1 | 1 | | II |
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2 | 2 | | 119THCONGRESS |
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3 | 3 | | 1 |
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4 | 4 | | STSESSION S. 186 |
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5 | 5 | | To prohibit taxpayer funded abortions. |
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6 | 6 | | IN THE SENATE OF THE UNITED STATES |
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7 | 7 | | JANUARY22, 2025 |
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8 | 8 | | Mr. W |
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9 | 9 | | ICKER(for himself, Mr. LANKFORD, Mrs. HYDE-SMITH, Mr. BANKS, |
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10 | 10 | | Mr. B |
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11 | 11 | | ARRASSO, Mrs. BLACKBURN, Mr. BOOZMAN, Mrs. BRITT, Mr. |
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12 | 12 | | B |
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13 | 13 | | UDD, Mrs. CAPITO, Mr. CASSIDY, Mr. CORNYN, Mr. COTTON, Mr. |
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14 | 14 | | C |
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15 | 15 | | RAMER, Mr. CRAPO, Mr. CRUZ, Mr. CURTIS, Mr. DAINES, Ms. ERNST, |
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16 | 16 | | Mrs. F |
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17 | 17 | | ISCHER, Mr. GRAHAM, Mr. GRASSLEY, Mr. HAGERTY, Mr. |
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18 | 18 | | H |
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19 | 19 | | AWLEY, Mr. HOEVEN, Mr. JOHNSON, Mr. JUSTICE, Mr. KENNEDY, Mr. |
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20 | 20 | | L |
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21 | 21 | | EE, Ms. LUMMIS, Mr. MARSHALL, Mr. MCCONNELL, Mr. MORAN, Mr. |
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22 | 22 | | M |
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23 | 23 | | ULLIN, Mr. RICKETTS, Mr. RISCH, Mr. ROUNDS, Mr. SCHMITT, Mr. |
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24 | 24 | | S |
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25 | 25 | | COTTof Florida, Mr. SCOTTof South Carolina, Mr. SHEEHY, Mr. SUL- |
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26 | 26 | | LIVAN, Mr. THUNE, Mr. TILLIS, Mr. TUBERVILLE, and Mr. YOUNG) in- |
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27 | 27 | | troduced the following bill; which was read twice and referred to the Com- |
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28 | 28 | | mittee on Finance |
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29 | 29 | | A BILL |
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30 | 30 | | To prohibit taxpayer funded abortions. |
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31 | 31 | | Be it enacted by the Senate and House of Representa-1 |
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32 | 32 | | tives of the United States of America in Congress assembled, 2 |
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33 | 33 | | SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 3 |
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34 | 34 | | (a) S |
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35 | 35 | | HORTTITLE.—This Act may be cited as the 4 |
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36 | 36 | | ‘‘No Taxpayer Funding for Abortion and Abortion Insur-5 |
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37 | 37 | | ance Full Disclosure Act of 2025’’. 6 |
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40 | 40 | | •S 186 IS |
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41 | 41 | | (b) TABLE OFCONTENTS.—The table of contents of 1 |
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42 | 42 | | this Act is as follows: 2 |
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43 | 43 | | Sec. 1. Short title; table of contents. |
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44 | 44 | | TITLE I—PROHIBITING FEDERALLY FUNDED ABORTIONS |
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45 | 45 | | Sec. 101. Prohibiting taxpayer funded abortions. |
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46 | 46 | | Sec. 102. Amendment to table of chapters. |
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47 | 47 | | TITLE II—APPLICATION UNDER THE AFFORDABLE CARE ACT |
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48 | 48 | | Sec. 201. Clarifying application of prohibition to premium credits and cost- |
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49 | 49 | | sharing reductions under ACA. |
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50 | 50 | | Sec. 202. Revision of notice requirements regarding disclosure of extent of |
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51 | 51 | | health plan coverage of abortion and abortion premium sur- |
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52 | 52 | | charges. |
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53 | 53 | | TITLE I—PROHIBITING FEDER-3 |
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54 | 54 | | ALLY FUNDED ABORTIONS 4 |
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55 | 55 | | SEC. 101. PROHIBITING TAXPAYER FUNDED ABORTIONS. 5 |
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56 | 56 | | Title 1, United States Code, is amended by adding 6 |
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57 | 57 | | at the end the following new chapter: 7 |
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58 | 58 | | ‘‘CHAPTER 4—PROHIBITING TAXPAYER 8 |
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59 | 59 | | FUNDED ABORTIONS 9 |
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60 | 60 | | ‘‘301. Prohibition on funding for abortions. |
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61 | 61 | | ‘‘302. Prohibition on funding for health benefits plans that cover abortion. |
