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, insurance affordability program, relevant return information, zero net premium, and other terms related to health insurance enrollment through tax filing, establishes a program by January 1, 2028 allowing uninsured taxpayers to elect, when filing their tax return, to have eligibility determinations made for insurance affordability programs and to be automatically enrolled, and requires health exchanges receiving tax return information to minimize additional information required from taxpayers, determine Medicaid and CHIP eligibility, provide special enrollment periods, and implement default. It relies on definition changes, compliance mandates, reporting requirements, and exemptions. The main policy areas are Healthcare, Finance, Technology, and Science & Space.
Who Benefits and How
Department of Health and Human Services could gain revenue opportunities, Uninsured taxpayers could face lower compliance burdens, and Uninsured individuals eligible for subsidies could see lower costs.
Who Bears the Burden and How
Health insurance exchanges would take on compliance duties, Treasury Department and IRS would take on compliance duties, and State Medicaid and CHIP programs would take on compliance duties.
Key Provisions
- Defines key terms for the Act including CHIP program, Exchange, insurance affordability program, relevant return information, zero net premium, and other terms related to health insurance enrollment through tax filing.
- Establishes a program by January 1, 2028 allowing uninsured taxpayers to elect, when filing their tax return, to have eligibility determinations made for insurance affordability programs and to be automatically enrolled...
- Requires health exchanges receiving tax return information to minimize additional information required from taxpayers, determine Medicaid and CHIP eligibility, provide special enrollment periods, and implement default...
- Exempts modernizes Medicaid eligibility by requiring states to accept SNAP and TANF eligibility findings for Medicaid eligibility, allowing prior-year tax return income to establish eligibility for applications...
- Requires strengthens data infrastructure by requiring the Secretary to provide insurance affordability programs access to the National Directory of New Hires for identity, employer, wages, unemployment compensation...
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, insurance affordability program, relevant return information, zero net premium, and other terms related to health insurance enrollment through tax filing, establishes a program by January 1, 2028 allowing uninsured taxpayers to elect, when filing their tax return, to have eligibility determinations made for insurance affordability programs and to be automatically enrolled, and requires health exchanges receiving tax return information to minimize additional information required from taxpayers, determine Medicaid and CHIP eligibility, provide special enrollment periods, and implement default.
Key Policy Areas
Healthcare, Finance, Technology, Science & Space
Primary Purpose
The bill defines key terms for the Act including CHIP program, Exchange, insurance affordability program, relevant return information, zero net premium, and other terms related to health insurance enrollment through tax filing, establishes a program by January 1, 2028 allowing uninsured taxpayers to elect, when filing their tax return, to have eligibility determinations made for insurance affordability programs and to be automatically enrolled, and requires health exchanges receiving tax return information to minimize additional information required from taxpayers, determine Medicaid and CHIP eligibility, provide special enrollment periods, and implement default.
Policy Domains
Easy Enrollment in Health Care Act
Identified Gains
- Department of Health and Human Services
- Uninsured taxpayers
- Uninsured individuals eligible for subsidies
- Treasury Department
- Individuals applying through Easy Enrollment
Identified Costs
- Health insurance exchanges
- Treasury Department and IRS
- State Medicaid and CHIP programs
- State Medicaid agencies
- Office of Child Support Enforcement
Sponsors
Legislative Progress
IntroducedMr. Van Hollen (for himself, Ms. Alsobrooks, Mr. Welch, and …
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
Department of Health and Human Services, Federal agencies implementing health insurance programs, Federal government (tax revenue)
Department of Health and Human Services, Treasury Department and IRS face effects in multiple directions
Positive-direction: Insurance affordability programs, Treasury Department
Negative-direction: Federal government (tax revenue), Office of Child Support Enforcement
State Medicaid agencies, State Medicaid and CHIP programs, State agencies verifying eligibility
Positive-direction: State agencies verifying eligibility, States implementing exchanges
Negative-direction: State Medicaid agencies, State Medicaid and CHIP programs
Individuals applying through Easy Enrollment, Individuals receiving premium tax credit advance payments, Uninsured individuals eligible for subsidies
Health insurance exchanges, Health insurance issuers on exchanges
Positive-direction: Health insurance issuers on exchanges
Negative-direction: Health insurance exchanges
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "the_exchange"
- → American Health Benefit Exchange under the ACA
- "the_secretary"
- → Secretary of the Treasury (in sections on tax returns and IRS) or Secretary of Health and Human Services (in sections on exchanges and eligibility)
Note: 'The Secretary' refers to Secretary of the Treasury in tax return and disclosure sections but Secretary of Health and Human Services in exchange and eligibility determination sections
Key Definitions
Terms defined in this bill
Medicaid, CHIP, ACA exchange plans with premium tax credits/cost-sharing reductions, state basic health programs, or other federal/state/local programs providing assistance for minimum essential coverage based on income
The payment required to enroll in a health plan after application of premium tax credits, advance payments, and other insurance affordability program assistance
Any return information relevant to determining eligibility for insurance affordability programs or enrolling in minimum essential coverage, as determined by Treasury in consultation with HHS
A net premium of $0.00 for a health plan or other minimum essential coverage after application of premium tax credits and other assistance
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