The federal government would check at least every three months for people enrolled in both Medicaid or CHIP and an ACA Exchange plan. If it finds them, Health and Human Services would act to stop ACA financial help for those people.
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To amend the Patient Protection and Affordable Care Act to identify individuals dually enrolled in Medicaid or CHIP and an Exchange. is a House bill in committee. The latest recorded action: 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.
Latest action on H.R. 6516: 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.
Who this affects: This bill mainly affects people whose records show they have Medicaid or CHIP and an ACA Exchange plan at the same time. It could change whether they get ACA help paying premiums or out-of-pocket costs. It also affects state Medicaid and CHIP agencies, health insurance Exchanges, health plans, Health and Human Services, and the U.S. Treasury Department because they may need to share, check, and act on enrollment data.
Why this matters: This bill matters because some people may be listed in two health coverage systems at once. It would create a regular federal check for that overlap. If the check finds someone on Medicaid or CHIP, that person would not get ACA financial help. The bill could reduce duplicate federal spending, but it could also create problems if records are wrong or slow to update.
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