PRINTER'S NO. 1423

THE GENERAL ASSEMBLY OF PENNSYLVANIA

HOUSE BILL

No.

1030

Session of

2021

INTRODUCED BY A. DAVIS, PISCIOTTANO, FREEMAN, SANCHEZ, HILL-

EVANS, BRADFORD, LEE, SCHLOSSBERG, FRANKEL, D. WILLIAMS,

DeLUCA, McCLINTON, ROZZI, DEASY, KINSEY, T. DAVIS, DALEY,

The General Assembly of the Commonwealth of Pennsylvania

hereby enacts as follows:

Section 1. Title 40 of the Pennsylvania Consolidated

Statutes is amended by adding a chapter to read:

Sec.

9401. Definitions.

9402. Program establishment.

9403. Program structure.

of the act of March 4, 1971 (P.L.6, No.2), known as the Tax

Reform Code of 1971.

"No-cost or low-cost health coverage." As follows:

(1) A health insurance policy offered by an insurer

through the exchange for which a premium tax credit or cost-

sharing subsidy may be available.

(2) The Commonwealth's medical assistance program

established under the act of June 13, 1967 (P.L.31, No.21),

known as the Human Services Code.

(3) The Children's Health Insurance Program established

minimum essential coverage as defined in section 5000A(f) of the

Internal Revenue Code of 1986 (Public Law 99-514, 26 U.S.C. § 1

et seq.).

§ 9402. Program establishment.

(a) Establishment.--The Pennsylvania Health Insurance Easy

Enrollment Program is established and shall be administered

jointly by the exchange authority and the Department of Revenue

as provided under this chapter.

(b) Implementation.--The exchange authority and the

Department of Revenue and other affected government entities

(a) Department of Revenue duties.--The Department of Revenue

shall:

(1) Provide a space on the form used for State

individual income tax returns where an individual may

designate if the individual, the individual's spouse or any

dependents of the individual are not covered by health

insurance. The following shall apply:

(i) If an individual indicates that the individual,

the individual's spouse or any dependents of the

individual lack health insurance, the individual may

and adjusted gross income as provided on the individual's

Federal income tax return. If an individual makes the

request under this paragraph, the Department of Revenue

shall transmit, as soon as possible to the exchange

authority, any information the exchange authority may

require to determine the uninsured individual's

eligibility or potential eligibility for no-cost or low-

cost health coverage.

(iii) Information transmitted from the Department of

R evenue to the exchange authority under this paragraph

otherwise contradicted by other information on record,

information on this application consistent with the tax

filing shall be considered verified upon receipt.

(2) Consult with the exchange authority in developing

language required under paragraph (1) to be included on the

individual income tax return form.

(3) In consultation with the exchange authority, educate

tax filers and tax professionals on the program through

measures that shall include information in the instructions

for the individual income tax return form.

(i) To the maximum extent possible, the exchange

authority's determination of an uninsured individual's

eligibility or potential eligibility for no-cost or low-

cost health coverage shall utilize available information,

including information from third-party data sources and

data described in section 1413 of the Patient Protection

and Affordable Care Act (Public Law 111-148, 124 Stat.

119).

(ii) The exchange authority may contact the

uninsured individual if the exchange authority requires

individual is eligible or potentially eligible for no-

cost or low-cost health coverage that is not made

available through the exchange, the exchange shall

transmit the uninsured individual's information to the

Department of Human Services, which shall take action to

enroll the individual in such coverage.

(2) Communicate to the uninsured individual the results

of any eligibility determination. If the individual is

determined eligible or potentially eligible for no-cost or

low-cost health coverage but is ineligible for coverage

individual. Information about the program and the special

enrollment period described in this paragraph shall be

communicated by the exchange authority to the general public.

§ 9404. Reports.

(a) Information.--The exchange authority shall compile

information by coverage type on the number of individuals who

are determined by the program to be eligible or potentially

eligible for, and the number of individuals that enroll in, no-

cost or low-cost health coverage.

(b) Reports.--The exchange authority shall submit a report

Internet website and a copy of the report shall be

electronically transmitted to:

(1) The chairperson and minority chairperson of the

Banking and Insurance Committee of the Senate.

(2) The chairperson and minority chairperson of the

Insurance Committee of the House of Representatives.

Section 3. This act shall take effect immediately.