All Topics

All Topics

Native WordPress publications synchronized from the established OBBBA forum.

  • Sec. 71306. Permanent extension of safe harbor for absence of deductible for telehealth services

    Home/All Topics/OBBBA Text(a) In general.—Subparagraph (E) of section 223(c)(2) is amended to read as follows: “(E) SAFE HARBOR FOR ABSENCE OF DEDUCTIBLE FOR TELEHEALTH.—A plan shall not fail to be treated as a high deductible health plan by reason of failing to have a deductible for telehealth and other remote care services.”. (b) Certain coverage…

  • SUBCHAPTER B—PREVENTING WASTE, FRAUD, AND ABUSE

    Home/All Topics/OBBBA TextSEC. 71303. Requiring verification of eligibility for premium tax credit. (a) In general.—Section 36B(c) is amended by adding at the end the following new paragraphs: “(5) EXCHANGE ENROLLMENT VERIFICATION REQUIREMENT.— “(A) IN GENERAL.—The term ‘coverage month’ shall not include, with respect to any individual covered by a qualified health plan enrolled in through…

  • Sec. 71305. Eliminating limitation on recapture of advance payment of premium tax credit

    Home/All Topics/OBBBA Text(a) In general.—Section 36B(f)(2) is amended by striking subparagraph (B). (b) Conforming amendments.— (1) Section 36B(f)(2) is amended by striking “advance payments.—” and all that follows through “If the advance payments” and inserting the following: “advance payments.—If the advance payments”. (2) Section 35(g)(12)(B)(ii) is amended by striking “then section 36B(f)(2)(B) shall be applied…

  • Sec. 71304. Disallowing premium tax credit in case of certain coverage enrolled in during special enrollment period

    Home/All Topics/OBBBA Text(a) In general.—Section 36B(c)(3)(A), as amended by the preceding provisions of this Act, is amended by adding at the end the following new clause: “(iii) EXCEPTION IN CASE OF CERTAIN SPECIAL ENROLLMENT PERIODS.—Such term shall not include any plan enrolled in during a special enrollment period provided for by an Exchange— “(I) on…

  • Sec. 71303. Requiring verification of eligibility for premium tax credit

    Home/All Topics/OBBBA Text(a) In general.—Section 36B(c) is amended by adding at the end the following new paragraphs: “(5) EXCHANGE ENROLLMENT VERIFICATION REQUIREMENT.— “(A) IN GENERAL.—The term ‘coverage month’ shall not include, with respect to any individual covered by a qualified health plan enrolled in through an Exchange, any month beginning before the Exchange verifies, using…

  • SUBCHAPTER A—IMPROVING ELIGIBILITY CRITERIA

    Home/All Topics/OBBBA TextSEC. 71301. Permitting premium tax credit only for certain individuals. (a) In general.—Section 36B(e)(1) is amended by inserting “or, in the case of aliens who are lawfully present, are not eligible aliens” after “individuals who are not lawfully present”. (b) Eligible aliens.—Section 36B(e)(2) is amended— (1) by striking “For purposes of this section,…

  • Sec. 71301. Permitting premium tax credit only for certain individuals

    Home/All Topics/OBBBA Text(a) In general.—Section 36B(e)(1) is amended by inserting “or, in the case of aliens who are lawfully present, are not eligible aliens” after “individuals who are not lawfully present”. (b) Eligible aliens.—Section 36B(e)(2) is amended— (1) by striking “For purposes of this section, an individual” and inserting “For purposes of this section— “(A)…

  • CHAPTER 2—MEDICARE

    Home/All Topics/OBBBA TextSUBCHAPTER A—STRENGTHENING ELIGIBILITY REQUIREMENTS SEC. 71201. Limiting Medicare coverage of certain individuals. Title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) is amended by adding at the end the following new section: “SEC. 1899C. Limiting Medicare coverage of certain individuals. “(a) In general.—Subject to subsection (b), an individual may be…

  • SUBCHAPTER B—IMPROVING SERVICES FOR SENIORS

    Home/All Topics/OBBBA TextSEC. 71202. Temporary payment increase under the medicare physician fee schedule to account for exceptional circumstances. (a) In general.—Section 1848(t) of the Social Security Act (42 U.S.C. 1395w–4(t)) is amended— (1) in the subsection heading, by striking “during 2021 through 2024”; (2) in paragraph (1)— (A) in the matter preceding subparagraph (A), by…

  • Sec. 71203. Expanding and clarifying the exclusion for orphan drugs under the Drug Price Negotiation Program

    Home/All Topics/OBBBA Text(a) In general.—Section 1192(e) of the Social Security Act (42 U.S.C. 1320f–1(e)) is amended— (1) in paragraph (1), in the matter preceding subparagraph (A), by striking “and (3)” and inserting “through (4)”; (2) in paragraph (3)(A)— (A) by striking “only one rare disease or condition” and inserting “one or more rare diseases or…

  • Sec. 71202. Temporary payment increase under the medicare physician fee schedule to account for exceptional circumstances

    Home/All Topics/OBBBA Text(a) In general.—Section 1848(t) of the Social Security Act (42 U.S.C. 1395w–4(t)) is amended— (1) in the subsection heading, by striking “during 2021 through 2024”; (2) in paragraph (1)— (A) in the matter preceding subparagraph (A), by striking “and 2024” and inserting “2024, and 2026”; (B) in subparagraph (D), by striking “and” at…

  • SUBCHAPTER A—STRENGTHENING ELIGIBILITY REQUIREMENTS

    Home/All Topics/OBBBA TextSEC. 71201. Limiting Medicare coverage of certain individuals. Title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) is amended by adding at the end the following new section: “SEC. 1899C. Limiting Medicare coverage of certain individuals. “(a) In general.—Subject to subsection (b), an individual may be entitled to, or enrolled…