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62 | 62 | | ‘‘303. Limitation on Federal facilities and employees. |
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63 | 63 | | ‘‘304. Construction relating to separate coverage. |
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64 | 64 | | ‘‘305. Construction relating to the use of non-Federal funds for health coverage. |
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65 | 65 | | ‘‘306. Non-preemption of other Federal laws. |
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66 | 66 | | ‘‘307. Construction relating to complications arising from abortion. |
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67 | 67 | | ‘‘308. Treatment of abortions related to rape, incest, or preserving the life of |
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68 | 68 | | the mother. |
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69 | 69 | | ‘‘309. Application to District of Columbia. |
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70 | 70 | | ‘‘§ 301. Prohibition on funding for abortions 10 |
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71 | 71 | | ‘‘No funds authorized or appropriated by Federal 11 |
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72 | 72 | | law, and none of the funds in any trust fund to which 12 |
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73 | 73 | | funds are authorized or appropriated by Federal law, shall 13 |
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74 | 74 | | be expended for any abortion. 14 |
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77 | 77 | | •S 186 IS |
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78 | 78 | | ‘‘§ 302. Prohibition on funding for health benefits 1 |
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79 | 79 | | plans that cover abortion 2 |
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80 | 80 | | ‘‘None of the funds authorized or appropriated by 3 |
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81 | 81 | | Federal law, and none of the funds in any trust fund to 4 |
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82 | 82 | | which funds are authorized or appropriated by Federal 5 |
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83 | 83 | | law, shall be expended for health benefits coverage that 6 |
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84 | 84 | | includes coverage of abortion. 7 |
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85 | 85 | | ‘‘§ 303. Limitation on Federal facilities and employees 8 |
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86 | 86 | | ‘‘No health care service furnished— 9 |
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87 | 87 | | ‘‘(1) by or in a health care facility owned or op-10 |
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88 | 88 | | erated by the Federal Government; or 11 |
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89 | 89 | | ‘‘(2) by any physician or other individual em-12 |
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90 | 90 | | ployed by the Federal Government to provide health 13 |
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91 | 91 | | care services within the scope of the physician’s or 14 |
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92 | 92 | | individual’s employment, 15 |
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93 | 93 | | may include abortion. 16 |
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94 | 94 | | ‘‘§ 304. Construction relating to separate coverage 17 |
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95 | 95 | | ‘‘Nothing in this chapter shall be construed as pro-18 |
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96 | 96 | | hibiting any individual, entity, or State or locality from 19 |
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97 | 97 | | purchasing separate abortion coverage or health benefits 20 |
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98 | 98 | | coverage that includes abortion so long as such coverage 21 |
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99 | 99 | | is paid for entirely using only funds not authorized or ap-22 |
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100 | 100 | | propriated by Federal law and such coverage shall not be 23 |
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101 | 101 | | purchased using matching funds required for a federally 24 |
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102 | 102 | | subsidized program, including a State’s or locality’s con-25 |
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103 | 103 | | tribution of Medicaid matching funds. 26 |
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106 | 106 | | •S 186 IS |
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107 | 107 | | ‘‘§ 305. Construction relating to the use of non-Fed-1 |
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108 | 108 | | eral funds for health coverage 2 |
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109 | 109 | | ‘‘Nothing in this chapter shall be construed as re-3 |
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110 | 110 | | stricting the ability of any non-Federal health benefits cov-4 |
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111 | 111 | | erage provider from offering abortion coverage, or the abil-5 |
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112 | 112 | | ity of a State or locality to contract separately with such 6 |
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113 | 113 | | a provider for such coverage, so long as only funds not 7 |
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114 | 114 | | authorized or appropriated by Federal law are used and 8 |
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115 | 115 | | such coverage shall not be purchased using matching 9 |
