To amend the Patient Protection and Affordable Care Act to prevent duplicate enrollments in Exchanges.
- Bill Number
- H.R. 6515
- Origin Chamber
- House
- Congress
- 119th Congress, Session 1
- Policy Area
- Health
- Status
- Introduced
- Latest Action
- 2025-12-09: 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.
- Last Updated
- 2026-04-02T18:41:53Z
AI-Generated Summary
Purpose This legislation amends the Patient Protection and Affordable Care Act to stop people from being enrolled more than once in health insurance marketplaces (Exchanges) for the same coverage period, with a focus on avoiding duplicate government payments for premiums.
Key Provisions
- The Secretary of Health and Human Services must create a process within 60 days of enactment to check Social Security numbers of new enrollees against existing ones in any Exchange.
- If a match is found for the same coverage period, the Secretary must take steps to block duplicate advance payments of premium tax credits.
- This process is added to the existing eligibility verification program under Section 1411 of the Act.
Significant Changes to Existing Law
- Adds a new subsection (j) to Section 1411 (42 U.S.C. 18081), introducing an automated SSN-based duplicate detection requirement that did not previously exist.
- Ties the new check directly to preventing improper premium tax credit payments under Section 1412.
Potential Impacts
- Government agencies: Requires the Department of Health and Human Services to develop and operate a new verification system, likely increasing administrative workload for the Centers for Medicare & Medicaid Services.
- Citizens: Aims to reduce cases of overlapping coverage and related tax credit overpayments, which could affect individuals who attempt multiple enrollments.
- International relations: No direct effects identified.
Main Stakeholders Affected
- Individuals seeking coverage through ACA Exchanges.
- Health insurance Exchanges and participating insurers.
- Federal agencies responsible for eligibility verification and tax credit administration.
- Taxpayers, due to potential savings from reduced improper payments.
Notable Legal, Constitutional, or Political Implications
- Strengthens anti-fraud measures within the ACA framework without altering core eligibility rules or constitutional authority.
- Focuses on administrative enforcement to protect federal spending on premium assistance, with no changes to state roles or individual rights outlined in the bill.
This summary was generated by AI and may contain inaccuracies. Refer to the official source document for the authoritative text.
Sponsor
Recent Actions
- 2025-12-09: 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.
- 2025-12-09: 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.
- 2025-12-09: Introduced in House
- 2025-12-09: Introduced in House
Bill Versions
- To amend the Patient Protection and Affordable Care Act to prevent duplicate enrollments in Exchanges. — issued 2025-12-09 — PDF (2 pages)