,i #aaf? ,,congress #a/ ,session ,h4 ,r4 #bjfa ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,april #c1 #bjai ,mr4 ,b]a 7= himself1 ,mr4 ,c>bajal1 ,miss ,rice ( ,new ,york1 ,mr4 ,cisn]os1 ,ms4 ,wild1 & ,mr4 ,s*rad]7 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 facilitate ! ef=ts ( ,/ates to e/abli% auto-enrollm5t sy/ems to enroll c]ta9 individuals 9 heal? insurance cov]age1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,pa?way to ,univ]sal ,cov]age ,act ( #bjai4 #b4 ,enc\ragem5t ( auto-enrollm5t = ,/ates 7a7 ,/ate innovations ,to exp& cov]age 7#a7 ,9 g5]al ,subject to p>agraph 7#d71 ! ,secret>y ( ,heal? & ,human ,s]vices %all aw>d grants to eligible ,/ate ag5cies to enable su* ,/ates to explore innovative solutions to promote great] enrollm5t 9 heal? insurance cov]age 9 ! individual & small gr\p m>kets1 includ+ activities describ$ 9 p>agraph 7#c74 7#b7 ,eligibility ,= purposes ( p>agraph 7#a71 eligible ,/ate ag5cies are ,ex*anges e/abli%$ by a ,/ate "u title ,i ( ! ,pati5t ,protection & ,af=dable ,c>e ,act & ,/ate ag5cies ) prim>y responsibility ov] heal? & human s]vices = ! ,/ate involv$4 7#c7 ,use ( funds ,= purposes ( p>agraph 7#a71 ! activities describ$ 9 ?is subsection are ! foll[+3 7,a7 ,/ate ef=ts to /reaml9e heal? insurance enrollm5t proc$ures 9 ord] to r$uce burd5s on consum]s & facilitate great] enrollm5t 9 heal? insurance cov]age 9 ! individual & small gr\p m>kets1 includ+ automatic enrollm5t & re5rollm5t (1 or pre-populat$ applications =1 individuals )\t heal? insurance :o are eligible = tax cr$its "u section #cf;,b ( ! ,int]nal ,rev5ue ,code ( #aihf1 ) ! ability to opt out ( su* enrollm5t4 7,b7 ,/ate inve/m5t 9 te*nology to improve data %>+ & collection = ! purposes ( facilitat+ great] enrollm5t 9 heal? insurance cov]age 9 su* m>kets4 7,c7 ,implem5tation ( a ,/ate v]sion ( an individual m&ate to be enroll$ 9 heal? insurance cov]age4 7,d7 ,feasibility /udies to develop compreh5sive & coh]5t ,/ate plan = increas+ enrollm5t 9 ! individual & small gr\p m>ket4 7#d7 ,fund+ ,= purposes ( c>ry+ out ?is subsection1 !re is h]eby appropriat$1 out ( any funds 9 ! ,treasury n o!rwise appropriat$1 #bjj1jjj1jjj = ea* ( ! fiscal ye>s #bjbj ?r\gh #bjbb4 ,su* am\nt %all rema9 available until exp5d$4 7b7 ,availability ( subsidy in=mation ,! in=mation available "u section #adaa ( ! ,pati5t ,protection & ,af=dable ,c>e ,act = det]m9ation ( eligibility = & am\nt ( cr$it aga9/ tax all[$ "u section #cf;,b %all be made available to ,/ate ag5cies = det]m9+ eligibility = automatic enrollm5t describ$ 9 subsection 7f77#a74 7c7 ,reconciliation ( advanc$ paym5ts = auto-,enroll$ individuals ,p>agraph 7#b7 ( section #cf;,b7f7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,c7 ,exception = auto-enroll$ individuals ,9 ! case ( an individual :o is enroll$ ?r\gh an auto-enrollm5t sy/em 7z def9$ 9 subsection 7f7 ( ! ,pa?way to ,univ]sal ,cov]age ,act ( #bjai71 subp>agraph 7,a7 %all n apply4 4 7d7 ,facilitation ( ,/ate auto-,enrollm5t 7#a7 ,provision ( eligibility in=mation ,section #adaa ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahjha7 is am5d$-- 7,a7 9 subsection 7b7-- 7i7 9 ! head]1 by /rik+ by ,applicants2 & 7ii7 9 p>agraph 7#a71 by ins]t+ 7or1 9 ! case ( an individual to be enroll$ 9 su* plan "u an auto-enrollm5t sy/em 7z def9$ 9 subsection 7f77#a7 ( ! ,pa?way to ,univ]sal ,cov]age ,act ( #bjah71 a ,/ate7 aft] individual m>ket2 & 7,b7 9 subsection 7c77#a71 by /rik+ provid$ by an applicant "u & ins]t+ describ$ 94 7#b7 ,m$icaid enrollm5t ,! requirem5t specifi$ 9 section #dce4ijg7;f7 ( title #db1 ,code ( ,f$]al ,regulations1 %all n apply ) respect to an individual enroll$ "u a ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7or "u a waiv] ( su* plan7 ?r\gh an auto-enrollm5t sy/em4 7#c7 ,report+ ( t]m9at$ cov]age 7,a7 ,gr\p heal? plans & heal? insurance issu]s ,! fir/ subp>t ,,ii ( "p ,a ( title ,,xxvii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#aa et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #bgbi4 ,report+ ( t]m9at$ cov]age ,= ea* mon? occurr+ 9 a plan ye> beg9n+ on or aft] ,janu>y #a1 #bjba1 a gr\p heal? plan & a heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age %all notify ! ,secret>y1 9 a "t & mann] specifi$ by ! ,secret>y1 ( ea* individual ^: enrollm5t "u su* cov]age or su* plan 0 t]m9at$ dur+ su* mon?4 4 7,b7 ,m$icaid ,section #aijb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7nn7 ,report+ on dis5rollm5t ( ,m$icaid enrollees ,= ea* mon? beg9n+ on or aft] ,janu>y #a1 #bjba1 a ,/ate %all submit to ! ,secret>y a report1 at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require1 on ea* individual :o 0 dis5roll$ f ! ,/ate plan 7or a waiv] ( su* plan7 dur+ su* mon?4 4 7,c7 ,,*ip ,section #bajg7;e77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;gg7e77#a77 is am5d$-- 7i7 by r$esignat+ subp>agraphs 7,l7 ?r\gh 7,s7 z subp>agraphs 7,m7 ?r\gh 7,t71 respectively2 & 7ii7 by ins]t+ aft] subp>agraph 7,k7 ! foll[+ new subp>agraph3 7,l7 ,section #aijb7nn7 7relat+ to report+ on dis5rollm5t ( enrollees74 4 7e7 ,report ,n lat] ?an #f mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 9 coord9ation ) ! ,commission] ( ! ,int]nal ,rev5ue ,s]vice1 %all submit to ,congress a report ) be/ practice recomm5dations on h[ a ,/ate may e/abli% an auto-enrollm5t sy/em 7z def9$ 9 subsection 7f774 ,su* report %all include ! foll[+3 7#a7 ,id5tification ( any /atutory b>ri]s to e/abli%+ su* a sy/em1 includ+ data-%>+1 adm9i/rative1 & te*nological b>ri]s4 7#b7 ,h[ su* a sy/em w\ld int]act ) enrollm5t p]iods = qualifi$ heal? plans 7z def9$ 9 section #acja ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahjba77 & income eligibility det]m9ations = premium assi/ance tax cr$its "u section #cf;,b ( ! ,int]nal ,rev5ue ,code1 ! impact ( su* sy/em on enrollm5t 9 heal? insurance cov]age 9 a ,/ate e/abli%+ su* sy/em1 & ! effects ( *ang+ ! enrollm5t p]iods = su* sy/em to align ) ! fil+ ( individual ,f$]al tax returns4 7#c7 ,an evaluation ( prior outrea* ef=ts t>get$ to individuals )\t heal? insurance cov]age eligible = su* tax cr$its4 7f7 ,def9itions ,= purposes ( ?is ,act3 7#a7 ,auto-enrollm5t sy/em ,! t]m auto-enrollm5t sy/em means a sy/em design$ & op]at$ by a ,/ate t provides = an eligible individual resid+ 9 su* ,/ate to be automatically enroll$ 9 a qualifi$ heal? plan (f]$ ?r\gh an ,ex*ange 9 ! ,/ate1 or1 if eligible1 9 ! ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7or "u a waiv] ( su* plan71 provid$ t ! sy/em exempts su* individual f pay+ any premium impos$ by ! ,/ate "u su* plan 7or waiv]74 ,su* automatic enrollm5t %all be void if )9 #fj days aft] fir/ be+ notifi$ ( ! automatic enrollm5t ! eligible individual decl9es su* cov]age4 7#b7 ,eligible individual 7,a7 ,9 g5]al ,subject to subp>agraph 7,b71 ! t]m eligible individual means1 ) respect to a taxable ye>1 an individual :o is n eligible = m9imum ess5tial cov]age1 o!r ?an m9imum ess5tial cov]age describ$ 9 subp>agraph 7,a77ii7 or 7,c7 ( section #ejjj;,a7f77#a7 ( ! ,int]nal ,rev5ue ,code ( #aihf1 = su* ye>4 7,b7 ,limitation ,an individual :o is only eligible = m9imum ess5tial cov]age describ$ 9 section #ejjj;,a7f77#a77;,c7 ( ! ,int]nal ,rev5ue ,code ( #aihf may only be treat$ z an eligible individual = purposes ( ?is section if ! am\nt t w\ld be calculat$ "u section #cf;,b7b77#b77;,b7 ( su* ,code = su* individual = a cov]age mon? is n less ?an ! mon?ly premium = ! lea/ exp5sive plan (f]$ on ! ,ex*ange = :i* su* individual is eligible4 ,?is subclause %all be calculat$ on ! basis ( ! individual's h\sehold income = ! mo/ rec5t taxable ye> = :i* ! ,secret>y det]m9es in=mation is available4 7#c7 ,/ate ,! t]m ,/ate means ea* ( ! sev]al ,/ates1 ! ,di/rict ( ,columbia1 & ea* t]ritory or possession ( ! ,unit$ ,/ates4