Big Beautiful Bill ACA Impact

[Josh Roberts]

It passed the Senate, onto the House. As it stands now, these are the impacts:

1. Ends automatic enrollment
2. Shortens open enrollment. Will not end Dec 15th instead of Jan 15th
3. Restricts special enrollment periods.
4. New documentation for anyone qualifying for tax credits. IRS verification of income, if that doesn't exist, must provide documentation of projected income. If IRS data indicates they were below the federal poverty line, must provide more documentation. Self-attestation is gone.
5. Repayment of excess tax credits (based on IRS data)
6. Pre-enrollment verification. Income verification, immigration status, heath coverage status, place of residence, family size, etc...

Estimated impact is 17 million will get the boot.

 

[somarco]

Items 1,4,5 & 6 seem like a good thing if the idea is to eliminate fraud, waste and abuse.

What am I missing here?

 

[Josh Roberts]

You're not missing anything. If you're gonna go for a government subsidy, everything...everything should be verified during the enrollment process.

 

[somarco]

If you're gonna go for a government subsidy, everything...everything should be verified during the enrollment process.

And if 17M get booted, that is not a bad thing overall, at least not to my way of thinking.

 

[Jim Wright]

It passed the Senate, onto the House. As it stands now, these are the impacts:

1. Ends automatic enrollment
2. Shortens open enrollment. Will not end Dec 15th instead of Jan 15th
3. Restricts special enrollment periods.
4. New documentation for anyone qualifying for tax credits. IRS verification of income, if that doesn't exist, must provide documentation of projected income. If IRS data indicates they were below the federal poverty line, must provide more documentation. Self-attestation is gone.
5. Repayment of excess tax credits (based on IRS data)
6. Pre-enrollment verification. Income verification, immigration status, heath coverage status, place of residence, family size, etc...

Estimated impact is 17 million will get the boot.

One correction is that OEP will end 12/31 not 12/15.

This also isn't the BBB. This is a CMS final rule that was released last week.