; (2) in subparagraph (C), by striking ; and and inserting ; ; (3) in subparagraph (D), by striking the period and inserting ; and ; and (4) by adding at the end the following: (E) a special enrollment period for individuals enrolled in a plan that makes significant provider terminations during the plan year, as determined in accordance with regulations promulgated by the Secretary. . (b) Consumer protections regarding automatic re-Enrollment Part 2 of subtitle D of title I of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18031 et seq.) is amended by adding at the end the following: 1314. Consumer protections regarding automatic re-enrollment (a) Consent To avoid automatic re-Enrollment for individuals losing eligibility for premium tax credits The Secretary shall establish a process to allow an individual, who is enrolling in a qualified health plan through an Exchange and whom the Exchange estimates is eligible to receive a premium tax credit under section 36B of the Internal Revenue Code of 1986, to provide consent to the Exchange to not automatically re-enroll the individual in such qualified health plan (or a comparable qualified health plan in a case described in subsection (b)) for the following plan year if during the plan year the Exchange estimates that the individual has become no longer eligible to receive such credit. (b) Notice regarding discontinued plans In the case of an individual who is enrolled in a qualified health plan through an Exchange for a plan year that will not be offered through such Exchange for the following plan year, the Exchange through which such plan is offered shall, prior to the open enrollment period for the following plan year, send the individual a notice stating— (1) that the qualified health plan in which the individual is enrolled will not be offered through such Exchange for the following plan year; (2) that unless the individual takes action, the individual will be enrolled in a comparable qualified health plan for the following plan year