,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #fgfj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #af1         
#bjbe,mr4 ,pappas 7= himself1 ,ms4      
,norton1 ,ms4 ,goodl&]1 & ,ms4 ,johnson 
( ,texas7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,en]gy &     
,comm]ce1 & 9 addition to ! ,committee  
on ,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 ! ,pati5t  
,protection & ,af=dable ,c>e ,act to    
facilitate ! enrollm5t ( individuals 9  
qualifi$ heal? plans4  #a4 ,%ort title  
,?is ,act may be cit$ z ! ,protect+     
,access to ,af=dable ,cov]age ,act (    
#bjbe4  #b4 ,facilitat+ ! enrollm5t (   
individuals 9 qualifi$ heal? plans  7a7 
,ext5d+ ! op5 enrollm5t p]iod = plan ye>
 #bjbf ,section #acaa7;c77#f7 ( !       
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahjca7;c77#f77 is  
am5d$---  7#a7 9 subp>agraph 7,b71 by   

ins]t+ 1 subject to subp>agraph 7,e71   
aft] z det]m9$ by ! ,secret>y2  7#b7 9  
subp>agraph 7,c71 by /rik+ & at ! end2  
7#c7 9 subp>agraph 7,d71 by /rik+ !     
p]iod & ins]t+ 2 &2 &  7#d7 by add+ at !
 end ! foll[+ new subp>agraph3  7,e7 an 
op5 enrollm5t p]iod = enrollm5ts = plan 
ye> #bjbf t beg9s n lat] ?an ,novemb]   
#a1 #bjbe1 & ends n e>li] ?an ,may #a1  
#bjbf4  4  7b7 ,repeal ( c]ta9          
v]ification requirem5ts ,! am5dm5ts made
 by section #gacjc ( an ,act to provide 
= reconciliation pursuant to title ,,ii 
( ,h4 ,con4 ,res4 #ad 7,public ,law     
#aai-ba7 are repeal$1 & any provision ( 
law am5d$ by su* section is re/or$ or   
reviv$ z if su* am5dm5ts _h nev] be5    
enact$4  7c7 ,ensur+ enrollm5t          
opportunities = c]ta9 individuals  7#a7 
,9 g5]al ,section #cf;,b7c77#c77;,a7 ( !
 ,int]nal ,rev5ue ,code ( #aihf is am5d$
 by /rik+ clause 7iii74  7#b7           
,e/abli%m5t ( special enrollm5t p]iod   
7,a7 ,9 g5]al ,section #acaa7;c77#f7 ( !
 ,pati5t ,protection & ,af=dable ,c>e   

,act 7#db ,u4,s4,c4 #ahjca7;c77#f771 z  
am5d$ by subsection 7a71 is fur!r       
am5d$--  7i7 9 subp>agraph 7,d71 by     
/rik+ & at ! end2  7ii7 9 subp>agraph   
7,e71 by /rik+ ! p]iod & ins]t+ 2 &2 &  
7iii7 by add+ at ! end ! foll[+ new     
subp>agraph3  7,f7 a special enrollm5t  
p]iod once p] mon? = an individual :o is
 eligible = ! advance paym5t ( premium  
tax cr$its "u section #adab & ^:        
h\sehold income is n expect$ to exce$   
#aej p]c5t ( ! pov]ty l9e = a family ( !
 size involv$4  4  7,b7 ,effective date 
,! am5dm5ts made by subp>agraph 7,a7    
%all apply ) respect to plan ye>s beg9n+
 on or aft] ,janu>y #a1 #bjbf4  7d7     
,navigator grants ,section #acaa7;i7 ( !
 ,pati5t ,protection & ,af=dable ,c>e   
,act 7#db ,u4,s4,c4 #ahjca7;i77 is      
am5d$--  7#a7 9 p>agraph 7#b71 by add+  
at ! end ! foll[+ new subp>agraph3  7,c7
 ,m&atory grant ,9 aw>d+ grants "u      
p>agraph 7#a71 ! ,ex*ange %all1 = ea*   
plan ye> 7beg9n+ ) plan ye> #bjbf7--    
7i7 aw>d su* grants only to entities ) a

