H.R. 6515: To amend the Patient Protection and Affordable Care Act to prevent duplicate enrollments in Exchanges.
This bill proposes an amendment to the Patient Protection and Affordable Care Act (ACA) with the aim of preventing duplicate enrollments in health insurance Exchanges. Specifically, it adds a new requirement for the Secretary of Health and Human Services to implement a process to identify whether two individuals are enrolled in health plans offered through the same Exchange, based on their Social Security numbers.
Key Provisions
- Identification Process: The Secretary must establish a system within 60 days of the bill's enactment. This system will check if the Social Security number of a new enrollee matches any existing enrollee's number within the same effective coverage period.
- Avoidance of Duplicate Premium Payments: If the system identifies matching Social Security numbers, the Secretary will take necessary actions to prevent duplicative advance premium tax credits from being granted to an individual for the same coverage period.
Objective
The main goal of this amendment is to streamline the enrollment process and reduce potential fraud or misuse of health insurance benefits by ensuring that individuals cannot be simultaneously enrolled under the same Social Security number in multiple plans during the same coverage period.
Impact on the Insurance System
By preventing duplicate enrollments, the bill aims to maintain the integrity of health insurance Exchanges and ensure that resources, such as premium tax credits, are used correctly and efficiently.
Compliance Requirements
Insurance providers and the Exchange system will need to adapt to these new requirements, ensuring that they can accurately report and manage enrollment data efficiently.
Relevant Companies
- AETI: Health insurance or exchange companies that facilitate enrollment may need to adjust their systems to comply with the new identification process.
- UNH: As a major health insurance provider, this company may be impacted as the amendment could change how they manage enrollments.
- CNC: This company may also face operational changes in response to the new criteria for reporting enrollments.
This is an AI-generated summary of the bill text. There may be mistakes.
Sponsors
1 sponsor
Actions
2 actions
| Date | Action |
|---|---|
| Dec. 09, 2025 | Introduced in House |
| Dec. 09, 2025 | 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. |
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