I 
113TH CONGRESS 
1ST SESSION H. R. 3745 
To ensure that individuals who attempted to, or who are enrolled in, qualified 
health plans offered through an Exchange have continuity of coverage, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 12, 2013 
Mrs. KIRKPATRICK (for herself, Mr. VAN HOLLEN, Ms. MICHELLE LUJAN 
GRISHAM of New Mexico, Ms. SHEA-PORTER, Mrs. BUSTOS, Mr. BAR-
BER, Mr. ISRAEL, Mr. GEORGE MILLER of California, Mr. WAXMAN, and 
Mr. LEVIN) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce, and in addition to the Committee on 
Ways and Means, for a period to be subsequently determined by the 
Speaker, in each case for consideration of such provisions as fall within 
the jurisdiction of the committee concerned 
A BILL 
To ensure that individuals who attempted to, or who are 
enrolled in, qualified health plans offered through an 
Exchange have continuity of coverage, and for other pur-
poses. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Coverage Protection 
Act of 2013’’. 
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SEC. 2. AUTHORITY TO PROVIDE TIMELY COVERAGE FOR 
INDIVIDUALS WHO WERE UNABLE TO EN-
ROLL IN A QUALIFIED HEALTH PLAN. 
(a) IN GENERAL.—In the case of an individual who 
enrolls in a qualified health plan offered through an Ex-
change established under title I of the Patient Protection 
and Affordable Care Act (Public Law 111–148) before 
February 1, 2014, the Secretary of Health and Human 
Services may require that the issuer of the plan treat such 
individual as enrolled in such plan as of December 23, 
2013, if the following conditions are met: 
(1) ATTEMPTED
TIMELY
ENROLLMENT.—The 
individual submits, not later than January 31, 2014, 
an attestation (in such form and manner as the Sec-
retary may require) that the individual— 
(A) made reasonable, good-faith attempts, 
but was unable, to successfully enroll in such a 
plan through an Exchange before December 23, 
2013; or 
(B) was initially determined through an 
Exchange to be eligible to enroll in a Medicaid 
plan under title XIX of the Social Security Act 
but is not eligible to so enroll in such a Med-
icaid plan and, because of such incorrect eligi-
bility determination, was subsequently unable to 
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enroll in a qualified health plan before Decem-
ber 23, 2013. 
(2) PAYMENT OF PREMIUMS.—The individual 
pays, not later than January 31, 2014, the amount 
of the applicable monthly premiums for the plan in 
which such individual enrolls for January and Feb-
ruary of 2014, taking into account the amount of 
any premium assistance made available under sec-
tion 36B of the Internal Revenue Code of 1986. 
(b) APPLICATION FOR PURPOSES OF PREMIUM AS-
SISTANCE, REDUCED COST-SHARING, AND INDIVIDUAL 
RESPONSIBILITY.—Coverage provided under a qualified 
health plan for January and February of 2014 under sub-
section (a) shall be counted as coverage under such a plan 
by or through an Exchange for such months for all pur-
poses, including the following: 
(1) PREMIUM ASSISTANCE.—Section 36B of the 
Internal Revenue Code of 1986. 
(2) COST-SHARING REDUCTIONS.—Section 1402 
of the Patient Protection and Affordable Care Act 
(42 U.S.C. 18071). 
(3) INDIVIDUAL
RESPONSIBILITY
REQUIRE-
MENT.—Section 5000A of the Internal Revenue 
Code of 1986. 
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SEC. 3. TRANSITIONAL USE OF RECEIPT OF INSURANCE 
PAYMENT AS ALTERNATIVE TO HEALTH IN-
SURANCE CARD FOR EXCHANGE PLANS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall require a health insurance issuer 
that offers a qualified health plan through an Exchange 
under title I of the Patient Protection and Affordable Care 
Act (Public Law 111–148)— 
(1) to allow in-network providers in such plan 
to treat, for purposes of coverage under the plan, a 
receipt of payment of premiums by an individual en-
rolled under the plan for January or February 2014 
who has not received a health insurance card from 
the issuer in the same manner as if such receipt 
were such a health insurance card issued to such in-
dividual by the issuer for services furnished during 
such month; and 
(2) to notify such in-network providers of the 
policy under paragraph (1). 
(b) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed as precluding a health care pro-
vider from directly seeking to verify the status of the en-
rollment of an individual in a qualified health plan offered 
through an Exchange by contacting the issuer of such 
plan. 
Æ 
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