Sec. 201. Providing for qualified health plan grace period requirements for issuer receipt of advance payments of cost-sharing reductions and premium tax credits that are more consistent with State law grace period requirements
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/bill/115/hr/3922/eh/section-201A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Section 1412(c) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18082(c) ) is amended— in paragraph (2)— in subparagraph (B)(iv)(II), by striking a 3-month grace period and inserting a grace period specified in subparagraph
(C); and by adding at the end the following new subparagraphs: For purposes of subparagraph (B)(iv)(II), the grace period specified in this subparagraph is— for plan years beginning before January 1, 2018, a 3-month grace period; and for plan years beginning on or after January 1, 2018— in the case of an Exchange operating in a State that has a State law grace period in place, such State law grace period; and in the case of an Exchange operating in a State that does not have a State law grace period in place, a 1-month grace period. For purposes of subparagraph (C), the term State law grace period means, with respect to a State, a grace period for nonpayment of premiums before discontinuing coverage that is applicable under the State law to health insurance coverage offered in the individual market of the State. ; and in paragraph (3), by adding at the end the following new sentence: The requirements of paragraph (2)(B)(iv) apply to an issuer of a qualified health plan receiving an advanced payment under this paragraph in the same manner and to the same extent that such requirements apply to an issuer of a qualified health plan receiving an advanced payment under paragraph (2)(A). . Not later than 2 years after the date of full implementation of subsection (a), the Comptroller General of the United States shall submit to Congress a report on— the effects on consumers of aligning grace periods applied under the Medicaid program under title XIX of the Social Security Act, under the Medicare program under parts C and D of title XVIII of such Act, and under qualified health plans offered on an Exchange established under title I of the Patient Protection and Affordable Care Act, including the extent to which such an alignment of grace periods may help to avoid enrollment status confusion for individuals under such Medicaid program, Medicare program, and qualified health plans; and the extent to which such an alignment of grace periods may reduce fraud, waste, and abuse under the Medicaid program.
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Sec. 201
Providing for qualified health plan grace period requirements for issuer receipt of advance payments of cost-sharing reductions and premium tax credits that are more consistent with State law grace period requirements
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