Sec. 3. Retroactive coverage and premium assistance
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/bill/113/s/1886/is/section-3A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Section 1311(c) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18031(c) ) is amended by adding at the end the following: Notwithstanding any other provision of law, the Secretary shall permit a State, at the option of the State, to make coverage under a qualified health plan retroactive to January 1, 2014, with respect to an individual who enrolls in such plan through the State Exchange (or the Federal Exchange in the case of a State that has not established a State Exchange) during the period established by the State under subparagraph (B).
Any health care items or services provided to such enrollee in January of 2014 shall be covered retroactively under the plan as if the enrollee had been enrolled on January 1 of such year. The period established under this subparagraph shall be the period beginning on December 23, 2013, and ending on a date determined by the State, but in no event later than January 31, 2014, except that a State that has an enrollment deadline that is prior to December 23, 2013, may modify the period under this subparagraph to encompass such deadline.
If an individual is determined to be eligible for a tax credit under section 36B of the Internal Revenue Code of 1986 or cost-sharing assistance under section 1402, but such determination has not been verified by the date on which the individual enrolls in the qualified health plan involved, the credit and assistance shall be applied on a retroactive basis to January 1, 2014, and the initial premium payment amount shall be offset to include such credit and assistance amounts for such month. .
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Sec. 3
Retroactive coverage and premium assistance
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