Dual Enrollment Check: Preventing Subsidies for Medicaid/CHIP Recipients.
This bill mandates regular checks to identify individuals simultaneously enrolled in both Medicaid/CHIP (government health programs) and subsidized health plans purchased through the ACA Exchange. The goal is to stop improper payments where individuals eligible for Medicaid are also receiving federal tax credits for private insurance. Citizens found to be dually enrolled will lose their eligibility for premium tax credits and cost-sharing reductions on the Exchange.
Key points
Establishes a quarterly system to compare enrollment lists between Medicaid/CHIP and ACA Exchange plans using the PARIS system.
Individuals identified as dually enrolled will be ineligible for federal subsidies (tax credits and cost reductions) on the Exchange.
The measure aims to prevent the misuse of public funds by subsidizing private insurance for those who qualify for government coverage.
Introduced
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