Text: H.R.3742 — 114th Congress (2015-2016)All Information (Except Text)

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Introduced in House (10/09/2015)

1st Session
H. R. 3742

To amend the Patient Protection and Affordable Care Act to allow for certain third party payments.


October 9, 2015

Mr. Cramer introduced the following bill; which was referred to the Committee on Energy and Commerce


To amend the Patient Protection and Affordable Care Act to allow for certain third party payments.

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

SECTION 1. Short title.

This Act may be cited as the “Access to Marketplace Insurance Act”.

SEC. 2. Payment of Premiums by Certain Third Parties on Behalf of Qualified Individuals.

(a) In general.—Section 1312 of the Patient Protection and Affordable Care Act (42 U.S.C. 18032) is amended—

(1) by redesignating subsections (c) through (f) as subsections (d) through (g), respectively; and

(2) by inserting after subsection (b) the following new subsection:

“(c) Payment of premiums by certain qualified third parties on behalf of a qualified individual.—A qualified individual enrolled in any qualified health plan may allow certain third parties to pay any applicable premium or cost sharing owed by such individual to the health insurance issuer issuing such qualified health plan, and the health insurance issuer shall accept such payments made on behalf of such individuals, including those from the following:

“(1) A State or Federal government program, including assistance provided under a grant under title XXVI of the Public Health Service Act.

“(2) Indian tribes, tribal organizations, or urban Indian organizations.

“(3) A program conducted by an organization which is—

“(A) exempt from taxation under section 501(a) of the Internal Revenue Code of 1986;

“(B) described in clause (i) or (vi) of section 170(b)(1)(A) of such Code; and

“(C) operated in compliance with applicable Federal laws, including sections 3729 through 3733 of title 31, United States Code (known as the False Claims Act).”.

(b) Effective date.—The amendments made by subsection (a) shall apply with respect to plan years beginning on or after January 1, 2016.

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