,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ghfj  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #i1 #bjbf,mr4    
,b>rett 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    
address fraudul5t enrollm5ts 9 !        
,ex*anges4  #a4 ,%ort title ,?is ,act   
may be cit$ z ! ,/op ,,aca ,enrollm5t   
,fraud ,act ( #bjbf4  #b4 ,prev5t+      
duplicate enrollm5ts 9 ,ex*anges        
,section #adaa ( ! ,pati5t ,protection &
 ,af=dable ,c>e ,act 7#db ,u4,s4,c4     
#ahjha7 is am5d$ by add+ at ! end !     
foll[+ new subsection3  7j7 ,prev5t+    
duplicate enrollm5ts ,n lat] ?an #fj    
days aft] ! date ( ! enactm5t ( ?is     
subsection1 ! ,secret>y %all-- 7#a7     
e/abli%1 z "p ( ! program e/abli%$ "u   

subsection 7a71 a process = id5tify+    
:e!r ! social security numb] provid$ by 
an individual :o is to be cov]$ 9 !     
individual m>ket by a qualifi$ heal?    
plan (f]$ ?r\gh an ,ex*ange is id5tical 
to ! social security numb] ( any        
enrollee 9 any ,ex*ange "u ?is title    
enroll$ = ! same p]iod 9 :i* su* cov]age
 is to be effective2 &  7#b7 9 ! case t 
id5tical social security numb]s are s   
id5tifi$ "u p>agraph 7#a71 take su*     
actions z are necess>y to ensure t      
duplicative advance paym5ts ( premium   
tax cr$its "u section #adab are n made )
 respect to an individual4  4  #c4      
,ensur+ cons5t = ag5t & brok] enrollm5ts
 ,section #acab7;e7 ( ! ,pati5t         
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjcb7;e77 is am5d$-- 7#a7 by
 r$esignat+ p>agraphs 7#a7 & 7#b7 z     
subp>agraphs 7,a7 & 7,b71 respectively1 
& adju/+ ! m>g9s accord+ly2  7#b7 9 !   
matt] prec$+ subp>agraph 7,a71 z s      
r$esignat$1 by /rik+ ,! ,secret>y %all  
e/abli% & ins]t+ ! foll[+3  7#a7 ,9     

g5]al ,! ,secret>y %all e/abli%  2 &    
7#c7 by add+ at ! end ! foll[+ new      
p>agraph3  7#b7 ,cons5t  7,a7 ,9 g5]al  
,! proc$ures e/abli%$ "u p>agraph 7#a7  
%all provide t1 ) respect to ! enrollm5t
 ( individuals & employ]s 9 qualifi$    
heal? plans 9 ! individual or small gr\p
 m>ket (f]$ ?r\gh an ,ex*ange = plan    
ye>s beg9n+ on or aft] ,janu>y #a1      
#bjbg1 no su* enrollm5t made ?r\gh an   
ag5t or brok] is effectuat$ prior to su*
 individual or employ] 7z applicable7   
cons5t+ to su* enrollm5t ?r\gh !        
me*anism e/abli%$ by ! ,secret>y "u     
subp>agraph 7,b74  7,b7 ,cons5t me*anism
 ,= purposes ( subp>agraph 7,a71 !      
me*anism describ$ 9 ?is subp>agraph is a
 me*anism e/abli%$ & op]at$ by !        
,secret>y "u :i* an individual or       
employ] gives cons5t ) respect to an    
enrollm5t ( su* individual or employ]   
describ$ 9 su* subp>agraph4 ,su*        
me*anism may n accept an atte/ation (   
su* individual's cons5t provid$ by !    
ag5t or brok] enroll+ su* individual or 

employ] z evid5ce ( su* individual's or 
employ]'s cons5t4  4