ( subsection 7a7 %all
 n apply if bo? individuals describ$ 9  
su* p>agraph submit notifications = a   
*ild ) respect to multiple policies (   
heal? insurance cov]age or gr\p heal?   
plans4  4  7#b7 ,te*nical am5dm5t ,!    
table ( sections = su* sub*apt] is am5d$
 by add+ at ! end ! foll[+ new item3    
,sec4 #ihbf4 ,p>5tal *oice ( prim>y     
heal? insurance cov]age or prim>y       
cov]age "u a gr\p heal? plan = c]ta9    
dep5d5t *ildr54  4  7d7 ,effective date 
,! am5dm5ts made by ?is section %all    
apply ) respect to *ildr5 born on or    
aft] ,janu>y #a1 #bjbf4