[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6516 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 6516

  To amend the Patient Protection and Affordable Care Act to identify 
    individuals dually enrolled in Medicaid or CHIP and an Exchange.


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                    IN THE HOUSE OF REPRESENTATIVES

                            December 9, 2025

 Mr. Burchett introduced the following bill; which was 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

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                                 A BILL


 
  To amend the Patient Protection and Affordable Care Act to identify 
    individuals dually enrolled in Medicaid or CHIP and an Exchange.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. IDENTIFICATION OF DUAL MEDICAID OR CHIP AND EXCHANGE 
              ENROLLMENTS.

    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 new 
paragraph:
            ``(8) Identification of dual medicaid and exchange 
        enrollments.--
                    ``(A) In general.--The Secretary shall, not later 
                than 60 days after the date of the enactment of this 
                paragraph, establish a program under which, on a 
                recurring basis, but not less frequently than 
                quarterly, the information of each individual enrolled 
                in a qualified health plan through an Exchange is 
                compared through the Public Assistance Reporting 
                Information System (PARIS) facilitated by the Secretary 
                (or any successor system) with the information of each 
                individual enrolled in a State plan (or waiver of such 
                plan) under title XIX of the Social Security Act, or a 
                State child health plan under title XXI of such Act (or 
                a waiver of such plan), for purposes of identifying 
                individuals enrolled in both such a qualified health 
                plan and such a State plan (or waiver) or State child 
                health plan (or waiver).
                    ``(B) Enforcement.--The Secretary shall take such 
                actions as the Secretary determines appropriate (such 
                as the notification of applicable Exchanges and the 
                Secretary of the Treasury) to ensure that no individual 
                identified under the program established under 
                subparagraph (A) is receiving premium tax credits under 
                section 36B of the Internal Revenue Code of 1986 or 
                cost sharing reductions under section 1402.''.
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