Title: Access to Marketplace Insurance Act
Policy area: Health

Summary:
Access to Marketplace Insurance Act
This bill requires health insurers to accept, on behalf of individuals enrolled in qualified health plans, cost-sharing payments made by certain third parties (e.g., state and federal government programs) and count such payments toward annual cost-sharing limitations. (Qualified health plans are eligible for subsidies and fulfill an individual's requirement to maintain minimum essential coverage.)

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3976 Introduced in House (IH)]

<DOC>






115th CONGRESS
  1st Session
                                H. R. 3976

 To amend the Patient Protection and Affordable Care Act to allow for 
                     certain third-party payments.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 5, 2017

Mr. Cramer (for himself, Mr. Garamendi, Ms. Stefanik, Mr. Lamborn, Mr. 
Franks of Arizona, Mr. Allen, Mr. Cook, Ms. McSally, Mr. Goodlatte, Mr. 
  DeSaulnier, Mr. Brat, Mr. Peterson, Mr. Gallagher, Ms. Pingree, Mr. 
   Higgins of Louisiana, and Mr. Duncan of Tennessee) introduced the 
   following bill; which was referred to the Committee on Energy and 
                                Commerce

_______________________________________________________________________

                                 A BILL


 
 To amend the Patient Protection and Affordable Care Act to allow for 
                     certain third-party payments.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Access to Marketplace Insurance 
Act''.

SEC. 2. PAYMENT OF PREMIUMS BY CERTAIN THIRD PARTIES ON BEHALF OF 
              QUALIFIED INDIVIDUALS.

    (a) In General.--Section 1312 of the Patient Protection and 
Affordable Care Act (42 U.S.C. 18032) is amended--
            (1) by redesignating subsections (c) through (f) as 
        subsections (d) through (g), respectively; and
            (2) by inserting after subsection (b) the following new 
        subsection:
    ``(c) Payment of Premiums by Certain Qualified Third Parties on 
Behalf of a Qualified Individual.--A qualified individual enrolled in 
any qualified health plan may allow certain third parties to pay any 
applicable premium or cost sharing owed by such individual to the 
health insurance issuer issuing such qualified health plan, and the 
health insurance issuer shall accept and count toward the annual 
limitations in section 1302(c) such payments made on behalf of 
qualified individuals, including payments from the following:
            ``(1) A State or Federal government program, including 
        assistance provided under a grant under title XXVI of the 
        Public Health Service Act.
            ``(2) Indian tribes, tribal organizations, or urban Indian 
        organizations.
            ``(3) A program conducted by an organization which is--
                    ``(A) exempt from taxation under section 501(a) of 
                the Internal Revenue Code of 1986;
                    ``(B) described in clause (i) or (vi) of section 
                170(b)(1)(A) of such Code; and
                    ``(C) operated in compliance with applicable 
                Federal laws, including sections 3729 through 3733 of 
                title 31, United States Code (known as the False Claims 
                Act).
    ``(d) Education.--The Secretary is authorized to make and enforce 
such regulations as necessary to assure that individuals eligible for 
the Medicare program under part A of title XVIII of the Social Security 
Act, the Medicaid program under title XIX of such Act, or coverage 
under an available Medicare supplemental health insurance policy under 
section 1882 of such Act receive proper education related to all of 
their coverage options, including qualified health plan coverage.''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
apply with respect to premiums and cost-sharing paid on or after the 
date that is 90 days after the date of the enactment of this Act.
                                 <all>