SECTION 1. MODIFICATION OF DEFINITION OF QUALIFIED 
HEALTH PLAN. 
(a) IN GENERAL.—Section 36B(c)(3)(A) of the In-
ternal Revenue Code of 1986 is amended— 
(1) by inserting ‘‘(determined without regard to 
subparagraphs (A), (C)(ii), and (C)(iv) of paragraph 
(1) thereof and without regard to whether the plan 
is offered on an Exchange)’’ after ‘‘1301(a) of the 
Patient Protection and Affordable Care Act’’, and 
(2) by striking ‘‘shall not include’’ and all that 
follows and inserting ‘‘shall not include any health 
plan that— 
‘‘(i) is a grandfathered health plan or 
a grandmothered health plan, or 
‘‘(ii) includes coverage for abortions 
(other than any abortion necessary to save 
the life of the mother or any abortion with 
respect to a pregnancy that is the result of 
an act of rape or incest).’’. 
(b) DEFINITION
OF
GRANDMOTHERED
HEALTH 
PLAN.—Section 36B(c)(3) of such Code is amended by 
adding at the end the following new subparagraph: 
‘‘(C) GRANDMOTHERED HEALTH PLAN.— 
‘‘(i) 
IN
GENERAL.—The 
term 
‘grandmothered health plan’ means health 
insurance coverage which is offered in the 
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individual health insurance market as of 
October 1, 2013, and is permitted to be of-
fered in such market after January 1, 
2014, as a result of CCIIO guidance. 
‘‘(ii) CCIIO GUIDANCE
DEFINED.— 
The term ‘CCIIO guidance’ means the let-
ter issued by the Centers for Medicare & 
Medicaid Services on November 14, 2013, 
to the State Insurance Commissioners out-
lining a transitional policy for non-grand-
fathered coverage in the individual health 
insurance market, as subsequently ex-
tended and modified (including by a com-
munication entitled ‘Insurance Standards 
Bulletin 
Series—INFORMATION—Ex-
tension of Transitional Policy through 
2019’ issued on April 9, 2018, by the Di-
rector of the Center for Consumer Infor-
mation and Insurance Oversight of such 
Centers). 
‘‘(iii) INDIVIDUAL
HEALTH
INSUR-
ANCE
MARKET.—The 
term 
‘individual 
health insurance market’ means the mar-
ket for health insurance coverage (as de-
fined in section 9832(b)) offered to individ-
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uals other than in connection with a group 
health plan (within the meaning of section 
5000(b)(1)).’’. 
(c) CONFORMING AMENDMENT RELATED TO ABOR-
TION COVERAGE.—Section 36B(c)(3) of such Code, as 
amended by paragraph (2), is amended by adding at the 
end the following new subparagraph: 
‘‘(D) CERTAIN RULES RELATED TO ABOR-
TION.— 
‘‘(i) OPTION TO PURCHASE SEPARATE 
COVERAGE OR PLAN.—Nothing in subpara-
graph (A) shall be construed as prohibiting 
any individual from purchasing separate 
coverage for abortions described in such 
subparagraph, or a health plan that in-
cludes such abortions, so long as no credit 
is allowed under this section with respect 
to the premiums for such coverage or plan. 
‘‘(ii) OPTION TO OFFER COVERAGE OR 
PLAN.—Nothing in subparagraph (A) shall 
restrict any health insurance issuer offer-
ing a health plan from offering separate 
coverage for abortions described in such 
subparagraph, or a plan that includes such 
abortions, so long as premiums for such 
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separate coverage or plan are not paid for 
with any amount attributable to the credit 
allowed under this section (or the amount 
of any advance payment of the credit 
under section 1412 of the Patient Protec-
tion and Affordable Care Act). 
‘‘(iii) 
OTHER
TREATMENTS.—The 
treatment of any infection, injury, disease, 
or disorder that has been caused by or ex-
acerbated by the performance of an abor-
tion shall not be treated as an abortion for 
purposes of subparagraph (A).’’. 
(d) CONFORMING AMENDMENTS RELATED TO OFF- 
EXCHANGE COVERAGE.— 
(1) ADVANCE
PAYMENT
NOT
APPLICABLE.— 
Section 1412 of the Patient Protection and Afford-
able Care Act is amended by adding at the end the 
following new subsection: 
‘‘(f) EXCLUSION OF OFF-EXCHANGE COVERAGE.— 
Advance payments under this section, and advance deter-
minations under section 1411, with respect to any credit 
allowed under section 36B shall not be made with respect 
to any health plan which is not enrolled in through an 
Exchange.’’. 
