Access to Marketplace Insurance Act

Bill: 115-hr-3976
Sponsor: full_name: Rep. Cramer, Kevin [R-ND-At Large]
Introduced: 2017-10-05
Policy area: Health
Subjects: Health care costs and insurance

Health programs administration and funding

Medicaid

Medicare

Tax-exempt organizations
Latest action: action_date: 2017-10-06
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2017-10-05
action_desc: Introduced in House
text: <p><b>Access to Marketplace Insurance Act</b></p> <p>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.)</p>

tv_txt: I 115th CONGRESS 1st Session H. R. 3976 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.

1. Short title This Act may be cited as the Access to Marketplace Insurance Act . 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.