ACA Premium Payment Verification Act
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.
Referred to the Subcommittee on Health.