To amend the Patient Protection and Affordable Care Act to identify individuals dually enrolled in Medicaid or CHIP and an Exchange.
About This Bill
Committee
Latest Action · December 9, 2025
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.
H.R. 6516 directs the federal government to establish a system for identifying people who are enrolled in both Medicaid or the Children's Health Insurance Program (CHIP) and a health insurance plan through the Affordable Care Act's health insurance marketplaces. The bill requires the Department of Health and Human Services to compare enrollment records at least quarterly using the Public Assistance Reporting Information System to catch these dual enrollments. Once identified, the government would notify relevant agencies to prevent these individuals from receiving premium tax credits or cost-sharing assistance they're not eligible for, since they already have government-sponsored coverage. The Secretary must establish this program within 60 days of the bill's enactment. This legislation aims to reduce improper payments and ensure that subsidies go only to people who qualify.
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