ACA Premium Payment Verification Act 2016-09-13 Introduced in House ACA Premium Payment Verification Act

This bill conditions any advance payment of premium tax credits and cost-sharing reductions under the Patient Protection and Affordable Care Act upon certification that the Centers for Medicare & Medicaid Services (CMS) has in place an adequate process to independently verify that an individual is enrolled under a qualified health plan (QHP) and has paid the plan premium. Such a process must satisfy specified requirements with respect to automation, effectiveness, and cooperation between CMS and the Department of the Treasury. Furthermore, such a process shall not be considered adequate to the extent that it includes any procedures that rely on assurances or attestations of the issuer of the QHP involved.

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