H.R. 3947: Easy Enrollment in Health Care Act

The "Easy Enrollment in Health Care Act" is designed to simplify the process of enrolling in health insurance programs by making use of information from tax returns. The main goal is to help uninsured individuals identify their eligibility for affordable coverage options, including plans that may have zero net premiums. This part of the legislation is set to take effect on January 1, 2028.

Key Features of the Bill

• Tax Return Processing: The bill allows taxpayer information to be used to identify uninsured members within households, streamlining the enrollment process for health insurance.
• Facilitated Enrollment: By leveraging tax data, the aim is to make it easier for eligible individuals to enroll in health care coverage without facing cumbersome obstacles.
• Inclusion of Zero Net Premium Plans: The legislation highlights plans that may not require out-of-pocket premium payments, thus expanding accessible health care options.

Eligibility Determinations

• Procedures for Medical Assistance: The bill sets forth new procedures for determining eligibility for medical assistance programs.
• Tax-Related Eligibility Modifications: It suggests changes to the tax-related criteria for qualifying for various benefits, reflecting a focus on updated income evaluations.
• Modified Adjusted Gross Income: The legislation emphasizes the use of modified adjusted gross income as the basis for assessing eligibility for health coverage.

Data Access and IT Infrastructure

• Employment Data Access: To verify eligibility for health insurance, the bill requires access to employment data, enhancing the accuracy of determinations.
• Funding for IT Development: The bill includes provisions for funding the development of necessary IT infrastructure to support these processes, ensuring the efficient operation of enrollment and eligibility verification.

Implementation Timeline

The provisions of the bill are set to go into effect on January 1, 2028, allowing for time to establish the required systems and processes before the new enrollment mechanisms are fully operational.

Relevant Companies

• None found