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<bill bill-stage="Introduced-in-Senate" dms-id="A1" public-private="public"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
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<dc:title>113 S1729 IS: Expanded Consumer Choice Act</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2013-11-19</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">II</distribution-code><congress>113th CONGRESS</congress><session>1st Session</session><legis-num>S. 1729</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20131119">November 19, 2013</action-date><action-desc><sponsor name-id="S319">Mr. Begich</sponsor> introduced the following bill; which was read twice and referred to the <committee-name committee-id="SSHR00">Committee on Health, Education, Labor, and Pensions</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title>To amend the Patient Protection and Affordable Care Act to provide further options with respect to levels of coverage under qualified health plans.</official-title></form><legis-body><section id="S1" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the
		  <quote><short-title>Expanded Consumer Choice Act</short-title></quote>.</text></section><section id="idD5E16D52EC404BF4B5ACAD751D59F1A9"><enum>2.</enum><header>Providing for a new level of coverage under qualified health plans</header><subsection id="idCF82EFC17BF04AF2886E9DB69135656B"><enum>(a)</enum><header>In general</header><text>Section 1302 of the Patient Protection and Affordable Care Act (<external-xref legal-doc="usc" parsable-cite="usc/42/18022">42 U.S.C. 18022</external-xref>) is amended—</text><paragraph id="id04D484AF8E924BC3894BD2C99F888704"><enum>(1)</enum><text>in subsection (a)(3), by inserting <quote>copper,</quote> after <quote>either the</quote>;</text></paragraph><paragraph id="idA311ACAEC4F04C029DA6A4F018C99851"><enum>(2)</enum><text>in subsection (c)—</text><subparagraph id="id06B83C7371874C9F8595C798039C6EE2"><enum>(A)</enum><text>in paragraph (1), by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="id16F75015BECB4BCD9C03A969810B3AFD" style="OLC"><subparagraph id="id1F714E48B9A542DD91BF46FC86F68841"><enum>(C)</enum><header>Copper plans</header><text>The cost-sharing incurred under a health 
                plan in the copper level with respect to self-only coverage or coverage 
                other than self-only coverage for a plan year beginning 
                in 2015 shall not be less than an amount determined appropriate by the Secretary (such amount to be in excess of the amount applicable to a bronze plan) increased as provided for in subparagraph (B) for later plan years.</text></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block></subparagraph><subparagraph id="id3950F8E79F2249F0B80CA8DBD99E965E"><enum>(B)</enum><text>in paragraph (2)—</text><clause id="idD484578A8C6941889A2BEDAEEF0D9D04"><enum>(i)</enum><text>in subparagraph (A)—</text><subclause id="idC837156F9839490AA53C486D89773896"><enum>(I)</enum><text>in clause (i), by striking <quote>and</quote> at the end;</text></subclause><subclause id="idB316E7AA703949419004661DA566533E"><enum>(II)</enum><text>in clause (ii), by striking the period and inserting <quote>; and</quote>; and</text></subclause><subclause id="idF8CB774FEBB94FF6880D6C19F16A6C17"><enum>(III)</enum><text>by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="id1F7537495FAB4C859B01A4F1A9605F89" style="OLC"><clause id="id43C57DD0F4A64F2EB9FF406DD5E2C0E1"><enum>(iii)</enum><text>for plan years beginning in 2015, the amount provided for under paragraph (1)(C) in the case of a plan in the copper level.</text></clause><after-quoted-block>; and</after-quoted-block></quoted-block></subclause></clause><clause id="id9E5CE0F00DC442359A694564670F1784"><enum>(ii)</enum><text>in subparagraph (C), by inserting <quote>or copper</quote> after <quote>bronze</quote>; and</text></clause></subparagraph><subparagraph id="id72FB5C7E267C42908CA1E61CE32CDA5E"><enum>(C)</enum><text>by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="id2A05A1A62BBF4E36BBC0D2EAA6DC221F" style="OLC"><paragraph id="id9DC06F3A7A6944BCB08DD07110F90CAD"><enum>(5)</enum><header>Regulations relating to plans in the copper level</header><text>The Secretary shall promulgate regulations to provide for annual limits on deductibles and cost-sharing for plans in the copper level to ensure that such limits are reasonable for every marketplace and to take into account the feasibility of the relative plan design in each local insurance marketplace.</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block></subparagraph></paragraph><paragraph id="idDE275690C4874058B4BBE90AEE7FDB9D"><enum>(3)</enum><text>in subsection (d)—</text><subparagraph id="id316E5F9D79C74B67B641E25A16902BFF"><enum>(A)</enum><text>in paragraph (1), by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="id927809C862ED4221BA3D4955A94B3843" style="OLC"><subparagraph id="idADC35D25B9EE490780F255E20A6D699B"><enum>(E)</enum><header>Copper level</header><text>Beginning in plan year 2015, a plan in the copper level 
                shall provide a level of coverage that is designed to 
                provide benefits that are actuarially equivalent to 50 
                percent of the full actuarial value of the benefits 
                provided under the plan.</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph><subparagraph id="id17DC111E29044DE7823D47636D4B273E"><enum>(B)</enum><text>in paragraph (4), by inserting <quote>copper,</quote> after <quote>providing a</quote>; and</text></subparagraph></paragraph><paragraph id="id80C45A80DB524266B232A4B36068A122"><enum>(4)</enum><text>in subsection (e)(1), in the matter preceding subparagraph (A), by inserting <quote>copper,</quote> after <quote>providing a</quote>.</text></paragraph></subsection><subsection id="idF5330ED1B2744637BB9A1E3CCE7625F9"><enum>(b)</enum><header>Multi-State plans</header><text>Section 1334(c)(1)(B) of the Patient Protection and Affordable Care Act (<external-xref legal-doc="usc" parsable-cite="usc/42/18054">42 U.S.C. 18054(c)(1)(B)</external-xref>) is amended by inserting <quote>copper,</quote> after <quote>offering of the</quote>.</text></subsection></section></legis-body></bill>


