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Amended by sections 1001 of HCERA and 10105 of the Manager’s Amendment. Creates a refundable credit for premium assistance to be used for Qualified Health Plans (QHPs). Specifies that the credit is the lesser of the monthly premiums for 1 or more QHPs offered in the individual market within a State which cover the taxpayer, the taxpayer’s spouse or any...
Amended by section 1001 of HCERA. Reduces cost sharing for individuals between 100 percent and 400 percent of the Federal Poverty Level (FPL) who enroll in a silver-level Qualified Health Plan (QHP) in the individual market. First, reduces out-of-pocket (OOP) limits under ACA section 1302(c)(1) – set at Health Savings Account dollar amounts – by: two-thirds for those 100-200 percent...
Requires HHS to establish a program for making determinations regarding whether individuals to be covered by Qualified Health Plans (QHPs) in the individual market, or who are claiming premium tax credits or cost-sharing reductions, meet the applicable criteria of being a citizen or national of the United States or an alien lawfully present, as well as satisfying the relevant income...
Provides for HHS, consulting with Treasury, to make advance determinations of income eligibility for individuals enrolling in a Qualified Health Plan (QHP) in the individual market through the Exchange for the premium tax credit and cost-sharing reductions upon an Exchange’s request. Treasury makes advance payments of these credits or reductions to the QHP issuers in order to reduce the premiums...
Directs HHS to establish a system under which residents of each State may apply for enrollment, receive a determination of eligibility for participation, and continue participation in applicable State health subsidy programs, assuring that if an individual applying to an Exchange is found to be eligible for medical assistance under Medicaid or CHIP, the individual is enrolled for such assistance....
Provides for the disclosure of certain tax return information by Treasury, upon HHS’s request, relevant to determining any premium tax credit, cost-sharing reduction or eligibility for Medicaid, CHIP or the Basic Health Plan Program.
Prohibits – for purposes of determining eligibility for or the amount of benefits or assistance under any Federal program or State or local program financed with Federal funds – taking credits or refunds made to any individual via a premium tax credit into account as income for the month of receipt and the following two months. Furthermore, any cost-sharing reduction payment or...
Requires an HHS study on the plausibility and implications of adjusting the application of the Federal poverty level under this subtitle for different geographic areas to reflect variations in the cost of living. Due January 1, 2013.
Amended by section 10105 of the Manager’s Amendment. Creates a tax credit for small employers with no more than 25 full-time equivalent employees whose average annual wages are less than $50,000. Provides that the credit amount is 50 percent (35 percent for tax-exempt eligible small employers) of the lesser of the employer’s aggregate non-elective contributions during the taxable year: under an arrangement...
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