Index for HR3962: Affordable Health Care for America Act
DIVISION A — AFFORDABLE HEALTH CARE CHOICES.
TITLE III — SHARED RESPONSIBILITY.
SUBTITLE C — INDIVIDUAL AFFORDABILITY CREDITS.
SEC 344. — AFFORDABILITY COST-SHARING CREDIT.
Table Of Contents of the INDEX
Actuarial value of benefits: increased
Sec 344. -- Affordability Cost-Sharing Credit.
(d) DETERMINATION AND PAYMENT OF COST-SHARING AFFORDABILITY CREDIT.
DIVISION A TITLE III SUBTITLE C SEC 344. (d)
Automated Concept:
Automated Concept:
ACTUARIAL value of benefits under plan provided under section 303(c)(2)(b) resulting from reduction in cost-sharing described in subsections ; Commissioner providing for payment to offering entity of amount equivalent to increased
Index of Sec 344. ...Actuarial value percentage
Sec 344. -- Affordability Cost-Sharing Credit.
(2) ADJUSTMENT.
DIVISION A TITLE III SUBTITLE C SEC 344. (c) (2)
Automated Concept:
Automated Concept:
ACTUARIAL value percentage specified in table under section 343(d) for income tier involved ; Commissioner adjusting maximum out-of-pocket limits under paragraph to ensure that limits meeting
Index of Sec 344. ...Affordability cost
Sec 344. -- Affordability Cost-Sharing Credit.
(a) IN GENERAL.
DIVISION A TITLE III SUBTITLE C SEC 344. (a)
Automated Concept:
Automated Concept:
AFFORDABILITY cost-sharing credit under section for affordable credit eligible individual enrolled in Exchange-participating health benefits planning in form of cost-sharing reduction described in subsection provided under section for income tier in which individual classified based on individual's modified adjusted gross income ;
Index of Sec 344. ...Credit
Credit: affordable
Sec 344. -- Affordability Cost-Sharing Credit.
(a) IN GENERAL.
DIVISION A TITLE III SUBTITLE C SEC 344. (a)
Automated Concept:
Automated Concept:
CREDIT eligible individual enrolled in Exchange-participating health benefits planning in form of cost-sharing reduction described in subsection provided under section for income tier in which individual classified based on individual's modified adjusted gross income ; Affordability cost-sharing credit under section for affordable
Index of Sec 344. ... (d) DETERMINATION AND PAYMENT OF COST-SHARING AFFORDABILITY CREDIT.
DIVISION A TITLE III SUBTITLE C SEC 344. (d)
Automated Concept:
Automated Concept:
CREDIT eligible individual in tier enrolled in Exchange-participating health benefits planning offered by QHBP offering entity ; Case of affordable
Index of Sec 344. ...Credit: sharing
Sec 344. -- Affordability Cost-Sharing Credit.
(a) IN GENERAL.
DIVISION A TITLE III SUBTITLE C SEC 344. (a)
Automated Concept:
Automated Concept:
CREDIT eligible individual enrolled in Exchange-participating health benefits planning in form of cost-sharing reduction described in subsection provided under section for income tier in which individual classified based on individual's modified adjusted gross income ; Affordability cost-sharing credit under section for affordable
Index of Sec 344. ...Health benefits: participating
Sec 344. -- Affordability Cost-Sharing Credit.
(a) IN GENERAL.
DIVISION A TITLE III SUBTITLE C SEC 344. (a)
Automated Concept:
Automated Concept:
HEALTH benefits planning in form of cost-sharing reduction described in subsection provided under section for income tier in which individual classified based on individual's modified adjusted gross income ; Affordability cost-sharing credit under section for affordable credit eligible individual enrolled in Exchange-participating
Index of Sec 344. ... (d) DETERMINATION AND PAYMENT OF COST-SHARING AFFORDABILITY CREDIT.
DIVISION A TITLE III SUBTITLE C SEC 344. (d)
Automated Concept:
Automated Concept:
HEALTH benefits planning offered by QHBP offering entity ; Case of affordable credit eligible individual in tier enrolled in Exchange-participating
Index of Sec 344. ...Income: gross
Sec 344. -- Affordability Cost-Sharing Credit.
(a) IN GENERAL.
DIVISION A TITLE III SUBTITLE C SEC 344. (a)
Automated Concept:
Automated Concept:
INCOME ; Affordability cost-sharing credit under section for affordable credit eligible individual enrolled in Exchange-participating health benefits planning in form of cost-sharing reduction described in subsection provided under section for income tier in which individual classified based on individual's modified adjusted gross
Index of Sec 344. ...Income tier
Sec 344. -- Affordability Cost-Sharing Credit.
(a) IN GENERAL.
DIVISION A TITLE III SUBTITLE C SEC 344. (a)
Automated Concept:
Automated Concept:
INCOME tier in which individual classified based on individual's modified adjusted gross income ; Affordability cost-sharing credit under section for affordable credit eligible individual enrolled in Exchange-participating health benefits planning in form of cost-sharing reduction described in subsection provided under section for
Index of Sec 344. ... (b) COST-SHARING REDUCTIONS.
DIVISION A TITLE III SUBTITLE C SEC 344. (b)
Automated Concept:
Automated Concept:
INCOME tier specified in table under section 343(d) as estimated by Commissioner ; Commissioner specifying reduction in cost-sharing amounts and annual limitation on cost-sharing specified in section 222(c)(2)(b) under basic plan for
Index of Sec 344. ... (1) IN GENERAL.
