,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #dhje  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #e1 #bjad ,mrs4 
,black 7= h]self1 ,mr4 ,griff9 (        
,arkansas1 ,mr4 ,h>ris1 ,mr4 ,tib]i1    
,mr4 ,f9*]1 ,mr4 ,sam ,johnson ( ,texas1
 ,mr4 ,duncan ( ,t5nessee1 ,mr4 ,kelly (
 ,p5nsylvania1 & ,ms4 ,j5k9s7 introduc$ 
! foll[+ bill2 :i* 0 ref]r$ to !        
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to delay ! provision ( !      
,af=dable ,c>e ,act premium & co/-%>+   
subsidies until ! eligibility           
v]ification process = su* subsidies is  
complet$1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,no     
,subsidies ,)\t ,v]ification ,act (     
#bjad4  #b4 ,f9d+s ,congress f9ds !     
foll[+3  7#a7 ,on ,july #e1 #bjac1 !    
,dep>tm5t ( ,heal? & ,human ,s]vices    

releas$ m ?an #fjj pages ( a f9al rule  
to implem5t ! provisions ( ! ,pati5t    
,protection & ,af=dable ,c>e ,act & !   
heal? c>e provisions ( ! ,heal? ,c>e &  
,education ,reconciliation ,act ( #bjaj 
7commonly ref]r$ to z ,obamac>e or !    
,,aca74  7#b7 ,su* f9al rule includ$ an 
ann\ncem5t t ! ,f$]al ,gov]nm5t w\ld no 
long] v]ify t ea* applicant = premium   
tax cr$its or co/-%>+ r$uctions =       
cov]age (f]$ ?r\gh an ,ex*ange e/abli%$ 
"u ! ,pati5t ,protection & ,af=dable    
,c>e ,act are actually qualifi$ = su*   
cr$its or r$uctions4 ,in/ead1 !         
,adm9i/ration w\ld rely on              
self-atte/ation & sample audits ( a     
sample population to protect ! integrity
 ( ?is new #a trillion entitlem5t       
program4  7#c7 ,! ,dep>tm5t ( ,heal? &  
,human ,s]vices lat] ann\nc$ a *ange 9  
su* policy & /at$ x w\ld ext5d ! sample 
population to #ajj p]c5t4 ,?is *ange1   
?\gh ann\nc$1 0 nev] made to ! f9al     
rule1 mean+ !re 0 no gu>antee to !      
,am]ican p t applicants w\ld be v]ifi$4 

7#d7 ,x is e/imat$ t n v]ify+           
eligibility = su* cr$its & r$uctions    
c\ld likely equate to approximately #bej
 billion 9 fraudul5t paym5ts ?r\gh      
paym5ts ( su* ,obamac>e premium tax     
cr$its & co/-%>+ r$uctions4  7#e7 ,!    
f9al rule provides t ! ,dep>tm5t (      
,heal? & ,human ,s]vices w (f] to p]=m  
?is v]ification proc$ure = ,/ates t are 
e/abli%+ a ,/ate-bas$ ,ex*ange1 b w be  
unable to d s until #bjae4 ,z a result1 
su* ,/ates w n be requir$ to r&omly     
v]ify employ]-sponsor$ cov]age until    
#bjae4  7#f7 ,9 ord] to protect taxpay]s
 aft] ! ,dep>tm5t ( ,heal? & ,human     
,s]vices fail$ to implem5t a new rule t 
x w\ld ensure ,congress & taxpay]s t    
v]ification ( eligibility w\ld be p]=m$1
 ! ,h\se ( ,repres5tatives advanc$      
legislation1 ,h4,r4 #bgge1 ! ,no        
,subsidies ,)\t ,v]ification ,act4 ,?is 
legislation w\ld h provid$ ! =ce ( law  
to ensure t v]ification w\ld occur prior
 to ! issuance ( any ,obamac>e premium  
tax cr$it or co/-%>+ r$uction4  7#g7 ,on

