,i  #aaeth ,,congress  #ast ,session    
,h4 ,r4 #gjf  ,,in ,,the ,,house ,,of   
,,representatives  ,january #bg1        
#bjag,mrs4 ,blackburn introduced the    
following bill2 which was referred to   
the ,committee on ,energy and ,commerce 
,a ,,bill  ,to amend title ,i of the    
,patient ,protection and ,affordable    
,care ,act to require verification for  
eligibility for enrollment during       
special enrollment periods in ,,ppaca   
insurance plans1 and for other purposes4
  #a4 ,short title ,this ,act may be    
cited as the ,plan ,verification and    
,fairness ,act of #bjag4  #b4 ,requiring
 verification for eligibility for       
enrollment during special enrollment    
periods in ,,ppaca insurance plans  7a7 
,in general ,section #acaa7;c7 of the   
,patient ,protection and ,affordable    
,care ,act 7#db ,u4,s4,c4 #ahjca7;c77 is
 amended by adding at the end the       
following new paragraph3  7#g7          
,verification requirement for special   
enrollment periods  7,a7 ,in general    

,the ,secretary shall provide that1 in  
the case of a special enrollment period 
provided for under paragraph 7#f77;,c7  
that is with respect to a plan year that
 begins on or after ,january #a1 #bjah1 
qualified health plans offered through  
an ,exchange may not make coverage      
effective with respect to an individual 
enrolling during such period until the  
,exchange verifies1 through an approved 
verification process described in       
subparagraph 7,b71 that the individual1 
with respect to such ,exchange1 is a    
qualified individual who is eligible to 
enroll during such period4  7,b7        
,approved verification process described
 ,for purposes of subparagraph 7,a71 an 
approved verification process described 
in this subparagraph is a process       
specified by the ,secretary through     
interim final rulemaking that requires  
an individual described in subparagraph 
7,a7 seeking to enroll in a qualified   
health plan described in such           
subparagraph to submit to the ,exchange 

such documents as the ,secretary        
determines are necessary in order for   
the ,exchange to verify that the        
individual1 with respect to such        
,exchange1 is a qualified individual who
 is eligible to enroll during a period  
described in such subparagraph4 ,to the 
extent practicable1 such process shall  
be similar to the review and assessment 
process pertaining to special enrollment
 periods described at #ha ,fed4 ,reg4   
#abbgd in the final rule entitled       
,patient ,protection and ,affordable    
,care ,act2 ,,hhs ,notice of ,benefit   
and ,payment ,parameters for #bjag1     
published at #ha ,fed4 ,reg4 #abbjc     
7,march #h1 #bjaf74  4  7b7 ,study and  
report  7#a7 ,study ,the ,inspector     
,general of the ,department of ,health  
and ,human ,services shall conduct a    
study on enrollment by individuals in   
qualified health plans 7as defined in   
section #acja7;a7 of the ,patient       
,protection and ,affordable ,care ,act  
7#db ,u4,s4,c4 #ahjba7;a777 during      

special enrollment periods provided for 
under section #acaa7;c77#f77;,c7 of such
 ,act 7#db ,u4,s4,c4                    
#ahjca7;c77#f77;,c77 that are with      
respect to plan year #bjaf4 ,such study 
shall include1 with respect to each such
 period1 an identification of each of   
the following3  7,a7 ,the number of     
individuals who sought to enroll in such
 a plan through an ,exchange established
 under such ,act during such period but 
who were not allowed to so enroll during
 such period4  7,b7 ,the number of such 
individuals who were not allowed to so  
enroll through such an ,exchange during 
such period on account of each of the   
following3  7i7 ,the individual did not 
provide to the ,exchange documentation  
to demonstrate that the individual was1 
with respect to the ,exchange1 a        
qualified individual 7as defined in     
section #acab7;f77#a7 of such ,act 7#db 
,u4,s4,c4 #ahjcb7;f77#a777 who was      
eligible to enroll during such period4  
7ii7 ,such documentation provided to the

 ,exchange by the individual was        
invalid4  7#b7 ,report ,not later than  
,june #a1 #bjah1 such ,inspector        
,general shall submit to ,congress a    
report on the findings of the study     
conducted under paragraph 7#a74