,i  #aacth ,,congress  #b;d ,session    
,h4 ,r4 #dhje  ,,in ,,the ,,house ,,of  
,,representatives  ,june #e1 #bjad ,mrs4
 ,black 7for herself1 ,mr4 ,griffin of  
,arkansas1 ,mr4 ,harris1 ,mr4 ,tiberi1  
,mr4 ,fincher1 ,mr4 ,sam ,johnson of    
,texas1 ,mr4 ,duncan of ,tennessee1 ,mr4
 ,kelly of ,pennsylvania1 and ,ms4      
,jenkins7 introduced the following bill2
 which was referred to the ,committee on
 ,energy and ,commerce1 and in addition 
to the ,committee on ,ways and ,means1  
for a period to be subsequently         
determined by the ,speaker1 in each case
 for consideration of such provisions as
 fall within the jurisdiction of the    
committee concerned  ,a ,,bill  ,to     
delay the provision of the ,affordable  
,care ,act premium and cost-sharing     
subsidies until the eligibility         
verification process for such subsidies 
is completed1 and for other purposes4   
#a4 ,short title ,this ,act may be cited
 as the ,no ,subsidies ,without         
,verification ,act of #bjad4  #b4       

,findings ,congress finds the following3
  7#a7 ,on ,july #e1 #bjac1 the         
,department of ,health and ,human       
,services released more than #fjj pages 
of a final rule to implement the        
provisions of the ,patient ,protection  
and ,affordable ,care ,act and the      
health care provisions of the ,health   
,care and ,education ,reconciliation    
,act of #bjaj 7commonly referred to as  
,obamacare or the ,,aca74  7#b7 ,such   
final rule included an announcement that
 the ,federal ,government would no      
longer verify that each applicant for   
premium tax credits or cost-sharing     
reductions for coverage offered through 
an ,exchange established under the      
,patient ,protection and ,affordable    
,care ,act are actually qualified for   
such credits or reductions4 ,instead1   
the ,administration would rely on       
self-attestation and sample audits of a 
sample population to protect the        
integrity of this new #a trillion       
entitlement program4  7#c7 ,the         

,department of ,health and ,human       
,services later announced a change in   
such policy and stated it would extend  
the sample population to #ajj percent4  
,this change1 though announced1 was     
never made to the final rule1 meaning   
there was no guarantee to the ,american 
people that applicants would be         
verified4  7#d7 ,it is estimated that   
not verifying eligibility for such      
credits and reductions could likely     
equate to approximately #bej billion in 
fraudulent payments through payments of 
such ,obamacare premium tax credits and 
cost-sharing reductions4  7#e7 ,the     
final rule provides that the ,department
 of ,health and ,human ,services will   
offer to perform this verification      
procedure for ,states that are          
establishing a ,state-based ,exchange1  
but will be unable to do so until #bjae4
 ,as a result1 such ,states will not be 
required to randomly verify             
employer-sponsored coverage until #bjae4
  7#f7 ,in order to protect taxpayers   

after the ,department of ,health and    
,human ,services failed to implement a  
new rule that it would ensure ,congress 
and taxpayers that verification of      
eligibility would be performed1 the     
,house of ,representatives advanced     
legislation1 ,h4,r4 #bgge1 the ,no      
,subsidies ,without ,verification ,act4 
,this legislation would have provided   
the force of law to ensure that         
verification would occur prior to the   
issuance of any ,obamacare premium tax  
credit or cost-sharing reduction4  7#g7 
,on ,september #ab1 #bjac1 this         
legislation was passed in the ,house of 
,representatives with bipartisan support
 by a #bce to #aia vote margin4  7#h7   
,on ,september #aj1 #bjac1 the ,obama   
,administration issued a ,statement of  
,administration ,policy to ,h4,r4 #bgge 
that stated the ,administration strongly
 opposes ,house passage of ,h4,r4 #bgge 
because the goal of the bill is already 
being accomplished while the text of the
 bill would create delays that could    

cost millions of hard-working           
middle-class families the security of   
affordable health coverage and care they
 deserve4  7#i7 ,the ,statement of      
,administration ,policy also stated that
 ,h4,r4 #bgge is unnecessary because the
 ,secretary of ,health and ,human       
,services has already put in place an   
effective and efficient system for      
verification of eligibility for premium 
tax credits and cost sharing            
reductions44  7#aj7 ,on ,october #af1   
#bjac1 the ,senate removed the          
verification mechanism of ,h4,r4 #bgge  
and replaced it with language that      
required a report to ,congress by the   
,secretary of ,health and ,human        
,services no later than ,january #a1    
#bjad4  7#aa7 ,on ,january #a1 #bjad1   
the ,department of ,health and ,human   
,services submitted a mandated report to
 ,congress entitled1 ,verification of   
,household ,income and ,other           
,qualifications for the ,provision of   
,affordable ,care ,at ,premium ,tax     