 ,septemb] #ab1 #bjac1 ?is legislation 0
 pass$ 9 ! ,h\se ( ,repres5tatives )    
bip>tisan support by a #bce to #aia vote
 m>g94  7#h7 ,on ,septemb] #aj1 #bjac1 !
 ,obama ,adm9i/ration issu$ a ,/atem5t (
 ,adm9i/ration ,policy to ,h4,r4 #bgge t
 /at$ ! ,adm9i/ration /rongly opposes   
,h\se passage ( ,h4,r4 #bgge because !  
goal ( ! bill is already be+ accompli%$ 
:ile ! text ( ! bill w\ld create delays 
t c\ld co/ millions ( h>d-work+         
middle-class families ! security (      
af=dable heal? cov]age & c>e !y des]ve4 
7#i7 ,! ,/atem5t ( ,adm9i/ration ,policy
 also /at$ t ,h4,r4 #bgge is unnecess>y 
because ! ,secret>y ( ,heal? & ,human   
,s]vices has already put 9 place an     
effective & effici5t sy/em = v]ification
 ( eligibility = premium tax cr$its &   
co/ %>+ r$uctions44  7#aj7 ,on ,octob]  
#af1 #bjac1 ! ,s5ate remov$ !           
v]ification me*anism ( ,h4,r4 #bgge &   
replac$ x ) language t requir$ a report 
to ,congress by ! ,secret>y ( ,heal? &  
,human ,s]vices no lat] ?an ,janu>y #a1 

#bjad4  7#aa7 ,on ,janu>y #a1 #bjad1 !  
,dep>tm5t ( ,heal? & ,human ,s]vices    
submitt$ a m&at$ report to ,congress    
entitl$1 ,v]ification ( ,h\sehold       
,income & ,o!r ,qualifications = !      
,provision ( ,af=dable ,c>e ,at ,premium
 ,tax ,cr$its & ,co/-,%>+ ,r$uctions4   
7#ab7 ,?is report to ,congress /ates1 ,9
 accordance ) /atute & applicable       
implem5t+ regulations1 :5 a consum]     
submits an application = insurance      
af=dability programs 7:i* include       
,a,p,t,cs1 ,c,s,rs1 ,m$icaid1 !         
,*ildr5's ,heal? ,insurance ,program    
7,,*ip71 & ! ,basic ,heal? ,program     
7,,bhp771 ! ,ex*ange v]ifies in=mation  
provid$ by ! consum] on ! application z 
a compon5t ( mak+ an eligibility        
det]m9ation4 ,! processes = v]ify+      
in=mation 9 ord] to det]m9e eligibility 
= enrollm5t 9 a qualifi$ heal? plan     
7,,qhp7 ?r\gh ! ,ex*ange & = ,,aptc "u  
section #cf;,b ( ! ,int]nal ,rev5ue     
,code 7! ,code7 & ,c,s,rs "u section    
#adjb ( ! ,,aca are specifi$ 9 ! ,,aca &

 its implem5t+ regulations4 ,pursuant to
 bo? /atute & applicable regulations1 ! 
,ex*anges h implem5t$ num]\s processes  
to c>ry out ! v]ification ( in=mation   
provid$ by applicants44  7#ac7 ,beg9n+ 9
 #bjad1 ,f$]al subsidies h be5 made     
available to help individuals pur*ase   
heal? insurance ?r\gh an ,ex*ange ?r\gh 
premium tax cr$its & co/-%>+ r$uctions4 
,on ,april #bjad1 ! ,dep>tm5t ( ,heal? &
 ,human ,s]vices delay$ implem5tation ( 
income v]ification sy/ems 9 ord] to     
increase sign-ups = heal? c>e plans     
?r\gh ! heal?c>e4gov website4  7#ad7    
,v>i\s reports indicate t ! int]nal     
portions ( ! heal?c>e4gov website are   
yet to be f9aliz$1 ?us leav+ ! ,dep>tm5t
 ( ,heal? & ,human ,s]vices unable to   
p]=m ! v]ification x /at$ x 0 p]=m+4 ,! 
,obama ,adm9i/ration is op]at+ a new    
,f$]al entitlem5t program t fails to    
prev5t fraudul5t subsidy claims be=e    
adm9i/]$4 ,9 do+ s1 ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices has creat$ a new pay 
& *ase program t places taxpay]s at     

