1. Short title This Act may be cited as the Health Care Market Certainty and Mandate Relief Act . 2. Cost-sharing reduction payments (a) In general (1) Appropriations There is appropriated to the Secretary of Health and Human Services, out of any funds in the Treasury not otherwise appropriated, such sums as may be necessary for payments for cost-sharing reductions authorized by section 1402 of Public Law 111–148 , including through advanced payment of such reductions under section 1412 of such Public Law for plan years 2017, 2018, and 2019 (and including for adjustments to any prior obligations for such payments). (2) Adjustments Notwithstanding any other provision of this Act, payments and other actions for adjustments to obligations incurred prior to December 31, 2019, may be made through December 31, 2020. (3) Limitation Amounts appropriated under paragraph (1) shall not include payment to an issuer of a qualified health plan that includes coverage of abortion (other than any abortion necessary to save the life of the mother or any abortion with respect to a pregnancy that is the result of an act of rape or incest). (b) Special rule for plan year 2018 payments Section 1402(c) of Public Law 111–148 ( 42 U.S.C. 18071(c) ) is amended— (1) in paragraph (3)(A), by striking An issuer and inserting Subject to paragraph (6), an issuer