To streamline enrollment in health insurance affordability programs and minimum essential coverage, and for other purposes.
Summary
What This Bill Does
The bill defines key terms for the Act including CHIP program, Exchange, household member, insurance affordability program, minimum essential coverage, relevant return information, and zero-net-premium plan, establishes program by January 2028 allowing taxpayers to elect through tax returns to have household members determined for insurance affordability program eligibility and enrolled in zero-net-premium coverage, and requires Exchanges receiving tax return information to minimize additional required information, determine CHIP and Medicaid eligibility, obtain any additional needed information with lowest feasible burden. It relies on compliance mandates, reporting requirements, exemptions, and appropriations. The main policy areas are Healthcare, Finance, Technology, and Science & Space.
Who Benefits and How
State Medicaid agencies could face lower compliance burdens, Uninsured taxpayers eligible for subsidies could see lower costs, and Uninsured individuals eligible for coverage could see lower costs.
Who Bears the Burden and How
Federal taxpayers could face higher costs, IRS and Treasury Department would take on compliance duties, and Health insurance exchanges would take on compliance duties.
Key Provisions
- Defines key terms for the Act including CHIP program, Exchange, household member, insurance affordability program, minimum essential coverage, relevant return information, and zero-net-premium plan.
- Establishes program by January 2028 allowing taxpayers to elect through tax returns to have household members determined for insurance affordability program eligibility and enrolled in zero-net-premium coverage.
- Requires Exchanges receiving tax return information to minimize additional required information, determine CHIP and Medicaid eligibility, obtain any additional needed information with lowest feasible burden...
- Amends Social Security Act to require states to accept TANF and SNAP eligibility findings for Medicaid financial eligibility, citizenship, and state residence. Allows income from January eligibility date to be based on...
- Amends Social Security Act to grant insurance affordability programs access to National Directory of New Hires data for identity, employer, wages, unemployment compensation, and employment status to determine...
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.
At a Glance
What This Bill Does
The bill defines key terms for the Act including CHIP program, Exchange, household member, insurance affordability program, minimum essential coverage, relevant return information, and zero-net-premium plan, establishes program by January 2028 allowing taxpayers to elect through tax returns to have household members determined for insurance affordability program eligibility and enrolled in zero-net-premium coverage, and requires Exchanges receiving tax return information to minimize additional required information, determine CHIP and Medicaid eligibility, obtain any additional needed information with lowest feasible burden.
Key Policy Areas
Healthcare, Finance, Technology, Science & Space
Primary Purpose
The bill defines key terms for the Act including CHIP program, Exchange, household member, insurance affordability program, minimum essential coverage, relevant return information, and zero-net-premium plan, establishes program by January 2028 allowing taxpayers to elect through tax returns to have household members determined for insurance affordability program eligibility and enrolled in zero-net-premium coverage, and requires Exchanges receiving tax return information to minimize additional required information, determine CHIP and Medicaid eligibility, obtain any additional needed information with lowest feasible burden.
Policy Domains
Easy Enrollment in Health Care Act
Identified Gains
- State Medicaid agencies
- Uninsured taxpayers eligible for subsidies
- Uninsured individuals eligible for coverage
- HHS Office of Information Technology
- Treasury Department
Identified Costs
- Federal taxpayers
- IRS and Treasury Department
- Health insurance exchanges
- HHS research and evaluation offices
- Tax preparation software companies
Sponsors
Legislative Progress
IntroducedMr. Bera introduced the following bill; which was referred to …
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
HHS, HHS Office of Information Technology, Office of Child Support Enforcement
Health insurance exchanges, Health insurance industry stakeholders, Health insurers offering zero-premium plans
Health insurance exchanges faces effects in multiple directions
Taxpayers, Uninsured individuals eligible for coverage, Uninsured taxpayers eligible for subsidies
Positive-direction: Uninsured individuals eligible for coverage, Uninsured taxpayers eligible for subsidies
Negative-direction: Taxpayers
IT contractors serving federal health agencies, Tax preparation software companies
Positive-direction: IT contractors serving federal health agencies
Negative-direction: Tax preparation software companies
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "exchange"
- → American Health Benefit Exchange (ACA marketplace)
- "the_secretary"
- → Secretary of the Treasury (unless otherwise specified)
- "the_secretary_hhs"
- → Secretary of Health and Human Services
Key Definitions
Terms defined in this bill
A State plan for child health assistance under title XXI of the Social Security Act
An American Health Benefit Exchange established under the Patient Protection and Affordable Care Act
The taxpayer, the taxpayer's spouse, and any dependent of the taxpayer
Medicaid, CHIP, ACA exchange plans with premium tax credits, state basic health programs, and other programs providing assistance for minimum essential coverage
Coverage as defined in section 5000A(f) of the Internal Revenue Code (qualifying health insurance)
A plan with no premiums after accounting for advance premium tax credits
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology