[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2951 Introduced in House (IH)]

113th CONGRESS
  1st Session
                                H. R. 2951

  To require certain preconditions for allowing premium tax credits, 
   reductions in cost-sharing, and funding of Navigators and related 
        Exchange enrollment activities, and for other purposes.


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                    IN THE HOUSE OF REPRESENTATIVES

                             August 1, 2013

Mrs. McMorris Rodgers introduced the following bill; which was 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

_______________________________________________________________________

                                 A BILL


 
  To require certain preconditions for allowing premium tax credits, 
   reductions in cost-sharing, and funding of Navigators and related 
        Exchange enrollment activities, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. PRECONDITIONS FOR PREMIUM TAX CREDITS, REDUCTIONS IN COST-
              SHARING, AND FUNDING OF NAVIGATORS AND RELATED EXCHANGE 
              ENROLLMENT ACTIVITIES.

    (a) In General.--Notwithstanding any other provision of law, no 
premium tax credit shall be allowed under section 36B of the Internal 
Revenue Code of 1986, no reduction in cost-sharing shall be allowed 
under section 1402 of the Patient Protection and Affordable Care Act 
(42 U.S.C. 18071), and no funds may be awarded under section 1311 of 
such Act (42 U.S.C. 18031) for the operation of a Navigator program 
under subsection (i) of such section or for facilitation or advocacy 
for enrollment under subsections (d)(6)(B) and (E) of such section, 
until--
            (1) 1 year after the date the Secretary certifies to 
        Congress that the ACA verification methods (as defined in 
        subsection (c)(1))--
                    (A) have been tested to verify their accuracy; and
                    (B) have safeguards in place to protect personally 
                identifiable information; and
            (2) the Inspector General of the Department of Health and 
        Human Services reviews such verification methods and certifies 
        to Congress--
                    (A) the quality, accuracy, response time, and 
                integrity of such verification methods; and
                    (B) that the level of improper subsidy payments is 
                not likely to exceed 3 percent of the level of the 
                total subsidy payments (as defined in subsection 
                (c)(3)).
    (b) Subsequent Annual Certification of Verification Methods.--
            (1) In general.--The Inspector General of the Department of 
        Health and Human Services shall annually review the quality, 
        accuracy, response time, and integrity of the ACA verification 
        methods in order to determine the level of improper subsidy 
        payments as a percentage of the level of total subsidy 
        payments.
            (2) Suspension if excessive improper subsidy payments.--If 
        the Inspector General determines for a year as a result of such 
        review that the level of improper subsidy payments is projected 
        to exceed 3 percent of the level of total subsidy payments, for 
        years beginning after the date of such determination awards 
        shall be suspended until such time as the Secretary and the 
        Inspector General certify that the level of improper subsidy 
        payments is not likely to exceed 3 percent of the level of 
        total subsidy payment.
    (c) Definitions.--In this section:
            (1) The term ``ACA verification methods'' means the 
        verification methods required under subsections (c)(4) and (d) 
        of section 1411 of the Patient Protection and Affordable Care 
        Act (42 U.S.C. 18081).
            (2) The term ``Secretary'' means the Secretary of Health 
        and Human Services, acting in consultation with the Secretary 
        of the Treasury and other appropriate Federal officials in 
        implementing section 1411 of the Patient Protection and 
        Affordable Care Act (42 U.S.C. 18081).
            (3) The term ``subsidy payments'' means premium tax credits 
        allowed under section 36B of the Internal Revenue Code of 1986 
        and reductions in cost-sharing effected under section 1402 of 
        the Patient Protection and Affordable Care Act (42 U.S.C. 
        18071).
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