Title: Marketplace Certainty Act
Policy area: Health

Summary:
Marketplace Certainty Act
This bill expands eligibility for additional cost-sharing reductions that apply to certain enrollees of qualified health plans. Specifically, it increases the income thresholds under which plan holders receive such cost-sharing reductions and increases the percentage of the shared costs paid by the plan at each income threshold.

[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 964 Introduced in Senate (IS)]

<DOC>






116th CONGRESS
  1st Session
                                 S. 964

  To amend the Patient Protection and Affordable Care Act to improve 
                        cost-sharing subsidies.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             April 1, 2019

   Mrs. Shaheen (for herself, Ms. Stabenow, Mr. Casey, Mr. Reed, Mr. 
Blumenthal, Ms. Hassan, Ms. Klobuchar, Mr. Tester, Mr. Kaine, Mr. King, 
 Ms. Harris, Mr. Whitehouse, Ms. Baldwin, Ms. Hirono, and Mr. Murphy) 
introduced the following bill; which was read twice and referred to the 
          Committee on Health, Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
  To amend the Patient Protection and Affordable Care Act to improve 
                        cost-sharing subsidies.

    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 ``Marketplace Certainty Act''.

SEC. 2. ENHANCEMENTS FOR REDUCED COST-SHARING.

    (a) Modification of Amount.--
            (1) In general.--Section 1402(c)(2) of the Patient 
        Protection and Affordable Care Act is amended to read as 
        follows:
            ``(2) Additional reduction.--The Secretary shall establish 
        procedures under which the issuer of a qualified health plan to 
        which this section applies shall further reduce cost-sharing 
        under the plan in a manner sufficient to--
                    ``(A) in the case of an eligible insured whose 
                household income is not less than 100 percent but not 
                more than 200 percent of the poverty line for a family 
                of the size involved, increase the plan's share of the 
                total allowed costs of benefits provided under the plan 
                to 95 percent of such costs;
                    ``(B) in the case of an eligible insured whose 
                household income is more than 200 percent but not more 
                than 300 percent of the poverty line for a family of 
                the size involved, increase the plan's share of the 
                total allowed costs of benefits provided under the plan 
                to 90 percent of such costs; and
                    ``(C) in the case of an eligible insured whose 
                household income is more than 300 percent but not more 
                than 400 percent of the poverty line for a family of 
                the size involved, increase the plan's share of the 
                total allowed costs of benefits provided under the plan 
                to 85 percent of such costs.''.
            (2) Conforming amendment.--Clause (i) of section 
        1402(c)(1)(B) of such Act is amended to read as follows:
                            ``(i) In general.--The Secretary shall 
                        ensure the reduction under this paragraph shall 
                        not result in an increase in the plan's share 
                        of the total allowed costs of benefits provided 
                        under the plan above--
                                    ``(I) 95 percent in the case of an 
                                eligible insured described in paragraph 
                                (2)(A);
                                    ``(II) 90 percent in the case of an 
                                eligible insured described in paragraph 
                                (2)(B); and
                                    ``(III) 85 percent in the case of 
                                an eligible insured described in 
                                paragraph (2)(C).''.
            (3) Effective date.--The amendments made by this subsection 
        shall apply to plan years beginning after December 31, 2019.
    (b) Funding.--Section 1402 of the Patient Protection and Affordable 
Care Act is amended by adding at the end the following new subsection:
    ``(g) Funding.--Out of any funds in the Treasury not otherwise 
appropriated, there are appropriated to the Secretary such sums as may 
be necessary for payments under this section.''.
                                 <all>