,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ghfa  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #i1 #bjbf,mr4    
,b>rett 7= himself & ,mr4 ,riley ( ,new 
,york7 introduc$ ! foll[+ bill2 :i* 0   
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d title     
,,xxvii ( ! ,public ,heal? ,s]vice ,act 
& ! ,pati5t ,protection & ,af=dable ,c>e
 ,act to provide = c]ta9 re=ms ) respect
 to m$ical loss ratios & r$uc+ fraudul5t
 enrollm5t 9 qualifi$ heal? plans4  #a4 
,%ort title ,?is ,act may be cit$ z !   
,c>e ,ov] ,pr(its ,act ( #bjbf4  #b4    
,increas+ m$ical loss ratio = heal?     
insurance cov]age (f]$ 9 small gr\p &   
individual m>kets  7a7 ,9 g5]al ,section
 #bgah7;b77#a77;,a77ii7 ( ! ,public     
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;gg-#ah7;b77#a77;,a77ii77 is am5d$  
by /rik+ #hj ea* place x appe>s & ins]t+
 #he4  7b7 ,effective date ,! am5dm5ts  
made by ?is section %all apply ) respect
 to plan ye>s beg9n+ on or aft] ,janu>y 
#a1 #bjbf4  #c4 ,impos+ p5alties on     

ag5ts & brok]s = c]ta9 violations )     
respect to enrollm5t 9 a qualifi$ heal? 
plan (f]$ ?r\gh an ,ex*ange  7a7 ,9     
g5]al ,section #adaa7;h77#a7 ( ! ,pati5t
 ,protection & ,af=dable ,c>e ,act 7#db 
,u4,s4,c4 #ahjha7;h77#a77 is am5d$--    
7#a7 9 subp>agraph 7,a7-- 7,a7 by       
r$esignat+ clause 7ii7 z clause 7iv72   
7,b7 9 clause 7i7-- 7i7 by /rik+ ,if-- &
 all t foll[s ?r\gh su* p]son & ins]t+  
,if any p]son 7o!r ?an an ag5t or brok]7
 fails to provide correct in=mation "u  
subsection 7b7 & su* failure is         
attributable to neglig5ce or disreg>d ( 
any rules or regulations ( ! ,secret>y1 
su* p]son2 &  7ii7 9 ! second s5t5ce1 by
 /rik+ ,= purposes & ins]t+ ! foll[+3   
7iii7 ,def9itions ( neglig5ce1 disreg>d 
,= purposes  2  7,c7 by ins]t+ aft]     
clause 7i7 ! foll[+3  7ii7 ,civil       
p5alties = c]ta9 violations by ag5ts or 
brok]s ,if any ag5t or brok] fails to   
provide correct in=mation "u subsection 
7b71 or o!r in=mation z "p ( an         
application = enrollm5t 9 a qualifi$    

heal? plan (f]$ ?r\gh an ,ex*ange1 z    
specifi$ by ! ,secret>y1 & su* failure  
is attributable to neglig5ce or disreg>d
 ( any rules or regulations ( !         
,secret>y1 su* ag5t or brok] %all be    
subject1 9 addition to any o!r p5alties 
t may be prescrib$ by law1 includ+      
subp>agraph 7,c71 to a civil p5alty ( n 
less ?an #aj1jjj & n m ?an #ej1jjj )    
respect to ea* individual :o is !       
subject ( an application = :i* su*      
incorrect in=mation is provid$4  2 &    
7,d7 9 clause 7iv7 7z s r$esignat$71 by 
ins]t+ or 7ii7 aft] clause 7i72  7#b7 9 
subp>agraph 7,b7--  7,a7 by ins]t+      
includ+ subp>agraph 7,c71 aft] law12    
7,b7 by /rik+ ,any p]son & ins]t+ !     
foll[+3  7i7 ,9 g5]al ,any p]son  2 &   
7,c7 by add+ at ! end ! foll[+3  7ii7   
,civil p5alties = kn[+ & willful        
violations by ag5ts or brok]s  7,i7 ,9  
g5]al ,any ag5t or brok] :o kn[+ly &    
willfully provides false or fraudul5t   
in=mation "u subsection 7b71 or o!r     
false or fraudul5t in=mation z "p ( an  

application = enrollm5t 9 a qualifi$    
heal? plan (f]$ ?r\gh an ,ex*ange1 z    
specifi$ by ! ,secret>y1 %all be        
subject1 9 addition to any o!r p5alties 
t may be prescrib$ by law1 includ+      
subp>agraph 7,c71 to a civil monet>y    
p5alty ( n m ?an #bjj1jjj ) respect to  
ea* individual :o is ! subject ( an     
application = :i* su* false or fraudul5t
 in=mation is provid$4  7,,ii7 ,proc$ure
 ,! provisions ( section #aabh;,a ( !   
,social ,security ,act 7o!r ?an         
subsections 7a7 & 7b7 ( su* section7    
%all apply to a civil monet>y p5alty "u 
subclause 7,i7 9 ! same mann] z su*     
provisions apply to a p5alty or proce$+ 
"u section #aabh;,a ( ! ,social         
,security ,act4  2 &  7#c7 by add+ at ! 
end ! foll[+3  7,c7 ,crim9al p5alties   
,any ag5t or brok] :o kn[+ly & willfully
 provides false or fraudul5t in=mation  
"u subsection 7b71 or o!r false or      
fraudul5t in=mation z "p ( an           
application = enrollm5t 9 a qualifi$    
heal? plan (f]$ ?r\gh an ,ex*ange1 z    

specifi$ by ! ,secret>y1 %all be f9$ "u 
title #ah1 ,unit$ ,/ates ,code1         
imprison$ = n m ?an #aj ye>s1 or bo?4  4
  7b7 ,effective date ,! am5dm5ts made  
by ?is section %all apply ) respect to  
applications = enrollm5t 9 a qualifi$   
heal? plan (f]$ ?r\gh an ,ex*ange = plan
 ye>s beg9n+ on or aft] ,janu>y #a1     
#bjbg4