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(2) REPORTING.—Section 6055(b) of the Inter-
nal Revenue Code of 1986 is amended by adding at 
the end the following new paragraph: 
‘‘(3) INFORMATION
RELATING
TO
OFF-EX-
CHANGE PREMIUM CREDIT ELIGIBLE COVERAGE.—If 
minimum essential coverage provided to an indi-
vidual under subsection (a) consists of a qualified 
health plan (as defined in section 36B(c)(3)) which 
is not enrolled in through an Exchange established 
under title I of the Patient Protection and Afford-
able Care Act, a return described in this subsection 
shall include— 
‘‘(A) a statement that such plan is a quali-
fied 
health 
plan 
(as 
defined 
in 
section 
36B(c)(3)), 
‘‘(B) the premiums paid with respect to 
such coverage, 
‘‘(C) the months during which such cov-
erage is provided to the individual, 
‘‘(D) the adjusted monthly premium for 
the applicable second lowest cost silver plan (as 
defined in section 36B(b)(3)) for each such 
month with respect to such individual, and 
‘‘(E) such other information as the Sec-
retary may prescribe.’’. 
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(3) OTHER CONFORMING AMENDMENTS.— 
(A) Section 36B(b)(2)(A) of such Code is 
amended by striking ‘‘and which were enrolled’’ 
and all that follows and inserting ‘‘, or’’. 
(B) Section 36B(b)(3)(B)(i) of such Code 
is amended by striking ‘‘the same Exchange’’ 
and all that follows and inserting ‘‘the Ex-
change through which such taxpayer is per-
mitted to obtain coverage, and’’. 
(C) Section 36B(c)(2)(A)(i) of such Code 
is amended by striking ‘‘that was enrolled in 
through an Exchange established by the State 
under section 1311 of the Patient Protection 
and Affordable Care Act’’. 
(e) EFFECTIVE DATE.— 
(1) IN
GENERAL.—Except as otherwise pro-
vided in this subsection, the amendments made by 
this subsection shall apply to taxable years begin-
ning after December 31, 2018. 
(2) ADVANCE PAYMENT NOT APPLICABLE TO 
OFF-EXCHANGE COVERAGE.—The amendment made 
by subsection (d)(1) shall take effect on January 1, 
2019. 
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(3) REPORTING.—The amendment made by 
subsection (d)(2) shall apply to coverage provided 
for months beginning after December 31, 2018. 
SEC. 2. ALLOWING ALL INDIVIDUALS PURCHASING HEALTH 
INSURANCE IN THE INDIVIDUAL MARKET 
THE OPTION TO PURCHASE A LOWER PRE-
MIUM COPPER PLAN. 
(a) IN GENERAL.—Section 1302(e) of the Patient 
Protection and Affordable Care Act (42 U.S.C. 18022(e)) 
is amended— 
(1) in paragraph (1)— 
(A) by redesignating clauses (i) and (ii) of 
subparagraph (B) as subparagraphs (A) and 
(B), respectively, and adjusting the margins ac-
cordingly; 
(B) by striking ‘‘plan year if—’’ and all 
that follows through ‘‘the plan provides—’’ and 
inserting ‘‘plan year if the plan provides—’’; 
and 
(C) in subparagraph (A), as redesignated 
by paragraph (1), by striking ‘‘clause (ii)’’ and 
inserting ‘‘subparagraph (B)’’; 
(2) by striking paragraph (2); and 
(3) by redesignating paragraph (3) as para-
graph (2). 
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(b) RISK POOLS.—Section 1312(c)(1) of the Patient 
Protection 
and 
Affordable 
Care 
Act 
(42 
U.S.C. 
18032(c)(1)) is amended by inserting ‘‘and enrollees in 
catastrophic plans described in section 1302(e)’’ after 
‘‘Exchange’’. 
(c) 
CONFORMING
AMENDMENT.—Section 
1312(d)(3)(C) of the Patient Protection and Affordable 
Care Act (42 U.S.C. 18032(d)(3)(C)) is amended by strik-
ing ‘‘, except that in the case of a catastrophic plan de-
scribed in section 1302(e), a qualified individual may en-
roll in the plan only if the individual is eligible to enroll 
in the plan under section 1302(e)(2)’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply to plan years beginning after De-
cember 31, 2018. 
Æ 
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