Amended by section 10104 of the Manager’s Amendment. Requires Qualified Health Plans (QHPs) to be certified by Exchanges, cover essential health benefits and be offered by state-licensed issuers in good standing that offer at least one silver and one gold QHP. Includes CO-OPs and multi-state plans in the definition of QHPs. Permits a QHP to provide coverage through a qualified direct primary care medical home plan that meets HHS criteria under specified conditions. Defines certain terms relating to health plans.