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HR 6516
Introduced Re-checks Congress.gov for new actions and updates the bill's status, and fills in any sponsors, committees, or related bills that are missing. It does not re-pull sponsors/cosponsors/committees/related — those rarely change — and it skips all work if nothing has changed upstream, so it's cheap to click.

To amend the Patient Protection and Affordable Care Act to identify individuals dually enrolled in Medicaid or CHIP and an Exchange.

To amend the Patient Protection and Affordable Care Act to identify individuals dually enrolled in Medicaid or CHIP and an Exchange.

Introduced Dec 9, 2025

Latest action (Dec 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.

Referred to
Ways and Means Committee Energy and Commerce Committee
Policy area
Health
Issues
Healthcare

Summary

This bill amends the Affordable Care Act to require the Secretary of Health and Human Services to establish a program that identifies individuals who are dually enrolled in both an Exchange health plan and Medicaid or the Children's Health Insurance Program. The program must compare enrollment information at least quarterly using the Public Assistance Reporting Information System or a successor system to identify people covered by both types of insurance simultaneously. The Secretary must take appropriate actions to ensure that individuals identified as dually enrolled do not receive premium tax credits or cost-sharing reductions for their Exchange plan coverage.

AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.

Sponsor (1)

Actions (2)
  1. Dec 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. · house
  2. Dec 9, 2025 Introduced in House

Similar bills (6)

Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.

  • HR 6515 — To amend the Patient Protection and Affordable Care Act to prevent duplicate enrollments in Exchanges. · Introduced Dec 9, 2025 · Cong. 119 77%
  • HR 6575 — CommonGround for Affordable Health Care Act · Introduced Dec 10, 2025 · Cong. 119 74%
  • HR 6010 — To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and for other purposes. · Introduced Nov 10, 2025 · Cong. 119 71%
  • HR 2340 — Advancing Enrollment and Reducing Drug Costs Act · Introduced Mar 25, 2025 · Cong. 119 70%
  • HR 6501 — Bipartisan Health Insurance Affordability Act · Introduced Dec 9, 2025 · Cong. 119 69%
  • HRES 902 — Providing for consideration of the bill (H.R. 185) to advance responsible policies. · Introduced Nov 20, 2025 · Cong. 119 69%

Full text

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

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.”. <all>

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