H.R. 6516

[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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