,i #aafth ,,congress #ast ,session ,h4 ,r4 #bjfa ,,in ,,the ,,house ,,of ,,representatives ,april #c1 #bjai ,mr4 ,bera 7for himself1 ,mr4 ,carbajal1 ,miss ,rice of ,new ,york1 ,mr4 ,cisneros1 ,ms4 ,wild1 and ,mr4 ,schrader7 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 facilitate the efforts of ,states to establish auto-enrollment systems to enroll certain individuals in health insurance coverage1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,pathway to ,universal ,coverage ,act of #bjai4 #b4 ,encouragement of auto-enrollment for ,states 7a7 ,state innovations ,to expand coverage 7#a7 ,in general ,subject to paragraph 7#d71 the ,secretary of ,health and ,human ,services shall award grants to eligible ,state agencies to enable such ,states to explore innovative solutions to promote greater enrollment in health insurance coverage in the individual and small group markets1 including activities described in paragraph 7#c74 7#b7 ,eligibility ,for purposes of paragraph 7#a71 eligible ,state agencies are ,exchanges established by a ,state under title ,i of the ,patient ,protection and ,affordable ,care ,act and ,state agencies with primary responsibility over health and human services for the ,state involved4 7#c7 ,use of funds ,for purposes of paragraph 7#a71 the activities described in this subsection are the following3 7,a7 ,state efforts to streamline health insurance enrollment procedures in order to reduce burdens on consumers and facilitate greater enrollment in health insurance coverage in the individual and small group markets1 including automatic enrollment and reenrollment of1 or pre-populated applications for1 individuals without health insurance who are eligible for tax credits under section #cf;,b of the ,internal ,revenue ,code of #aihf1 with the ability to opt out of such enrollment4 7,b7 ,state investment in technology to improve data sharing and collection for the purposes of facilitating greater enrollment in health insurance coverage in such markets4 7,c7 ,implementation of a ,state version of an individual mandate to be enrolled in health insurance coverage4 7,d7 ,feasibility studies to develop comprehensive and coherent ,state plan for increasing enrollment in the individual and small group market4 7#d7 ,funding ,for purposes of carrying out this subsection1 there is hereby appropriated1 out of any funds in the ,treasury not otherwise appropriated1 #bjj1jjj1jjj for each of the fiscal years #bjbj through #bjbb4 ,such amount shall remain available until expended4 7b7 ,availability of subsidy information ,the information available under section #adaa of the ,patient ,protection and ,affordable ,care ,act for determination of eligibility for and amount of credit against tax allowed under section #cf;,b shall be made available to ,state agencies for determining eligibility for automatic enrollment described in subsection 7f77#a74 7c7 ,reconciliation of advanced payments for auto-,enrolled individuals ,paragraph 7#b7 of section #cf;,b7f7 of the ,internal ,revenue ,code of #aihf is amended by adding at the end the following new subparagraph3 7,c7 ,exception for auto-enrolled individuals ,in the case of an individual who is enrolled through an auto-enrollment system 7as defined in subsection 7f7 of the ,pathway to ,universal ,coverage ,act of #bjai71 subparagraph 7,a7 shall not apply4 4 7d7 ,facilitation of ,state auto-,enrollment 7#a7 ,provision of eligibility information ,section #adaa of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjha7 is amended-- 7,a7 in subsection 7b7-- 7i7 in the header1 by striking by ,applicants2 and 7ii7 in paragraph 7#a71 by inserting 7or1 in the case of an individual to be enrolled in such plan under an auto-enrollment system 7as defined in subsection 7f77#a7 of the ,pathway to ,universal ,coverage ,act of #bjah71 a ,state7 after individual market2 and 7,b7 in subsection 7c77#a71 by striking provided by an applicant under and inserting described in4 7#b7 ,medicaid enrollment ,the requirement specified in section #dce4ijg7;f7 of title #db1 ,code of ,federal ,regulations1 shall not apply with respect to an individual enrolled under a ,state plan under title ,,xix of the ,social ,security ,act 7or under a waiver of such plan7 through an auto-enrollment system4 7#c7 ,reporting of terminated coverage 7,a7 ,group health plans and health insurance issuers ,the first subpart ,,ii of part ,a of title ,,xxvii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#aa