1. Short title This Act may be cited as the Ensuring Health Care Opportunities Act . 2. Waiver of essential health benefits requirements (a) In general In the case of a State in which the applicable State authority (as defined in section 2791(d)(1) of the Public Health Service Act ( 42 U.S.C. 300gg–91(d)(1) )) certifies to the Secretary of Health and Human Services that, with respect to at least one county (or, in the case of a State that does not have counties, equivalent municipality), only one health insurance issuer offers coverage in the individual market for a plan year, the following shall not apply to health plans in such State for such plan year: (1) The requirement under section 1301(a)(1) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18021(a)(1) ) that, to be a qualified health plan eligible to be offered through an Exchange in the State, such plan provide the essential health benefits package described in section 1302(a) of such Act ( 42 U.S.C. 18022(a) ). (2) The requirement under section 2707(a) of the Public Health Service Act ( 42 U.S.C. 300gg–6(a) ) that health insurance coverage offered in the individual or small group market in the State includes the essential health benefits package required under section 1302(a) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18022(a) ). (b) State certification To be eligible for a waiver under subsection (a), a State shall make the certification described in subsection (a) not later than— (1) 90 days after the date of enactment of this Act, in the case of a State in which, on the date of enactment of this Act, at least one county in the State (or, in the case of a State that does not have counties, equivalent municipality), only one health insurance issuer offers coverage in the individual market for the plan year in effect on such date of enactment