,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #fdgi  ,,in ,,the ,,house ,,of  
,,representatives  ,december #d1        
#bjbe,mr4 ,soto 7for himself and ,mr4   
,hernndez7 introduced the following     
bill2 which was referred to the         
,committee on ,energy and ,commerce1 and
 in addition to the ,committee on ,ways 
and ,means1 for a period to be          
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to amend the ,patient       
,protection and ,affordable ,care ,act  
to require the establishment of an      
,exchange in ,puerto ,rico1 and for     
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,puerto ,rico  
,affordable ,care ,act of #bjbe4  #b4   
,requiring the establishment of an      
,exchange in ,puerto ,rico ,section     
#acjd7;d7 of the ,patient ,protection   
and ,affordable ,care ,act 7#db         
,u4,s4,c4 #ahjbd7;d77 is amended by     

inserting and1 beginning on the date    
that is #a year after the date of the   
enactment of the ,puerto ,rico          
,affordable ,care ,act of #bjbe1 ,puerto
 ,rico before the period4  #c4 ,ensuring
 application of health insurance market 
reforms in ,puerto ,rico                
,notwithstanding the letter sent by the 
,administrator of the ,centers for      
,medicare  ,medicaid ,services to the   
,commissioner of ,insurance of ,puerto  
,rico on ,july #af1 #bjad1 relating to  
the applicability of certain provisions 
of title ,,xxvii of the ,public ,health 
,service ,act 7#db ,u4,s4,c4 #cjj;gg et 
seq47 in ,puerto ,rico1 the ,secretary  
of ,health and ,human ,services shall1  
beginning on the date that is #a year   
after the date of the enactment of this 
,act1 apply such provisions to health   
insurance coverage 7as defined in       
section #bgia of such ,act 7#db         
,u4,s4,c4 #cjj;gg-#ia77 offered in      
,puerto ,rico4  #d4 ,application of     
premium tax credits in ,puerto ,rico    

7a7 ,in general ,section #cf;,b of the  
,internal ,revenue ,code of #aihf is    
amended by redesignating subsection 7h7 
as subsection 7i7 and by inserting after
 subsection 7g7 the following new       
subsection3  7h7 ,application of tax    
credit to residents of ,puerto ,rico    
,for purposes of subsections            
7b77#b77;,a71 7b77#c77;,c71             
7b77#c77;,d77ii71 and 7c77#b77;,a77i71  
,puerto ,rico shall be treated in the   
same manner as a ,state4  4  7b7        
,effective date ,the amendments made by 
this section shall apply to months      
beginning on or after the date that is  
#a year after the date of the enactment 
of this ,act4