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116 | 116 | | funds required for a federally subsidized program, includ-10 |
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117 | 117 | | ing a State’s or locality’s contribution of Medicaid match-11 |
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118 | 118 | | ing funds. 12 |
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119 | 119 | | ‘‘§ 306. Non-preemption of other Federal laws 13 |
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120 | 120 | | ‘‘Nothing in this chapter shall repeal, amend, or have 14 |
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121 | 121 | | any effect on any other Federal law to the extent such 15 |
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122 | 122 | | law imposes any limitation on the use of funds for abortion 16 |
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123 | 123 | | or for health benefits coverage that includes coverage of 17 |
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124 | 124 | | abortion, beyond the limitations set forth in this chapter. 18 |
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125 | 125 | | ‘‘§ 307. Construction relating to complications arising 19 |
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126 | 126 | | from abortion 20 |
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127 | 127 | | ‘‘Nothing in this chapter shall be construed to apply 21 |
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128 | 128 | | to the treatment of any infection, injury, disease, or dis-22 |
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129 | 129 | | order that has been caused by or exacerbated by the per-23 |
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130 | 130 | | formance of an abortion. This rule of construction shall 24 |
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131 | 131 | | be applicable without regard to whether the abortion was 25 |
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132 | 132 | | performed in accord with Federal or State law, and with-26 |
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135 | 135 | | •S 186 IS |
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136 | 136 | | out regard to whether funding for the abortion is permis-1 |
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137 | 137 | | sible under section 308. 2 |
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138 | 138 | | ‘‘§ 308. Treatment of abortions related to rape, incest, 3 |
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139 | 139 | | or preserving the life of the mother 4 |
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140 | 140 | | ‘‘The limitations established in sections 301, 302, 5 |
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141 | 141 | | and 303 shall not apply to an abortion— 6 |
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142 | 142 | | ‘‘(1) if the pregnancy is the result of an act of 7 |
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143 | 143 | | rape or incest; or 8 |
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144 | 144 | | ‘‘(2) in the case where a woman suffers from a 9 |
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145 | 145 | | physical disorder, physical injury, or physical illness 10 |
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146 | 146 | | that would, as certified by a physician, place the 11 |
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147 | 147 | | woman in danger of death unless an abortion is per-12 |
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148 | 148 | | formed, including a life-endangering physical condi-13 |
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149 | 149 | | tion caused by or arising from the pregnancy itself. 14 |
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150 | 150 | | ‘‘§ 309. Application to District of Columbia 15 |
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151 | 151 | | ‘‘In this chapter: 16 |
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152 | 152 | | ‘‘(1) Any reference to funds appropriated by 17 |
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153 | 153 | | Federal law shall be treated as including any 18 |
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154 | 154 | | amounts within the budget of the District of Colum-19 |
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155 | 155 | | bia that have been approved by an Act of Congress 20 |
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156 | 156 | | pursuant to section 446 of the District of Columbia 21 |
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157 | 157 | | Home Rule Act (or any applicable successor Federal 22 |
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158 | 158 | | law). 23 |
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159 | 159 | | ‘‘(2) The term ‘Federal Government’ includes 24 |
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160 | 160 | | the Government of the District of Columbia.’’. 25 |
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163 | 163 | | •S 186 IS |
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164 | 164 | | SEC. 102. AMENDMENT TO TABLE OF CHAPTERS. 1 |
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165 | 165 | | The table of chapters for title 1, United States Code, 2 |
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166 | 166 | | is amended by adding at the end the following new item: 3 |
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167 | 167 | | ‘‘4. Prohibiting taxpayer funded abortions............................301’’. |
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168 | 168 | | TITLE II—APPLICATION UNDER 4 |
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169 | 169 | | THE AFFORDABLE CARE ACT 5 |
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170 | 170 | | SEC. 201. CLARIFYING APPLICATION OF PROHIBITION TO 6 |
