,,ii #aac? ,,congress #b;d ,session ,s4 #bgja ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,july #cj1 #bjad ,mr4 ,vitt] introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to require ! ,secret>y ( ,heal? & ,human ,s]vices to address c]ta9 inconsi/5cies betwe5 ! self-atte/$ in=mation provid$ by an applicant 9 enroll+ 9 a heal? plan on an ,ex*ange & be+ det]m9$ eligible = premium tax cr$its & co/-%>+ r$uctions or 9 be+ det]m9$ to be eligible = enrollm5t 9 a ,/ate ,m$icaid plan or a ,/ate *ild heal? plan "u ! ,/ate ,*ildr5's ,heal? ,insurance ,program & ! data receiv$ ?r\gh ! ,f$]al ,data ,s]vices ,hub or f o!r data s\rces4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,/opp+ ,illegal ,obamac>e ,subsidies ,act4 #b4 ,limitation on auto-enrollm5t ,not)/&+ any o!r provision ( law1 ,am]ican ,heal? ,b5efit ,ex*anges %all n provide = automatic enrollm5t 9 heal? plans "u su* ex*anges until ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices v]ifies t ea* ,/ate ,ex*ange e/abli%$ "u section #acaa ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #acjca7 & ! ,f$]al ,ex*ange e/abli%$ "u section #acba ( su* ,act 7#db ,u4,s4,c4 #ahjda7 has resolv$ ! inconsi/5cies 7z def9$ 9 section #c7;a77 outl9$ 9 ! ,june #bjad report ( su* ,inspector ,g5]al4 #c4 ,process = applications ) inconsi/5cies 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y7 %all make public ! /eps t ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices & ! ,f$]al ,ex*ange w take to cle> any inconsi/5cies t arose on or be=e ! date ( enactm5t ( ?is ,act & to ensure t ! sy/ems us$ by ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices to det]m9e or assess eligibility = premium tax cr$its1 co/-%>+ r$uctions1 ,m$icaid1 & ! ,/ate ,*ildr5's ,heal? ,insurance ,program 7,,*ip7 c resolve su* inconsi/5cies n lat] ?an #cj days aft] ! date ( enactm5t ( ?is ,act4 7b7 ,me?ods ,to monitor progress ,n lat] ?an #cj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all make public ! me?ods t ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices use to monitor1 track1 & measure ! progress ( ! ,f$]al ,ex*ange & ,/ate ,ex*anges 9 resolv+ inconsi/5cies4 7c7 ,susp5sion ( f9ancial assi/ance programs ,premium assi/ance tax cr$its "u section #cf;,b ( ! ,int]nal ,rev5ue ,code ( #aihf & ! r$uc$ co/-%>+ program "u section #adjb ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahjga7 %all n be available = plan ye> #bjae4 ,su* premium tax cr$it & co/-%>+ programs %all resume only aft]-- 7#a7 ! ,commission] ( ! ,social ,security ,adm9i/ration affirmatively decl>es t all inconsi/5cies relat$ to invalid social security numb]s h be5 resolv$2 & 7#b7 ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices det]m9es t all inconsi/5cies1 z def9$ 9 section #d7a71 h be5 resolv$4 7d7 ,reque/s = additional in=mation 7#a7 ,9 g5]al ,if applicant in=mation provid$ by an individual seek+ to enroll 9 a qualifi$ heal? plan on a ,/ate or ,f$]al ,ex*ange conta9s inconsi/5cies1 ! ,secret>y %all reque/ additional in=mation f ! individual1 & ! individual %all h #ij days to provide su* in=mation4 7#b7 ,re/rictions dur+ inconsi/5cy p]iod ,dur+ ! inconsi/5cy p]iod1 an individual may be enroll$ 9 qualifi$ heal? plan1 b may n p>ticipate 9 ! premium assi/ance cr$it program "u section #cf;,b ( ! ,int]nal ,rev5ue ,code ( #aihf or ! r$uc$ co/-%>+ program "u section #adjb ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahjga74 ,an individual :o coop]ates ) a reque/ = additional in=mation & :om ! ,secret>y lat] det]m9es to be eligible = su* programs1 %all retroactively receive ! b5efits ( su* programs t su* individual 0 eligible to receive = ! inconsi/5cy p]iod4 7#c7 ,failure to submit additional in=mation ,if ! applicant does n submit additional in=mation reque/$ "u subp>agraph 7,a7-- 7,a7 7i7 ! applicant %all be )drawn f ! premium assi/ance cr$it program "u section #cf;,b ( ! ,int]nal ,rev5ue ,code ( #aihf & ! r$uc$ co/-%>+ program "u section #adjb ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahjga71 z applicable1 at ! end ( ! inconsi/5cy p]iod2 & 7ii7 ! ,secret>y %all s5d notification ( su* dis5rollm5t to ! applicable heal? insurance issu]2 & 7,b7 ! applicant %all re-enroll 9 a qualifi$ heal? plan ) appropriate & accurate in=mation dur+ ! next op5 enrollm5t p]iod4 #d4 ,def9itions ,9 ?is ,act-- 7#a7 ! t]m inconsi/5cies means diff]5ces betwe5 ! self-atte/$ in=mation provid$ by an applicant 9 enroll+ 9 a heal? plan on an ,ex*ange & be+ det]m9$ eligible = premium tax cr$its & co/-%>+ r$uctions or 9 be+ det]m9$ to be eligible = enrollm5t 9 a ,/ate ,m$icaid plan or a ,/ate *ild heal? plan "u ! ,/ate ,*ildr5's ,heal? ,insurance ,program 7,,*ip7 & ! data receiv$ ?r\gh ! ,f$]al ,data ,s]vices ,hub or f o!r data s\rces1 includ+ diff]5ces ) respect to-- 7,a7 citiz5%ip2 7,b7 income2 7,c7 cov]age "u an eligible employ]-sponsor$ plan2 7,d7 inc>c]ation /atus2 or 7,e7 any o!r issue t w\ld impact individual's eligibility = f9ancial assi/ance programs "u ! ,pati5t ,protection & ,af=dable ,c>e ,act 7includ+ ! am5dm5ts made by su* ,act72 & 7#b7 ! t]m inconsi/5cy p]iod means ! #ij-;day p]iod beg9n+ on ! date ! notice ( an inconsi/5cy is s5t to ! applicant4