Bill · H.R. 6516· House(119-HR-6516)
To amend the Patient Protection and Affordable Care Act to identify individuals dually enrolled in Medicaid or CHIP and an Exchange.
- Introduced
- 12/9/2025
- Last activity
- 12/9/2025 — 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.
- Sponsored by
- Tim Burchett
- Cosponsors
- None
- Introduced
- In Committee
What this bill would do
This bill proposes an amendment to the Patient Protection and Affordable Care Act. It directs the Secretary to establish a program to identify individuals who are dually enrolled in an Exchange and either Medicaid or CHIP. This comparison of information would occur through the Public Assistance Reporting Information System on a recurring basis, at least quarterly. The goal is to identify people enrolled in both a qualified health plan and a State plan or child health plan. Once identified, the Secretary is tasked with taking appropriate actions to ensure these individuals do not receive certain tax credits or reductions.
Yes
Does this reduce what the federal government spends?+3
By preventing the payout of premium tax credits and cost sharing reductions, the bill reduces federal expenditures on health subsidies.
Does this make what the government does easier for the public to see?+2
The bill establishes a new recurring process to identify and reconcile enrollment data across systems.
The opposite· 3 of 6
Would households on low incomes be better off under this?-6
The bill reduces financial assistance through the elimination of premium tax credits and cost sharing reductions for dually enrolled individuals.
Does this cut taxes for middle-income families?-5
The bill seeks to prevent the receipt of premium tax credits, which reduces financial assistance for some households.
Does this strengthen the Affordable Care Act?-4
The bill amends the Affordable Care Act to restrict the eligibility of individuals receiving certain subsidies.
Who it would affect, and how
Potential Positive Impacts for People
- Identification of dual enrollments: The program establishes a process to compare information through the Public Assistance Reporting Information System to identify individuals enrolled in both a qualified health plan and a State plan or child health plan (Section 1, Paragraph (8)(A)).
Potential Negative Impacts for People
- Loss of financial assistance: Individuals identified as dually enrolled may be prevented from receiving premium tax credits under section 36B of the Internal Revenue Code of 1986 or cost sharing reductions under section 1402 (Section 1, Paragraph (8)(B)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Low Income Households-6Good For Children-3
- Healthcare
- Increases Affordable Care Act Support-4Reduces Private Insurance Premiums-3
- Social Issues And Justice
- Improves Poverty Reduction-3
- Economy And Finance
- Reduces Government Spending+3Reduces Middle Class Taxes-5
- Governance And Ideology
- Improves Government Transparency+2
- 12/9/2025
- 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.
- Introduced in House