Bill > HR6010

This bill addresses several key provisions related to health insurance and tax credits. First, it extends and modifies the premium tax credit for health insurance plans for tax years 2026 and 2027, adjusting the percentage of household income that individuals pay for health insurance premiums across different income tiers, with the most significant change allowing individuals up to 600% of the poverty line to receive premium assistance. Second, the bill improves risk adjustment under Medicare Advantage by requiring the use of two years of diagnostic data and excluding diagnoses collected from chart reviews and health risk assessments to create more accurate payment calculations. Third, the bill aims to reduce fraudulent enrollment in qualified health plans by establishing new penalties and oversight mechanisms for agents and brokers, including civil and criminal penalties for knowingly providing false information, creating a verification process for new enrollments, and implementing requirements for marketing organizations to ensure consumer protection and transparency. These provisions are designed to enhance the affordability and integrity of health insurance enrollment and coverage.

Budget and Finance

https://www.congress.gov/bill/119th-congress/house-bill/6010/all-info