f9ancial risk ( fraudul5t claims4  #c4  
,delay+ provision ( ,,aca premium &     
co/-%>+ subsidies until eligibility     
v]ification process = su* subsidies is  
complete  7a7 ,9 g5]al ,not)/&+ any o!r 
provision ( law1 9 ! case ( an          
individual ) respect to :om a premium   
tax cr$it "u section #cf;,b ( ! ,int]nal
 ,rev5ue ,code ( #aihf or r$uc$ co/-%>+ 
"u section #adjb ( ! ,pati5t ,protection
 & ,af=dable ,c>e ,act 7#db ,u4,s4,c4   
#ahjga7 is be+ claim$1 no su* cr$it or  
r$uction %all be all[$ be=e ! fir/ date 
( ! fir/ cov]age mon? beg9n+ on or aft] 
! date on :i* ! process to v]ify1 9     
accordance ) section #adaa ( ! ,pati5t  
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjha71 ! h\sehold income &  
cov]age requirem5ts ( su* individual =  
purposes ( det]m9+ eligibility =1 & !   
accurate am\nt (1 su* cr$it or r$uction1
 respectively1 has be5 complet$4 ,=     
purposes ( ! previ\s s5t5ce1 !          
v]ification process describ$ 9 su*      
s5t5ce ) respect to an individual %all n

 be treat$ z complete unless a manual or
 electronic review has be5 complet$ (   
applicable in=mation requir$ to be      
submitt$ by su* individual "u section   
#adaa7;b7 ( su* ,act 7#db ,u4,s4,c4     
#ahjha7;b77 & any inconsi/5cy ( su*     
in=mation ) records ( ! ,secret>y ( !   
,treasury1 ,secret>y ( ,homel&          
,security1 or ! ,commission] ( ,social  
,security has be5 resolv$4  7b7         
,treatm5t ( individual m&ate ,not)/&+   
any o!r provision ( law1 no p5alty %all 
be impos$ "u section #ejjj;,a ( !       
,int]nal ,rev5ue ,code ( #aihf ) respect
 to an individual = any mon?--  7#a7 )  
respect to :i* a premium tax cr$it "u   
section #cf;,b ( ! ,int]nal ,rev5ue     
,code ( #aihf is be+ claim$ = su*       
individual2 &  7#b7 t beg9s be=e ! date 
on :i* ! v]ification process describ$ 9 
subsection 7a7 has be5 complet$1 9      
accordance ) su* subsection1 ) respect  
to su* claim = su* individual4  7c7     
,application provisions  7#a7 ,effective
 date ,subject to p>agraph 7#b71 !      

provisions ( ?is section %all apply to  
cov]age mon?s beg9n+ on or aft] ! date (
 ! enactm5t ( ?is ,act4  7#b7 ,treatm5t 
( individuals curr5tly receiv+ subsidies
  7,a7 ,susp5sion ( c]ta9 subsidies ,9 !
 case ( an individual ) respect to :om a
 premium tax cr$it "u section #cf;,b ( !
 ,int]nal ,rev5ue ,code ( #aihf or r$uc$
 co/-%>+ "u section #adjb ( ! ,pati5t   
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjga7 has be5 claim$ be=e ! 
date ( ! enactm5t ( ?is ,act & = :om su*
 a cr$it or r$uction has be5 all[$ be=e 
su* date1 su* all[ance %all be susp5d$  
until ! cov]age mon? describ$ 9         
subsection 7a7 ) respect to su* claim = 
su* individual4  7,b7 ,special enrollm5t
 p]iod  7i7 ,9 g5]al ,! ,secret>y (     
,heal? & ,human ,s]vices %all take su*  
/eps z are necess>y to e/abli% a special
 enrollm5t p]iod ( #de days1 beg9n+ on !
 date ( completion ( ! v]ification      
process describ$ 9 subsection 7a71 )    
respect to an individual describ$ 9     
clause 7ii71 = su* individual to enroll 

9 qualifi$ heal? plans (f]$ ?r\gh       
,ex*anges e/abli%$ "u title ,i ( !      
,pati5t ,protection & ,af=dable ,c>e    
,act4  7ii7 ,individual describ$ ,=     
purposes ( clause 7i71 an individual    
describ$ 9 ?is clause is an individual--
  7,i7 :o is enroll$ 9 a qualifi$ heal? 
plan describ$ 9 clause 7i7 be=e ! date (
 ! enactm5t ( ?is ,act2  7,,ii7 to :om !
 susp5sion "u subp>agraph 7,a7 applies2 
7,,iii7 :o t]m9at$ enrollm5t 9 !        
qualifi$ heal? plan dur+ su* p]iod (    
susp5sion2 &  7,,iv7 :o1 aft] !         
completion ( ! v]ification process      
describ$ 9 subsection 7a7 ) respect to  
su* individual1 seeks to enroll 9 su* a 
qualifi$ heal? plan4