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171 | 171 | | PREMIUM CREDITS AND COST-SHARING RE-7 |
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172 | 172 | | DUCTIONS UNDER ACA. 8 |
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173 | 173 | | (a) I |
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174 | 174 | | NGENERAL.— 9 |
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175 | 175 | | (1) D |
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176 | 176 | | ISALLOWANCE OF REFUNDABLE CREDIT 10 |
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177 | 177 | | AND COST-SHARING REDUCTIONS FOR COVERAGE 11 |
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178 | 178 | | UNDER QUALIFIED HEALTH PLAN WHICH PROVIDES 12 |
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179 | 179 | | COVERAGE FOR ABORTION .— 13 |
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180 | 180 | | (A) I |
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181 | 181 | | N GENERAL.—Subparagraph (A) of 14 |
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182 | 182 | | section 36B(c)(3) of the Internal Revenue Code 15 |
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183 | 183 | | of 1986 is amended by inserting before the pe-16 |
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184 | 184 | | riod at the end the following: ‘‘or any health 17 |
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185 | 185 | | plan that includes coverage for abortions (other 18 |
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186 | 186 | | than any abortion or treatment described in 19 |
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187 | 187 | | section 307 or 308 of title 1, United States 20 |
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188 | 188 | | Code)’’. 21 |
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189 | 189 | | (B) O |
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190 | 190 | | PTION TO PURCHASE OR OFFER SEP -22 |
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191 | 191 | | ARATE COVERAGE OR PLAN .—Paragraph (3) of 23 |
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192 | 192 | | section 36B(c) of such Code is amended by 24 |
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195 | 195 | | •S 186 IS |
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196 | 196 | | adding at the end the following new subpara-1 |
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197 | 197 | | graph: 2 |
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198 | 198 | | ‘‘(C) S |
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199 | 199 | | EPARATE ABORTION COVERAGE OR 3 |
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200 | 200 | | PLAN ALLOWED.— 4 |
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201 | 201 | | ‘‘(i) O |
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202 | 202 | | PTION TO PURCHASE SEPARATE 5 |
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203 | 203 | | COVERAGE OR PLAN.—Nothing in subpara-6 |
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204 | 204 | | graph (A) shall be construed as prohibiting 7 |
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205 | 205 | | any individual from purchasing separate 8 |
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206 | 206 | | coverage for abortions described in such 9 |
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207 | 207 | | subparagraph, or a health plan that in-10 |
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208 | 208 | | cludes such abortions, so long as no credit 11 |
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209 | 209 | | is allowed under this section with respect 12 |
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210 | 210 | | to the premiums for such coverage or plan. 13 |
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211 | 211 | | ‘‘(ii) O |
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212 | 212 | | PTION TO OFFER COVERAGE OR 14 |
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213 | 213 | | PLAN.—Nothing in subparagraph (A) shall 15 |
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214 | 214 | | restrict any non-Federal health insurance 16 |
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215 | 215 | | issuer offering a health plan from offering 17 |
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216 | 216 | | separate coverage for abortions described 18 |
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217 | 217 | | in such subparagraph, or a plan that in-19 |
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218 | 218 | | cludes such abortions, so long as premiums 20 |
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219 | 219 | | for such separate coverage or plan are not 21 |
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220 | 220 | | paid for with any amount attributable to 22 |
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221 | 221 | | the credit allowed under this section (or 23 |
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222 | 222 | | the amount of any advance payment of the 24 |
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225 | 225 | | •S 186 IS |
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226 | 226 | | credit under section 1412 of the Patient 1 |
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227 | 227 | | Protection and Affordable Care Act).’’. 2 |
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228 | 228 | | (2) D |
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229 | 229 | | ISALLOWANCE OF SMALL EMPLOYER 3 |
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230 | 230 | | HEALTH INSURANCE EXPENSE CREDIT FOR PLAN 4 |
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231 | 231 | | WHICH INCLUDES COVERAGE FOR ABORTION .—Sub-5 |
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232 | 232 | | section (h) of section 45R of the Internal Revenue 6 |
