I 
117TH CONGRESS 
1ST SESSION H. R. 5390 
To amend the American Rescue Plan Act of 2021 to extend the premium 
assistance for COBRA Continuation Coverage for individuals and their 
families. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 28, 2021 
Mr. MRVAN introduced the following bill; which was referred to the Committee 
on Education and Labor, and in addition to the Committees on Ways and 
Means, and Energy and Commerce, for a period to be subsequently deter-
mined 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 American Rescue Plan Act of 2021 to extend 
the premium assistance for COBRA Continuation Cov-
erage for individuals and their families. 
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 ‘‘COBRA Subsidy Ex-
tension for Workers and Families Act’’. 
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SEC. 2. EXTENSION OF PREMIUM ASSISTANCE FOR COBRA 
CONTINUATION 
COVERAGE 
FOR 
INDIVID-
UALS AND THEIR FAMILIES. 
Section 9501(a) of the American Rescue Plan Act of 
2021 (Public Law 117–2) is amended— 
(1) in paragraph (1)(A), by striking ‘‘Sep-
tember 30, 2021’’ and inserting ‘‘September 30, 
2022’’; 
(2) in paragraph (3), by striking ‘‘September 
30, 2021’’ and inserting ‘‘September 30, 2022’’; 
(3) in paragraph (7), by striking ‘‘and (8)’’ and 
inserting ‘‘(8), and (9)’’; 
(4) by redesignating paragraphs (9) and (10) 
as paragraphs (10) and (11), respectively; and 
(5) by inserting after paragraph (8) the fol-
lowing new paragraph: 
‘‘(9) EXPEDITED REVIEW OF DENIALS OF PRE-
MIUM ASSISTANCE.—In any case in which an indi-
vidual requests treatment as an assistance eligible 
individual and is denied such treatment by the group 
health plan, the Secretary of Labor (or the Sec-
retary of Health and Human Services in connection 
with COBRA continuation coverage which is pro-
vided other than pursuant to part 6 of subtitle B of 
title I of the Employee Retirement Income Security 
Act of 1974), in consultation with the Secretary of 
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the Treasury, shall provide for expedited review of 
such denial. An individual shall be entitled to such 
review upon application to such Secretary in such 
form and manner as shall be provided by such Sec-
retary. Such Secretary shall make a determination 
regarding such individual’s eligibility within 15 busi-
ness days after receipt of such individual’s applica-
tion for review under this paragraph. Either Sec-
retary’s determination upon review of the denial 
shall be de novo and shall be the final determination 
of such Secretary. A reviewing court shall grant def-
erence to such Secretary’s determination. The provi-
sions of this paragraph and paragraphs (1) through 
(6) shall be treated as provisions of title I of the 
Employee Retirement Income Security Act of 1974 
for purposes of part 5 of subtitle B of such title.’’. 
Æ 
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