,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #fjaa  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #ac1        
#bjaf,mr4 ,bilirakis 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       
require t ! ,c5t]s = ,m$ic>e  ,m$icaid  
,s]vices has 9 place adequate           
v]ification proc$ures to ensure t       
advance paym5ts "u ! ,pati5t ,protection
 & ,af=dable ,c>e ,act are made = only  
enrollees "u qualifi$ heal? plans :o h  
paid _! premiums4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,,aca ,premium     
,paym5t ,v]ification ,act4  #b4 ,requir+
 adequate ,,cms v]ification proc$ures to
 ensure advance paym5ts "u ! ,af=dable  
,c>e ,act are made = only enrollees "u  
qualifi$ heal? plans :o h paid _!       
premiums  7a7 ,9 g5]al ,not)/&+ any o!r 

provision ( law1 no advance paym5t "u   
section #adab ( ! ,pati5t ,protection & 
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjhb7 may be made be=e su* date t !   
,secret>y ( ,heal? & ,human ,s]vices    
c]tifies to ,congress t ! ,c5t]s =      
,m$ic>e  ,m$icaid ,s]vices has 9 place  
an adequate process1 9 accordance )     
subsection 7b71 to indep5d5tly v]ify if 
an individual is enroll$ "u a qualifi$  
heal? plan & has paid ! premium "u su*  
plan4  7b7 ,adequate proc$ures ,=       
purposes ( subsection 7a71 a process1 ) 
respect to ! v]ifications describ$ 9 su*
 subsection1 %all n be treat$ z an      
adequate process--  7#a7 unless su*     
process-- 7,a7 is an automat$ process "u
 :i* su* v]ifications are made on a     
policy basis & n on an aggregate basis2 
7,b7 has be5 te/$ by ! ,inspector ,g5]al
 ( ! ,dep>tm5t ( ,heal? & ,human        
,s]vices & det]m9$ by ! ,inspector      
,g5]al pursuant to su* te/ z be+        
effective2 &  7,c7 includes ! provision 
by ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e  

,m$icaid ,s]vices to ! ,secret>y ( !    
,treasury ( su* paym5t in=mation z ne$$ 
by ! ,secret>y = v]ification (          
eligibility ( individuals = purposes (  
advance paym5ts "u section #adab ( !    
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahjhb72 &  7#b7 to 
! ext5t su* process includes any        
proc$ures t rely on assurances or       
atte/ations made by ! issu] ( ! qualifi$
 heal? plan involv$4  7c7 ,report on    
co/-%>+ subsidies all[$ = c]ta9         
individuals enroll+ 9 qualifi$ heal?    
plans ,n lat] ?an "o ye> aft] ! date ( !
 enactm5t ( ?is ,act1 ! ,secret>y (     
,heal? & ,human ,s]vices %all submit to 
,congress a report on ! ext5t to :i*    
adequate proc$ures are 9 place ) respect
 to co/-%>+ r$uctions all[$ "u section  
#adjb ( ! ,pati5t ,protection &         
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjga74