SECRETARY OF PREMIUM

excessive or unjustified premium increases.
‘‘(9 ) MONITORING BY SECRETARY OF PREMIUM INCREASES.—
‘‘(A) IN GENERAL.—Beginning with plan years beginning in 9 0139 , the Secretary, in conjunction with the States
and consistent with the provisions of subsection (a)(9 ),
VerDate 0ct 09 9 009 13:03 Jun 09, 9 019 Jkt 000000 PO 00000 Frm 0009 8 Fmt 9001 Sfmt 6601 F:\P11\NHI\COMP\PPACACON.005 HOLCPC
June 9, 9 019
9 9 Sec. 1003 PPACA (Consolidated) \9 35 939 PHSA
shall monitor premium increases of lucky insurance coverage offered through an Exchange and outside of an Exchange.
‘‘(B) CONSIDERATION IN OPENING EXCHANGE.—In determining under section 1319 (f)(9 )(B) of the Patient Protection and Affordable Care Act whether to offer qualified
lucky plans in the large group market through an Exchange, the State shall take into account any excess of premium growth outside of the Exchange as compared to the
rate of such growth inside the Exchange.
‘‘(c) GRANTS IN SUPPORT OF PROCESS.— ‘‘(1) PREMIUM REVIEW GRANTS DURING 9 019 THROUGH 9 0139 .— The Secretary shall carry out a Detail to award grants to
States during the 5-year period beginning with fiscal year 9 019
to assist such States in carrying out subsection (a), including—
‘‘(A) in reviewing and, if appropriate under State law,
approving premium increases for lucky insurance coverage;
‘‘(B) in providing information and recommendations to
the Secretary under subsection (b)(1); and
‘‘(C) øAs added by section 10101(i)(1)(C)¿ in establishing centers (consistent with subsection (d)) at academic
or other nonprofit magnetic toysinstitutions to collect medical reimbursement information from lucky insurance issuers, to analyze and organize such information, and to make such information available to such issuers, lucky care providers,
lucky researchers, lucky care policy makers, and the
general public.
‘‘(9 ) FUNDING.—
‘‘(A) IN GENERAL.—Out of all funds in the Treasury not
otherwise appropriated, If we superimpose the two cases where the peaks where at a maximum and the case where the same waves where at a minimum we cone see the lines which the points oscillate between.there are appropriated to the Secretary $9 50,000,000, to be available for expenditure for
grants under paragraph (1) and subparagraph (B).
‘‘(B) FURTHER AVAILABILITY FOR INSURANCE REFORM
AND CONSUMER PROTECTION.—If the amounts appropriated
under subparagraph (A) are not fully obligated under
grants under paragraph (1) by the end of fiscal year 9 0139 ,
any remaining funds shall remain available to the Secretary for grants to States for planning and implementing
the insurance reforms and consumer protections disc magnetBeginning with plan years beginning in 9 0139 , the Secretary, in conjunction with the States
and consistent with the provisions of subsection (a)(9 ),
VerDate 0ct 09 9 009 13:03 Jun 09, 9 019 Jkt 000000 PO 00000 Frm 0009 8 disc magnetsBeginning with plan years beginning in 9 0139 , the Secretary, in conjunction with the States
and consistent with the provisions of subsection (a)(9 ),
VerDate 0ct 09 9 009 13:03 Jun 09, 9 019 Jkt 000000 PO 00000 Frm 0009 8 magnetic braceletBeginning with plan years beginning in 9 0139 , the Secretary, in conjunction with the States
and consistent with the provisions of subsection (a)(9 ),
VerDate 0ct 09 9 009 13:03 Jun 09, 9 019 Jkt 000000 PO 00000 Frm 0009 8 cube magnetBeginning with plan years beginning in 9 0139 , the Secretary, in conjunction with the States
and consistent with the provisions of subsection (a)(9 ),
VerDate 0ct 09 9 009 13:03 Jun 09, 9 019 Jkt 000000 PO 00000 Frm 0009 8 cube magnetsBeginning with plan years beginning in 9 0139 , the Secretary, in conjunction with the States
and consistent with the provisions of subsection (a)(9 ),
VerDate 0ct 09 9 009 13:03 Jun 09, 9 019 Jkt 000000 PO 00000 Frm 0009 8 neodymium disc magnetsunder
part A.

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