DIVISION A TITLE III SUBTITLE C SEC 344. (c) (1)
Automated Concept:
Automated Concept:
INCOME tier ; Maximum out-of-pocket limit specified in subsection for individual within
Index of Sec 344. ... (1) IN GENERAL. - paragraph (A) - paragraph (i)
DIVISION A TITLE III SUBTITLE C SEC 344. (c) (1) (A) (i)
Automated Concept:
Automated Concept:
INCOME tier involved ; Of-pocket limit for Y1 specified in subsection in table under section 343(d) for
Index of Sec 344. ... (2) ADJUSTMENT.
DIVISION A TITLE III SUBTITLE C SEC 344. (c) (2)
Automated Concept:
Automated Concept:
INCOME tier involved ; Commissioner adjusting maximum out-of-pocket limits under paragraph to ensure that limits meeting actuarial value percentage specified in table under section 343(d) for
Index of Sec 344. ...Of-pocket limit
Sec 344. -- Affordability Cost-Sharing Credit.
(1) IN GENERAL.
DIVISION A TITLE III SUBTITLE C SEC 344. (c) (1)
Automated Concept:
Automated Concept:
INCOME tier ; Maximum out-of-pocket limit specified in subsection for individual within
Index of Sec 344. ... (1) IN GENERAL. - paragraph (A) - paragraph (i)
DIVISION A TITLE III SUBTITLE C SEC 344. (c) (1) (A) (i)
Automated Concept:
Automated Concept:
INCOME tier involved ; Of-pocket limit for Y1 specified in subsection in table under section 343(d) for
Index of Sec 344. ... (1) IN GENERAL. - paragraph (A) - paragraph (ii)
DIVISION A TITLE III SUBTITLE C SEC 344. (c) (1) (A) (ii)
Automated Concept:
Automated Concept:
OF-pocket limit for previous year under subparagraph increased for subsequent year by percentage increase in enrollment-weighted average of premium increases for basic plans applicable to year ; Subsequent year being out-
Index of Sec 344. ...Of-pocket limits
Sec 344. -- Affordability Cost-Sharing Credit.
(2) ADJUSTMENT.
DIVISION A TITLE III SUBTITLE C SEC 344. (c) (2)
Automated Concept:
Automated Concept:
ACTUARIAL value percentage specified in table under section 343(d) for income tier involved ; Commissioner adjusting maximum out-of-pocket limits under paragraph to ensure that limits meeting
Index of Sec 344. ...Payment
Sec 344. -- Affordability Cost-Sharing Credit.
(d) DETERMINATION AND PAYMENT OF COST-SHARING AFFORDABILITY CREDIT.
DIVISION A TITLE III SUBTITLE C SEC 344. (d)
Automated Concept:
Automated Concept:
ACTUARIAL value of benefits under plan provided under section 303(c)(2)(b) resulting from reduction in cost-sharing described in subsections ; Commissioner providing for payment to offering entity of amount equivalent to increased
Index of Sec 344. ...The Index is © 2009 healthcarebillindex.com
1st Session |
To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.
Mr. Dingell (for himself, Mr. Rangel, Mr. Waxman, Mr. George Miller of California, Mr. Stark, Mr. Pallone, and Mr. Andrews) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Labor, Oversight and Government Reform, and the Budget, 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
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SEC. 344. Affordability cost-sharing credit.
(a) In general.—The affordability cost-sharing credit under this section for an affordable credit eligible individual enrolled in an Exchange-participating health benefits plan is in the form of the cost-sharing reduction described in subsection (b) provided under this section for the income tier in which the individual is classified based on the individual’s modified adjusted gross income.
(b) Cost-sharing reductions.—The Commissioner shall specify a reduction in cost-sharing amounts and the annual limitation on cost-sharing specified in section 222(c)(2)(B) under a basic plan for each income tier specified in the table under section 343(d), with respect to a year, in a manner so that, as estimated by the Commissioner—
(1) the actuarial value of the coverage with such reduced cost-sharing amounts (and the reduced annual cost-sharing limit) is equal to the actuarial value percentage (specified in the table under section 343(d) for the income tier involved) of the full actuarial value if there were no cost-sharing imposed under the plan; and
(2) the annual limitation on cost-sharing specified in section 222(c)(2)(B) is reduced to a level that does not exceed the maximum out-of-pocket limit specified in subsection (c).
(c) Maximum out-of-pocket limit.—
(1) IN GENERAL.—Subject to paragraph (2), the maximum out-of-pocket limit specified in this subsection for an individual within an income tier—
(i) for Y1 is the out-of-pocket limit for Y1 specified in subsection (c) in the table under section 343(d) for the income tier involved; or
(ii) for a subsequent year is such out-of-pocket limit for the previous year under this subparagraph increased (rounded to the nearest $10) for each subsequent year by the percentage increase in the enrollment-weighted average of premium increases for basic plans applicable to such year; or
(B) for family coverage is twice the maximum out-of-pocket limit under subparagraph (A) for the year involved.
(2) ADJUSTMENT.—The Commissioner shall adjust the maximum out-of-pocket limits under paragraph (1) to ensure that such limits meet the actuarial value percentage specified in the table under section 343(d) for the income tier involved.
(d) Determination and payment of cost-sharing affordability credit.—In the case of an affordable credit eligible individual in a tier enrolled in an Exchange-participating health benefits plan offered by a QHBP offering entity, the Commissioner shall provide for payment to the offering entity of an amount equivalent to the increased actuarial value of the benefits under the plan provided under section 303(c)(2)(B) resulting from the reduction in cost-sharing described in subsections (b) and (c).
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