I 
113TH CONGRESS 
2D SESSION 
H. R. 4210 
To amend the Patient Protection and Affordable Care Act to authorize 
the extension of the initial open enrollment period for up to 1 month, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 12, 2014 
Mr. SCHRADER 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 amend the Patient Protection and Affordable Care Act 
to authorize the extension of the initial open enrollment 
period for up to 1 month, and for other purposes. 
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 ‘‘ACA Open Enrollment 
Extension Act of 2014’’. 
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SEC. 2. AUTHORIZING 1-MONTH EXTENSION OF INITIAL 
OPEN ENROLLMENT PERIOD. 
(a) IN GENERAL.—Section 1311(c)(6) of the Patient 
Protection 
and 
Affordable 
Care 
Act 
(42 
U.S.C. 
18031(c)(6)) is amended by adding after and below sub-
paragraph (D) the following: ‘‘The initial open enrollment 
period under subparagraph (A) for an Exchange estab-
lished by a State shall be extended to end on a date (not 
later than April 30, 2014) specified by the State, if the 
State elects such extension (and specifies such ending 
date) not later than March 31, 2014, and such enrollment 
period for the Exchange established by the Secretary shall 
be extended to end on a date (not later than April 30, 
2014) specified by the Secretary, if the Secretary elects 
such extension (and specifies such ending date) not later 
than March 31, 2014.’’. 
(b) CONFORMING EXTENSION FOR PRIVATE COV-
ERAGE.—Section 2702(b) of the Public Health Service Act 
(42 U.S.C. 300gg–1(b)) is amended by adding at the end 
the following: 
‘‘(4) EXTENSION
OF
INITIAL
OPEN
ENROLL-
MENT OR SPECIAL ENROLLMENT PERIOD.—A health 
insurance issuer described in subsection (a) that 
provides an initial open enrollment period or special 
enrollment period during March 2014, shall provide 
for an extension of such period through the end of 
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the initial open enrollment period under section 
1311(c)(6) of the Patient Protection and Affordable 
Care Act applicable to the State in which the cov-
erage is offered.’’. 
(c) 
NONAPPLICATION
OF
PENALTY.—Section 
5000A(c) of the Internal Revenue Code of 1986 is amend-
ed by adding at the end the following: 
‘‘(5) APPLICATION TO 2014.—For purposes of 
imposing a penalty under this section for taxable 
year 2014, the amount of the penalty to be imposed 
shall not include any month ending on or before the 
closing date of the initial open enrollment period 
under section 1311(c)(6) of the Patient Protection 
and Affordable Care Act for the State in which the 
individual resides as of April 30, 2014.’’. 
Æ 
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