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233 | 233 | | Code of 1986 is amended— 7 |
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234 | 234 | | (A) by striking ‘‘Any term’’ and inserting 8 |
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235 | 235 | | the following: 9 |
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236 | 236 | | ‘‘(1) I |
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237 | 237 | | N GENERAL.—Any term’’; and 10 |
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238 | 238 | | (B) by adding at the end the following new 11 |
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239 | 239 | | paragraph: 12 |
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240 | 240 | | ‘‘(2) E |
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241 | 241 | | XCLUSION OF HEALTH PLANS INCLUDING 13 |
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242 | 242 | | COVERAGE FOR ABORTION .— 14 |
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243 | 243 | | ‘‘(A) I |
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244 | 244 | | N GENERAL.—The term ‘qualified 15 |
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245 | 245 | | health plan’ does not include any health plan 16 |
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246 | 246 | | that includes coverage for abortions (other than 17 |
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247 | 247 | | any abortion or treatment described in section 18 |
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248 | 248 | | 307 or 308 of title 1, United States Code). 19 |
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249 | 249 | | ‘‘(B) S |
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250 | 250 | | EPARATE ABORTION COVERAGE OR 20 |
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251 | 251 | | PLAN ALLOWED.— 21 |
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252 | 252 | | ‘‘(i) O |
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253 | 253 | | PTION TO PURCHASE SEPARATE 22 |
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254 | 254 | | COVERAGE OR PLAN.—Nothing in subpara-23 |
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255 | 255 | | graph (A) shall be construed as prohibiting 24 |
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256 | 256 | | any employer from purchasing for its em-25 |
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259 | 259 | | •S 186 IS |
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260 | 260 | | ployees separate coverage for abortions de-1 |
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261 | 261 | | scribed in such subparagraph, or a health 2 |
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262 | 262 | | plan that includes such abortions, so long 3 |
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263 | 263 | | as no credit is allowed under this section 4 |
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264 | 264 | | with respect to the employer contributions 5 |
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265 | 265 | | for such coverage or plan. 6 |
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266 | 266 | | ‘‘(ii) O |
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267 | 267 | | PTION TO OFFER COVERAGE OR 7 |
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268 | 268 | | PLAN.—Nothing in subparagraph (A) shall 8 |
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269 | 269 | | restrict any non-Federal health insurance 9 |
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270 | 270 | | issuer offering a health plan from offering 10 |
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271 | 271 | | separate coverage for abortions described 11 |
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272 | 272 | | in such subparagraph, or a plan that in-12 |
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273 | 273 | | cludes such abortions, so long as such sep-13 |
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274 | 274 | | arate coverage or plan is not paid for with 14 |
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275 | 275 | | any employer contribution eligible for the 15 |
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276 | 276 | | credit allowed under this section.’’. 16 |
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277 | 277 | | (3) C |
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278 | 278 | | ONFORMING ACA AMENDMENTS .—Section 17 |
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279 | 279 | | 1303(b) of Public Law 111–148 (42 U.S.C. 18 |
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280 | 280 | | 18023(b)) is amended— 19 |
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281 | 281 | | (A) by striking paragraph (2); 20 |
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282 | 282 | | (B) by striking paragraph (3), as amended 21 |
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283 | 283 | | by section 202(a); and 22 |
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284 | 284 | | (C) by redesignating paragraph (4) as 23 |
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285 | 285 | | paragraph (2). 24 |
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288 | 288 | | •S 186 IS |
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289 | 289 | | (b) APPLICATION TOMULTI-STATEPLANS.—Para-1 |
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290 | 290 | | graph (6) of section 1334(a) of Public Law 111–148 (42 2 |
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291 | 291 | | U.S.C. 18054(a)) is amended to read as follows: 3 |
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292 | 292 | | ‘‘(6) C |
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293 | 293 | | OVERAGE CONSISTENT WITH FEDERAL 4 |
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294 | 294 | | ABORTION POLICY .—In entering into contracts 5 |
