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House Committee on Energy and CommerceHealthHouse Committee on Ways and MeansIntroducedAugust 1st, 2013
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To require certain preconditions for allowing premium tax credits, reductions in cost-sharing, and funding of Navigators and related Exchange enrollment activities, and for other purposes.
Disallows specified subsidy payments under the Patient Protection and Affordable Care Act (PPACA), including the tax credit for health care coverage premium assistance and reduction in cost-sharing, or any funding for the operation of a PPACA Navigator Program until: (1) the Secretary of Health and Human Services (HHS) certifies to Congress that verification methods under PPACA to determine eligibility for subsidies have been tested to verify their accuracy and have safeguards in place to protect personally identifiable information; and (2) the Inspector General of HHS reviews such verification methods and certifies to Congress the quality, accuracy, response time, and integrity of such methods and that the level of improper subsidy payments is not likely to exceed 3% of the level of the total subsidy payment. Requires the Inspector General of HHS to review verification methods annually to determine the level of improper subsidy payments and suspend such subsidies in years in which they exceed 3% of the total subsidy payment.