 physical pres5ce 9 ! ,/ate ( su*       
,ex*ange2 &  7ii7 aw>d su* a grant to at
 lea/ #a entity describ$ 9 ?is p>agraph4
  2  7#b7 9 p>agraph 7#d77;,a7-- 7,a7 9 
! matt] prec$+ clause 7i71 by ins]t+    
7f9ancial or o!rwise7 aft] int]e/2  7,b7
 9 clause 7i71 by /rik+ or at ! end2    
7,c7 9 clause 7ii71 by /rik+ ! p]iod &  
ins]t+ 2 or2 &  7,d7 by add+ at ! end ! 
foll[+ new clause3  7iii7 = plan ye>    
#bjbf or a subsequ5t plan ye>--  7,i7 be
 an enhanc$ direct enrollm5t entity2    
7,,ii7 *>ge any fees to applicants or   
enrollees2 or  7,,iii7 reque/ any =m (  
remun]ation f or on behalf ( any        
applicant or enrollee4  2 &  7#c7 9     
p>agraph 7#f7--  7,a7 by /rik+          
,fund+4--,grants "u & ins]t+ ,fund+4--  
7,a7 ,/ate ,ex*anges ,grants "u  2 &    
7,b7 by add+ at ! end ! foll[+ new      
subp>agraph3  7,b7 ,f$]al ,ex*anges  7i7
 ,9 g5]al ,= purposes ( c>ry+ out ?is   
subsection1 ) respect to ,ex*anges      
e/abli%$ & op]at$ by ! ,secret>y        
pursuant to section #acba7;c71 !        

,secret>y %all obligate #ajj1jjj1jjj out
 ( am\nts collect$ ?r\gh ! us] fees on  
p>ticipat+ heal? insurance issu]s       
pursuant to section #aef4ej ( title #de1
 ,code ( ,f$]al ,regulations 7or any    
successor regulations7 = fiscal ye>     
#bjbf & ea* subsequ5t fiscal ye>4 ,su*  
am\nt = a fiscal ye> %all rema9         
available until exp5d$4  7ii7           
,allocation  7,i7 ,9 g5]al ,! ,secret>y 
%all1 out ( am\nts obligat$ "u clause   
7i7 = a fiscal ye>1 allocate to ea*     
,ex*ange e/abli%$ & op]at$ by !         
,secret>y 9 a ,/ate pursuant to section 
#acba7;c71 = mak+ grants "u p>agraph    
7#a7 dur+ su* fiscal ye>--  7aa7        
#a1bej1jjj2 plus  7bb7 an am\nt t be>s !
 same ratio to ! total rema9+ obligat$  
funds 7z def9$ 9 subclause 7,,ii77 = su*
 fiscal ye> z ! numb] ( individuals     
enroll$ 9 a qualifi$ heal? plan (f]$    
?r\gh an ,ex*ange e/abli%$ 9 su* ,/ate1 
or enroll$ "u ! ,/ate plan ( su* ,/ate  
"u title ,,xix 7or waiv] ( su* plan71   
dur+ ! prec$+ fiscal ye> be>s to ! total

 numb] ( individuals enroll$ 9 su* a    
plan (f]$ ?r\gh an ,ex*ange e/abli%$ 9  
any ,/ate t is a specifi$ ,/ate 7z def9$
 9 subclause 7,,ii77 ) respect to su*   
fiscal ye>1 or enroll$ "u ! ,/ate plan (
 any su* ,/ate "u title ,,xix 7or waiv] 
( su* plan71 dur+ su* prec$+ fiscal ye>4
  7,,ii7 ,def9itions ,9 ?is clause3 7aa7
 ,total rema9+ obligat$ funds ,! t]m    
total rema9+ obligat$ funds means1 )    
respect to a fiscal ye>1 #ajj1jjj1jjj1  
less an am\nt equal to ! product (--    
7,,aa7 #a1bej1jjj2 & 7,,bb7 ! numb] (   
,ex*anges describ$ 9 clause 7i7 = su*   
fiscal ye>4  7bb7 ,specifi$ ,/ate ,! t]m
 specifi$ ,/ate means1 ) respect to a   
fiscal ye>1 a ,/ate 9 :i* ! ,secret>y   
e/abli%es & op]ates an ,ex*ange pursuant
 to section #acba7;c74  4