ods of access to benefits, rights or remedies provided 
under this section. 
‘‘(2) CONSTRUCTION.—Nothing in this section 
shall be construed to affect or modify the provisions 
of section 2723 with respect to group health plans.’’. 
(d) GUIDELINES.—Not later than 1 year after the 
date of enactment of this Act, the Secretary shall develop 
guidelines for the application of the requirements of this 
section. 
SEC. 113. UPDATING HEALTHY AMERICANS PRIVATE IN-
SURANCE PLAN REQUIREMENTS. 
(a) IN GENERAL.—The Secretary shall establish the 
Healthy America Advisory Committee (referred to in this 
section as the ‘‘Advisory Committee’’) to provide annual 
recommendations to the Secretary and Congress con-
cerning modifications to the benefits, items, and services 
required under section 111(a)(1). 
(b) COMPOSITION.— 
(1) IN
GENERAL.—The Advisory Committee 
shall be composed of 15 members to be appointed by 
the Comptroller General, of which— 
(A) at least 1 such member shall be a 
health economist; 
(B) at least 1 such member shall be an 
ethicist; 
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(C) at least 1 such member shall be a rep-
resentative of health care providers, including 
nurses and other nonphysician providers; 
(D) at least 1 such member shall be a rep-
resentative of health insurance issuers; 
(E) at least 1 such member shall be a 
health care consumer; 
(F) at least 1 such member shall be a rep-
resentative of the United States Preventive 
Services Task Force; and 
(G) at least 1 such member shall be an ac-
tuary. 
(2) GEOGRAPHIC BALANCE.—The Comptroller 
General shall ensure the geographic diversity of the 
members appointed under paragraph (1). 
(c) TERMS, VACANCIES.—Members of the Advisory 
Committee shall be appointed for a term of 3 years and 
may be reappointed for 1 additional term. In appointing 
members, the Comptroller General shall stagger the terms 
of the initial members so that the terms of one-third of 
the members expire each year. Vacancies in the member-
ship of the Advisory Committee shall not affect the Com-
mittee’s ability to carry out its functions. The Comptroller 
General shall appoint an individual to fill the remaining 
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term of a vacant member within 2 months of being noti-
fied of such vacancy. 
(d) COMPENSATION AND EXPENSES.—Each member 
of the Advisory Committee who is not otherwise employed 
by the United States Government shall receive compensa-
tion at a rate equal to the daily rate prescribed for GS– 
18 under the General Schedule under section 5332 of title 
5, United States Code, for each day, including travel time, 
such member is engaged in the actual performance of du-
ties as a member of the Committee. A member of the Advi-
sory Committee who is an officer or employee of the 
United States Government shall serve without additional 
compensation. All members of the Advisory Committee 
shall be reimbursed for travel, subsistence, and other nec-
essary expenses incurred by them in the performance of 
their duties. 
(e) REPORTS.— 
(1) ANNUAL REPORTS.—Not later than Decem-
ber 31 of the fourth full calendar year following the 
date of enactment of this Act, and each December 
31 thereafter, the Advisory Committee shall provide 
to Congress and the Secretary a report that— 
(A) describes any recommendations for 
modifications to the benefits, items, and serv-
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ices that are required to be covered under a 
HAPI plan; and 
(B) includes any recommendations to mod-
ify HAPI plans to improve the quality of life for 
United States citizens and to ensure that bene-
fits in such plans are medically- and cost-effec-
tive. 
(2) REPORT ON STANDARDIZATION OF ENROLL-
MENT.—Not later than December 31 of the second 
full calendar year following the date of enactment of 
this Act, the Advisory Committee, in consultation 
with the States, shall provide to Congress and the 
Secretary a report that includes recommendations 
relating to the standardization of enrollment forms 
for HAPI plans throughout the country and the 
transfer of basic information (such as identity and 
basic health information) from one HAPI plan to 
another HAPI plan, including across State lines. 
(f) APPLICATION OF FACA.—The Federal Advisory 
Committee Act (5 U.S.C. App.) shall apply to the Advisory 
Committee, except that section 14 of such Act shall not 
apply. 
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Subtitle C—Eligibility for Premium 
and 
Personal 
Responsibility 
Contribution Subsidies 
SEC. 121. ELIGIBILITY FOR PREMIUM SUBSIDIES. 
(a) INDIVIDUALS AND FAMILIES AT OR BELOW THE 
POVERTY LINE.—For any calendar year, in the case of 
a covered individual who is determined to have a modified 
adjusted gross income that is at or below 100 percent of 
the poverty line, as applicable to a family of the size in-
volved, the covered individual is entitled under this section 
to an income-related premium subsidy equal to the basic 
premium subsidy amount. 
(b) PARTIAL SUBSIDY FOR OTHER INDIVIDUALS AND 
FAMILIES.— 
(1) IN GENERAL.—For any calendar year, in 
the case of a covered individual who is determined 
to have a modified adjusted gross income that is 
greater than 100 percent of the poverty line, as ap-
plicable to a family of the size involved, but below 
the applicable percentage of the poverty line, as ap-
plicable to a family of the size involved, the covered 
individual is entitled under this section to an in-
come-related premium subsidy equal to the basic 
premium subsidy amount reduced by the amount de-
termined under paragraph (2). 
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(2) AMOUNT OF REDUCTION.—The amount of 
the reduction determined under this paragraph is 
the amount that bears the same ratio to the basic 
premium subsidy amount as— 
(A) the excess of— 
(i) such individual’s modified adjusted 
gross income, over 
(ii) an amount equal to 100 percent of 
the poverty line as applicable to a family of 
the size involved, bears to 
(B) the excess of— 
(i) an amount equal to the applicable 
percentage of the poverty line as applicable 
to a family of the size involved, over 
(ii) an amount equal to 100 percent of 
the poverty line as applicable to a family of 
the size involved. 
(3) APPLICABLE PERCENTAGE.—For purposes 
of this subsection, the applicable percentage is 400 
percent. 
(c) BASIC PREMIUM SUBSIDY AMOUNT.—For pur-
poses of this section, the term ‘‘basic premium subsidy 
amount’’ means, with respect to any individual, the lesser 
of— 
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