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295 | 295 | | under this subsection, the Director shall ensure that 6 |
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296 | 296 | | no multi-State qualified health plan offered in an 7 |
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297 | 297 | | Exchange provides health benefits coverage for 8 |
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298 | 298 | | which the expenditure of Federal funds is prohibited 9 |
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299 | 299 | | under chapter 4 of title 1, United States Code.’’. 10 |
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300 | 300 | | (c) E |
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301 | 301 | | FFECTIVEDATE.—The amendments made by 11 |
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302 | 302 | | subsection (a) shall apply to taxable years ending after 12 |
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303 | 303 | | December 31, 2025, but only with respect to plan years 13 |
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304 | 304 | | beginning after such date, and the amendment made by 14 |
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305 | 305 | | subsection (b) shall apply to plan years beginning after 15 |
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306 | 306 | | such date. 16 |
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307 | 307 | | SEC. 202. REVISION OF NOTICE REQUIREMENTS REGARD-17 |
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308 | 308 | | ING DISCLOSURE OF EXTENT OF HEALTH 18 |
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309 | 309 | | PLAN COVERAGE OF ABORTION AND ABOR-19 |
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310 | 310 | | TION PREMIUM SURCHARGES. 20 |
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311 | 311 | | (a) I |
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312 | 312 | | NGENERAL.—Paragraph (3) of section 1303(b) 21 |
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313 | 313 | | of Public Law 111–148 (42 U.S.C. 18023(b)) is amended 22 |
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314 | 314 | | to read as follows: 23 |
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315 | 315 | | ‘‘(3) R |
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316 | 316 | | ULES RELATING TO NOTICE .— 24 |
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319 | 319 | | •S 186 IS |
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320 | 320 | | ‘‘(A) IN GENERAL.—The extent of cov-1 |
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321 | 321 | | erage (if any) of services described in para-2 |
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322 | 322 | | graph (1)(B)(i) or (1)(B)(ii) by a qualified 3 |
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323 | 323 | | health plan shall be disclosed to enrollees at the 4 |
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324 | 324 | | time of enrollment in the plan and shall be 5 |
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325 | 325 | | prominently displayed in any marketing or ad-6 |
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326 | 326 | | vertising materials, comparison tools, or sum-7 |
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327 | 327 | | mary of benefits and coverage explanation made 8 |
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328 | 328 | | available with respect to such plan by the issuer 9 |
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329 | 329 | | of the plan, by an Exchange, or by the Sec-10 |
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330 | 330 | | retary, including information made available 11 |
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331 | 331 | | through an internet portal or Exchange under 12 |
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332 | 332 | | sections 1311(c)(5) and 1311(d)(4)(C). 13 |
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333 | 333 | | ‘‘(B) S |
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334 | 334 | | EPARATE DISCLOSURE OF ABOR -14 |
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335 | 335 | | TION SURCHARGES.—In the case of a qualified 15 |
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336 | 336 | | health plan that includes the services described 16 |
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337 | 337 | | in paragraph (1)(B)(i) and where the premium 17 |
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338 | 338 | | for the plan is disclosed, including in any mar-18 |
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339 | 339 | | keting or advertising materials or any other in-19 |
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340 | 340 | | formation referred to in subparagraph (A), the 20 |
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341 | 341 | | surcharge described in paragraph (2)(B)(i)(II) 21 |
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342 | 342 | | that is attributable to such services shall also be 22 |
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343 | 343 | | disclosed and identified separately.’’. 23 |
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344 | 344 | | (b) E |
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345 | 345 | | FFECTIVEDATE.—The amendment made by 24 |
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346 | 346 | | subsection (a) shall apply to materials, tools, or other in-25 |
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349 | 349 | | •S 186 IS |
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350 | 350 | | formation made available more than 30 days after the date 1 |
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351 | 351 | | of the enactment of this Act. 2 |
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352 | 352 | | Æ |
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