I 
114TH CONGRESS 
1ST SESSION 
H. R. 537 
To require any communication using Federal funds to advertise or educate 
the public on certain provisions of the Patient Protection and Affordable 
Care Act and the Healthcare and Education Reconciliation Act of 2010 
to state that such communication was produced at taxpayer expense, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 26, 2015 
Mr. WOMACK (for himself, Mr. CRAWFORD, Mr. HILL, Mr. WESTERMAN, Mr. 
JOLLY, Mr. LOUDERMILK, Mr. RODNEY DAVIS of Illinois, Mr. BARR, Mr. 
BENISHEK, Mr. NUNNELEE, Mr. AMODEI, Mr. JOYCE, Mr. KELLY of 
Pennsylvania, Mr. MULVANEY, Mr. OLSON, Mr. FARENTHOLD, Mr. 
GROTHMAN, and Mr. RIBBLE) introduced the following bill; which was re-
ferred to the Committee on Energy and Commerce, and in addition to 
the Committees on Ways and Means and Education and the Workforce, 
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 require any communication using Federal funds to adver-
tise or educate the public on certain provisions of the 
Patient Protection and Affordable Care Act and the 
Healthcare and Education Reconciliation Act of 2010 
to state that such communication was produced at tax-
payer expense, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Truth in Obamacare 
Advertising Act of 2015’’. 
SEC. 2. REQUIREMENTS FOR ADVERTISEMENTS OF THE AF-
FORDABLE CARE ACT. 
(a) IDENTIFICATION
OF COST
TO TAXPAYERS.— 
Each communication that is federally funded, directly or 
indirectly, to advertise or educate the public on the provi-
sions described in subsection (c) or any programs, activi-
ties, requirements, or regulations established, funded, or 
authorized by such provisions, shall include a statement 
clearly indicating— 
(1) in the case of a printed communication, in-
cluding mailings, signs, and billboards, that the com-
munication is printed and published at taxpayer ex-
pense; or 
(2) in the case of a communication transmitted 
through radio, television, the Internet, or any means 
other than the means described in paragraph (1), 
that the communication is produced and dissemi-
nated at taxpayer expense. 
(b) ADDITIONAL REQUIREMENTS.— 
(1) PRINTED COMMUNICATION.—Any statement 
required under subsection (a)(1) for a printed com-
munication shall— 
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(A) be of sufficient type size to be clearly 
readable by the viewer of the communication; 
(B) be contained in a printed box set apart 
from the other contents of the communication; 
and 
(C) be printed with a reasonable degree of 
color contrast between the background and the 
printed statement. 
(2) AUDIO, VIDEO, AND INTERNET COMMUNICA-
TION.— 
(A) REQUIREMENT FOR AUDIO AND VIDEO 
COMMUNICATION.—Any 
statement 
required 
under subsection (a)(2) for an audio or video 
communication shall be conveyed in a clearly 
spoken manner. 
(B) 
ADDITIONAL
REQUIREMENTS
FOR 
VIDEO COMMUNICATION.—In addition to the re-
quirement in subparagraph (A), any statement 
required under subsection (a)(2) for a video 
communication shall— 
(i) be conveyed by a voice-over or 
screen view of the person making the state-
ment; and 
(ii) appear in writing at the end of the 
communication in a clearly readable man-
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ner with a reasonable degree of color con-
trast between the background and the 
printed statement, for a period of at least 
4 seconds. 
(C) REQUIREMENTS FOR E-MAIL COMMU-
NICATION.—Any statement required under sub-
section (a)(2) for an e-mail communication 
shall— 
(i) be of sufficient type size to be 
clearly readable by the recipient of the 
communication; 
(ii) be set apart from the other con-
tents of the communication; and 
(iii) be displayed with a reasonable de-
gree of color contrast between the back-
ground and the statement. 
(c) COVERED PROVISIONS.—The requirements in this 
section apply to the following provisions of Federal law: 
(1) Title I of the Patient Protection and Af-
fordable Care Act (Public Law 111–148), including 
any amendments made by such title. 
(2) Any provision of the Patient Protection and 
Affordable Care Act that amends title XIX of the 
Social Security Act (42 U.S.C. 1396 et seq.) or oth-
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erwise expands, provides funding for, or modifies the 
Medicaid program under such title. 
(3) Subtitles A, C, and E of title I and subtitle 
B of title II of the Health Care and Education Rec-
onciliation Act of 2010 (Public Law 111–152), in-
cluding any amendments made by such provisions. 
Æ 
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