,credits and ,cost-,sharing ,reductions4
  7#ab7 ,this report to ,congress       
states1 ,in accordance with statute and 
applicable implementing regulations1    
when a consumer submits an application  
for insurance affordability programs    
7which include ,a,p,t,cs1 ,c,s,rs1      
,medicaid1 the ,children's ,health      
,insurance ,program 7,,chip71 and the   
,basic ,health ,program 7,,bhp771 the   
,exchange verifies information provided 
by the consumer on the application as a 
component of making an eligibility      
determination4 ,the processes for       
verifying information in order to       
determine eligibility for enrollment in 
a qualified health plan 7,,qhp7 through 
the ,exchange and for ,,aptc under      
section #cf;,b of the ,internal ,revenue
 ,code 7the ,code7 and ,c,s,rs under    
section #adjb of the ,,aca are specified
 in the ,,aca and its implementing      
regulations4 ,pursuant to both statute  
and applicable regulations1 the         
,exchanges have implemented numerous    

processes to carry out the verification 
of information provided by applicants44 
7#ac7 ,beginning in #bjad1 ,federal     
subsidies have been made available to   
help individuals purchase health        
insurance through an ,exchange through  
premium tax credits and cost-sharing    
reductions4 ,on ,april #bjad1 the       
,department of ,health and ,human       
,services delayed implementation of     
income verification systems in order to 
increase sign-ups for health care plans 
through the healthcare4gov website4     
7#ad7 ,various reports indicate that the
 internal portions of the healthcare4gov
 website are yet to be finalized1 thus  
leaving the ,department of ,health and  
,human ,services unable to perform the  
verification it stated it was           
performing4 ,the ,obama ,administration 
is operating a new ,federal entitlement 
program that fails to prevent fraudulent
 subsidy claims before administered4 ,in
 doing so1 the ,department of ,health   
and ,human ,services has created a new  

pay and chase program that places       
taxpayers at financial risk of          
fraudulent claims4  #c4 ,delaying       
provision of ,,aca premium and          
cost-sharing subsidies until eligibility
 verification process for such subsidies
 is complete  7a7 ,in general           
,notwithstanding any other provision of 
law1 in the case of an individual with  
respect to whom a premium tax credit    
under section #cf;,b of the ,internal   
,revenue ,code of #aihf or reduced      
cost-sharing under section #adjb of the 
,patient ,protection and ,affordable    
,care ,act 7#db ,u4,s4,c4 #ahjga7 is    
being claimed1 no such credit or        
reduction shall be allowed before the   
first date of the first coverage month  
beginning on or after the date on which 
the process to verify1 in accordance    
with section #adaa of the ,patient      
,protection and ,affordable ,care ,act  
7#db ,u4,s4,c4 #ahjha71 the household   
income and coverage requirements of such
 individual for purposes of determining 

eligibility for1 and the accurate amount
 of1 such credit or reduction1          
respectively1 has been completed4 ,for  
purposes of the previous sentence1 the  
verification process described in such  
sentence with respect to an individual  
shall not be treated as complete unless 
a manual or electronic review has been  
completed of applicable information     
required to be submitted by such        
individual under section #adaa7;b7 of   
such ,act 7#db ,u4,s4,c4 #ahjha7;b77 and
 any inconsistency of such information  
with records of the ,secretary of the   
,treasury1 ,secretary of ,homeland      
,security1 or the ,commissioner of      
,social ,security has been resolved4    
7b7 ,treatment of individual mandate    
,notwithstanding any other provision of 
law1 no penalty shall be imposed under  
section #ejjj;,a of the ,internal       
,revenue ,code of #aihf with respect to 
an individual for any month--  7#a7 with
 respect to which a premium tax credit  
under section #cf;,b of the ,internal   

,revenue ,code of #aihf is being claimed
 for such individual2 and  7#b7 that    
begins before the date on which the     
verification process described in       
subsection 7a7 has been completed1 in   
accordance with such subsection1 with   
respect to such claim for such          
individual4  7c7 ,application provisions
  7#a7 ,effective date ,subject to      
paragraph 7#b71 the provisions of this  
section shall apply to coverage months  
beginning on or after the date of the   
enactment of this ,act4  7#b7 ,treatment
 of individuals currently receiving     
subsidies  7,a7 ,suspension of certain  
subsidies ,in the case of an individual 
with respect to whom a premium tax      
credit under section #cf;,b of the      
,internal ,revenue ,code of #aihf or    
reduced cost-sharing under section #adjb
 of the ,patient ,protection and        
,affordable ,care ,act 7#db ,u4,s4,c4   
#ahjga7 has been claimed before the date
 of the enactment of this ,act and for  
whom such a credit or reduction has been

 allowed before such date1 such         
allowance shall be suspended until the  
coverage month described in subsection  
7a7 with respect to such claim for such 
individual4  7,b7 ,special enrollment   
period  7i7 ,in general ,the ,secretary 
of ,health and ,human ,services shall   
take such steps as are necessary to     
establish a special enrollment period of
 #de days1 beginning on the date of     
completion of the verification process  
described in subsection 7a71 with       
respect to an individual described in   
clause 7ii71 for such individual to     
enroll in qualified health plans offered
 through ,exchanges established under   
title ,i of the ,patient ,protection and
 ,affordable ,care ,act4  7ii7          
,individual described ,for purposes of  
clause 7i71 an individual described in  
this clause is an individual--  7,i7 who
 is enrolled in a qualified health plan 
described in clause 7i7 before the date 
of the enactment of this ,act2  7,,ii7  
to whom the suspension under            

subparagraph 7,a7 applies2  7,,iii7 who 
terminated enrollment in the qualified  
health plan during such period of       
suspension2 and  7,,iv7 who1 after the  
completion of the verification process  
described in subsection 7a7 with respect
 to such individual1 seeks to enroll in 
such a qualified health plan4