Sec. 303. Enrollment in Exchanges
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/bill/115/s/2582/is/section-303·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Section 1311(c)(6) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18031(c)(6) ) is amended— in subparagraph (B), by inserting that are not less than 8 weeks after open enrollment periods ; in subparagraph (C), by striking ; and and inserting ; ; in subparagraph (D), by striking the period and inserting ; and ; and by adding at the end the following: a special enrollment period for individuals enrolled in a plan that makes significant provider terminations during the plan year, as determined in accordance with regulations promulgated by the Secretary. .
Part 2 of subtitle D of title I of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18031 et seq.) is amended by adding at the end the following: The Secretary shall establish a process to allow an individual, who is enrolling in a qualified health plan through an Exchange and whom the Exchange estimates is eligible to receive a premium tax credit under section 36B of the Internal Revenue Code of 1986, to provide consent to the Exchange to not automatically re-enroll the individual in such qualified health plan (or a comparable qualified health plan in a case described in subsection (b)) for the following plan year if during the plan year the Exchange estimates that the individual has become no longer eligible to receive such credit.
In the case of an individual who is enrolled in a qualified health plan through an Exchange for a plan year that will not be offered through such Exchange for the following plan year, the Exchange through which such plan is offered shall, prior to the open enrollment period for the following plan year, send the individual a notice stating— that the qualified health plan in which the individual is enrolled will not be offered through such Exchange for the following plan year; that unless the individual takes action, the individual will be enrolled in a comparable qualified health plan for the following plan year; the estimated amount of premiums for such comparable qualified health plan; and clear information on the eligibility of the individual for a special enrollment period.
Any notice regarding automatic re-enrollment sent by an Exchange to an individual enrolled in a qualified health plan shall be provided to the individual in the language that the individual has indicated to the Exchange as the preferred language of the individual. . The amendments made by this section shall apply to plan years beginning after the date of enactment of this Act. The Secretary shall conduct a study that examines the practices used by the Exchanges for notifying consumers of automatic re-enrollment in qualified health plans and identifies strategies for— improving automatic re-enrollment and renewal notifications; improving the ability to reach consumers in providing such notices; increasing consumer comprehension of such notices; and encouraging consumers to— update information that will affect eligibility for premium tax credits under section 36B of the Internal Revenue Code of 1986 and the amount of such credits; and shop for qualified health plans that will best meet their needs through the Exchange operating in their State.
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Sec. 303
Enrollment in Exchanges
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