Access to Marketplace Insurance Act

Access to Marketplace Insurance Act

This bill amends the Patient Protection and Affordable Care Act to require health insurers to accept, on behalf of individuals enrolled in qualified health plans, payments made by certain third parties, including state and federal government programs, Indian tribes, tribal organizations, urban Indian organizations, and certain tax exempt organizations. (Qualified health plans are eligible for subsidies and fulfill an individual's requirement to maintain minimum essential coverage.)

[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3742 Introduced in House (IH)]

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114th CONGRESS
  1st Session
                                H. R. 3742

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


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 9, 2015

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

_______________________________________________________________________

                                 A BILL


 
 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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