,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ghjc  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #d1 #bjbf,mr4    
,pocan 7= himself1 ,ms4 ,s*ak[sky1 ,mr4 
,khanna1 ,mr4 ,coh51 ,ms4 ,de,lauro1    
,mr4 ,deluzio1 ,mr4 ,doggett1 ,mr4      
,fro/1 ,mr4 ,goldman ( ,new ,york1 ,ms4 
,norton1 ,ms4 ,jayapal1 ,mr4 ,johnson ( 
,georgia1 ,mr4 ,l&sman1 ,ms4 ,m5g1 ,ms4 
,ocasio-,cortez1 ,ms4 ,om>1 & ,ms4      
,tlaib7 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

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