et seq47 is amended by adding at the end the following new section3 #bgbi4 ,reporting of terminated coverage ,for each month occurring in a plan year beginning on or after ,january #a1 #bjba1 a group health plan and a health insurance issuer offering group or individual health insurance coverage shall notify the ,secretary1 in a time and manner specified by the ,secretary1 of each individual whose enrollment under such coverage or such plan was terminated during such month4 4 7,b7 ,medicaid ,section #aijb of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is amended by adding at the end the following new subsection3 7nn7 ,reporting on disenrollment of ,medicaid enrollees ,for each month beginning on or after ,january #a1 #bjba1 a ,state shall submit to the ,secretary a report1 at such time1 in such manner1 and containing such information as the ,secretary may require1 on each individual who was disenrolled from the ,state plan 7or a waiver of such plan7 during such month4 4 7,c7 ,,chip ,section #bajg7;e77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;gg7e77#a77 is amended-- 7i7 by redesignating subparagraphs 7,l7 through 7,s7 as subparagraphs 7,m7 through 7,t71 respectively2 and 7ii7 by inserting after subparagraph 7,k7 the following new subparagraph3 7,l7 ,section #aijb7nn7 7relating to reporting on disenrollment of enrollees74 4 7e7 ,report ,not later than #f months after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services1 in coordination with the ,commissioner of the ,internal ,revenue ,service1 shall submit to ,congress a report with best practice recommendations on how a ,state may establish an auto-enrollment system 7as defined in subsection 7f774 ,such report shall include the following3 7#a7 ,identification of any statutory barriers to establishing such a system1 including data-sharing1 administrative1 and technological barriers4 7#b7 ,how such a system would interact with enrollment periods for qualified health plans 7as defined in section #acja of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjba77 and income eligibility determinations for premium assistance tax credits under section #cf;,b of the ,internal ,revenue ,code1 the impact of such system on enrollment in health insurance coverage in a ,state establishing such system1 and the effects of changing the enrollment periods for such system to align with the filing of individual ,federal tax returns4 7#c7 ,an evaluation of prior outreach efforts targeted to individuals without health insurance coverage eligible for such tax credits4 7f7 ,definitions ,for purposes of this ,act3 7#a7 ,auto-enrollment system ,the term auto-enrollment system means a system designed and operated by a ,state that provides for an eligible individual residing in such ,state to be automatically enrolled in a qualified health plan offered through an ,exchange in the ,state1 or1 if eligible1 in the ,state plan under title ,,xix of the ,social ,security ,act 7or under a waiver of such plan71 provided that the system exempts such individual from paying any premium imposed by the ,state under such plan 7or waiver74 ,such automatic enrollment shall be void if within #fj days after first being notified of the automatic enrollment the eligible individual declines such coverage4 7#b7 ,eligible individual 7,a7 ,in general ,subject to subparagraph 7,b71 the term eligible individual means1 with respect to a taxable year1 an individual who is not eligible for minimum essential coverage1 other than minimum essential coverage described in subparagraph 7,a77ii7 or 7,c7 of section #ejjj;,a7f77#a7 of the ,internal ,revenue ,code of #aihf1 for such year4 7,b7 ,limitation ,an individual who is only eligible for minimum essential coverage described in section #ejjj;,a7f77#a77;,c7 of the ,internal ,revenue ,code of #aihf may only be treated as an eligible individual for purposes of this section if the amount that would be calculated under section #cf;,b7b77#b77;,b7 of such ,code for such individual for a coverage month is not less than the monthly premium for the least expensive plan offered on the ,exchange for which such individual is eligible4 ,this subclause shall be calculated on the basis of the individual's household income for the most recent taxable year for which the ,secretary determines information is available4 7#c7 ,state ,the term ,state means each of the several ,states1 the ,district of ,columbia1 and each territory or possession of the ,united ,states4