To amend the Patient Protection and Affordable Care Act to prevent duplicate enrollments in Exchanges.
Summary
H.R. 6515 aims to amend the Patient Protection and Affordable Care Act (ACA) to prevent duplicate enrollments in health insurance exchanges. The bill mandates the Secretary to establish a process for identifying individuals with identical Social Security numbers enrolled in the same exchange for the same coverage period. This process is intended to prevent duplicate advance payments of premium tax credits.
Expected Effects
The primary effect of this bill would be to reduce improper payments within the ACA marketplace. By identifying and preventing duplicate enrollments, the government aims to ensure that premium tax credits are accurately distributed. This could lead to cost savings for the federal government.
Potential Benefits
- Reduced fraudulent claims and improper payments in the ACA marketplace.
- More efficient use of taxpayer dollars by preventing duplicate premium tax credits.
- Increased integrity and accountability in the health insurance exchange system.
- Potentially lower premiums for individuals due to reduced overall costs.
- Improved accuracy of enrollment data within the exchanges.
Most Benefited Areas:
Potential Disadvantages
- Potential for administrative burden and costs associated with implementing the new verification process.
- Risk of inadvertently delaying or denying coverage to legitimate enrollees due to false positives.
- Possible privacy concerns related to the use and matching of Social Security numbers.
- Limited impact if the incidence of duplicate enrollments is already low.
- Could disproportionately affect individuals with complex family situations or those who have made errors during enrollment.
Constitutional Alignment
The bill appears to align with the general welfare clause of the Constitution, as it aims to improve the efficiency and integrity of a government program. Article 1, Section 8 grants Congress the power to collect taxes and provide for the general welfare of the United States. The bill does not appear to infringe upon any specific constitutional rights or liberties.
Impact Assessment: Things You Care About ⓘ
This action has been evaluated across 19 key areas that matter to you. Scores range from 1 (highly disadvantageous) to 5 (highly beneficial).