summary
Introduced
07/25/2019
07/25/2019
In Committee
07/26/2019
07/26/2019
Crossed Over
Passed
Dead
12/31/2020
12/31/2020
Introduced Session
116th Congress
Bill Summary
To streamline the employer reporting process and strengthen the eligibility verification process for the premium assistance tax credit and cost-sharing subsidy. This bill addresses the eligibility verification process for the premium assistance tax credit and cost-sharing subsidy under the Patient Protection and Affordable Care Act (PPACA). It requires the Department of the Treasury to develop and implement a reporting system that allows employers to voluntarily report information about their health plans for the current plan year prior to the beginning of open enrollment. The bill also allows electronic transmission of employee and enrollee statements and permits Treasury to accept full names and dates of birth in lieu of dependents' and spouses' Social Security numbers. The Government Accountability Office must evaluate (1) for the period beginning on January 1, 2015, and ending on December 31, 2018, the notification of employers by PPACA exchanges of the eligibility of employees for advance payments of the premium assistance tax credit or cost-sharing subsidies; and (2) for calendar year 2020, the functionality of the prospective reporting system established by this bill, including the accuracy of information collected.
AI Summary
This bill aims to streamline the employer reporting process and strengthen the eligibility verification process for the premium assistance tax credit and cost-sharing subsidy under the Affordable Care Act (ACA). The key provisions include:
1. Establishing a voluntary prospective reporting system that allows employers to report information about their health plans to the Department of the Treasury prior to the start of the open enrollment period, which can be used by the Exchanges and the Internal Revenue Service (IRS) to determine employee eligibility for premium tax credits and cost-sharing subsidies.
2. Exempting employers who use the prospective reporting system from certain reporting requirements under the Internal Revenue Code.
3. Allowing the use of an individual's full name and date of birth instead of their Social Security number for reporting purposes to protect dependent privacy.
4. Permitting the electronic delivery of employee and enrollee statements related to health insurance coverage.
5. Requiring the Government Accountability Office to conduct studies on the employer notification process for premium tax credits and cost-sharing subsidies, as well as the functionality of the new prospective reporting system.
The goal of the bill is to reduce compliance burdens on businesses and individuals while still providing the information necessary to enforce the ACA's provisions related to premium assistance and cost-sharing subsidies.
Committee Categories
Budget and Finance, Health and Social Services
Sponsors (8)
Mike Thompson (D)*,
Debbie Lesko (R),
Zoe Lofgren (D),
David Rouzer (R),
Kurt Schrader (D),
Terri Sewell (D),
Adrian Smith (R),
Jackie Walorski (R),
Last Action
Referred to the Subcommittee on Health. (on 07/26/2019)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.congress.gov/bill/116th-congress/house-bill/4070/all-info |
| BillText | https://www.congress.gov/116/bills/hr4070/BILLS-116hr4070ih.pdf |
| Bill | https://www.congress.gov/116/bills/hr4070/BILLS-116hr4070ih.pdf.pdf |
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