To require certain preconditions for allowing premium tax credits, reductions in cost-sharing, and funding of Navigators and related Exchange enrollment activities, and for other purposes.

Bill: 113-hr-2951
Sponsor: full_name: Rep. McMorris Rodgers, Cathy [R-WA-5]
Introduced: 2013-08-01
Policy area: Health
Subjects: Comprehensive health care

Congressional oversight

Government information and archives

Health care costs and insurance

Health care coverage and access

Health information and medical records

Income tax credits

Right of privacy
Latest action: action_date: 2013-08-02
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2013-08-01
action_desc: Introduced in House
text: <p>Disallows specified subsidy payments under the Patient Protection and Affordable Care Act (PPACA), including the tax credit for health care coverage premium assistance and reduction in cost-sharing, or any funding for the operation of a PPACA Navigator Program until: (1) the Secretary of Health and Human Services (HHS) certifies to Congress that verification methods under PPACA to determine eligibility for subsidies have been tested to verify their accuracy and have safeguards in place to protect personally identifiable information; and (2) the Inspector General of HHS reviews such verification methods and certifies to Congress the quality, accuracy, response time, and integrity of such methods and that the level of improper subsidy payments is not likely to exceed 3% of the level of the total subsidy payment.</p> <p>Requires the Inspector General of HHS to review verification methods annually to determine the level of improper subsidy payments and suspend such subsidies in years in which they exceed 3% of the total subsidy payment.</p>

tv_txt: I 113th CONGRESS 1st Session H. R. 2951 IN THE HOUSE OF REPRESENTATIVES August 1, 2013 Mrs. McMorris Rodgers introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committee on Ways and Means , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To require certain preconditions for allowing premium tax credits, reductions in cost-sharing, and funding of Navigators and related Exchange enrollment activities, and for other purposes.

1. Preconditions for premium tax credits, reductions in cost-sharing, and funding of Navigators and related Exchange enrollment activities (a) In general Notwithstanding any other provision of law, no premium tax credit shall be allowed under section 36B of the Internal Revenue Code of 1986, no reduction in cost-sharing shall be allowed under section 1402 of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18071 ), and no funds may be awarded under section 1311 of such Act ( 42 U.S.C. 18031 ) for the operation of a Navigator program under subsection (i) of such section or for facilitation or advocacy for enrollment under subsections (d)(6)(B) and (E) of such section, until— (1) 1 year after the date the Secretary certifies to Congress that the ACA verification methods (as defined in subsection (c)(1))— (A) have been tested to verify their accuracy; and (B) have safeguards in place to protect personally identifiable information; and (2) the Inspector General of the Department of Health and Human Services reviews such verification methods and certifies to Congress— (A) the quality, accuracy, response time, and integrity of such verification methods; and (B) that the level of improper subsidy payments is not likely to exceed 3 percent of the level of the total subsidy payments (as defined in subsection (c)(3)). (b) Subsequent annual certification of verification methods (1) In general The Inspector General of the Department of Health and Human Services shall annually review the quality, accuracy, response time, and integrity of the ACA verification methods in order to determine the level of improper subsidy payments as a percentage of the level of total subsidy payments. (2) Suspension if excessive improper subsidy payments If the Inspector General determines for a year as a result of such review that the level of improper subsidy payments is projected to exceed 3 percent of the level of total subsidy payments, for years beginning after the date of such determination awards shall be suspended until such time as the Secretary and the Inspector General certify that the level of improper subsidy payments is not likely to exceed 3 percent of the level of total subsidy payment. (c) Definitions In this section: (1) The term ACA verification methods means the verification methods required under subsections (c)(4) and (d) of section 1411 of the Patient Protection and Affordable Care Act (42 U.S.C. 18081). (2) The term Secretary means the Secretary of Health and Human Services, acting in consultation with the Secretary of the Treasury and other appropriate Federal officials in implementing section 1411 of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18081 ). (3) The term subsidy payments means premium tax credits allowed under section 36B of the Internal Revenue Code of 1986 and reductions in cost-sharing effected under section 1402 of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18071 ).