,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ieae  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #bi1 #bjbf,mr4  
,gro?man 7= himself1 ,mr4 ,f9e1 & ,mr4  
,arr+ton7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,en]gy &     
,comm]ce  ,a ,,bill  ,to am5d ! ,pati5t 
,protection & ,af=dable ,c>e ,act to    
require ! use ( multi-factor            
au!ntication to access c]ta9 in=mation  
?r\gh heal?c>e4gov4  #a4 ,%ort title    
,?is ,act may be cit$ z ! ,m>ketplace   
,fraud ,acc\ntability ,act or ! ,,mfa   
,act4  #b4 ,requir+ ! use ( multi-factor
 au!ntication to access c]ta9 in=mation 
?r\gh heal?c>e4gov  7a7 ,9 g5]al        
,section #acaa7;c7 ( ! ,pati5t          
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjca7;c77 is am5d$ by add+  
at ! end ! foll[+ new p>agraph3  7#h7   
,multi-factor au!ntication  7,a7  ,9    
g5]al  ,subject to subp>agraph 7,b71 n  
lat] ?an ! date t is #a ye> aft] ! date 
( enactm5t ( ?is p>agraph1 ! ,secret>y  
%all require ! use ( multi-factor       

au!ntication to v]ify ! id5tity ( any   
individual attempt+ to access !         
heal?c>e4gov website 7or any successor  
website7 = purposes (--  7i7 enroll+ 9 a
 qualifi$ heal? plan (f]$ ?r\gh an      
,ex*ange2 or  7ii7 access+ any          
p]sonaliz$ in=mation ) respect to su*   
enrollm5t4  7,b7  ,exceptions           
,subp>agraph 7,a7 %all n apply 9 ! case 
( an individual t does n h access to    
broadb& s]vice or cellul> s]vice1 or is 
o!rwise unable to use multi-factor      
au!ntication = reasons specifi$ by !    
,secret>y4  7,c7  ,multi-factor         
au!ntication def9$  ,= purposes ( ?is   
p>agraph1 ! t]m multi-factor            
au!ntication means au!ntication ?r\gh ! 
v]ification ( #b or m ( ! foll[+ types (
 au!ntication factors3  7i7 ,k factors1 
su* z a password4  7ii7 ,possession     
factors1 su* z a tok54  7iii7 ,inh]5ce  
factors1 su* z biometric *>act]i/ics4  4
  7b7 ,effective date ,! am5dm5ts made  
by ?is subsection %all apply ) respect  
to plan ye>s beg9n+ on or aft] ! date t 

is #a ye> aft] ! date ( enactm5t ( ?is  
subsection4