S.Amdt. 3968

SA 3968. Mr. SULLIVAN submitted an amendment intended to be proposed
by him to the bill S. 3386, to provide a health savings account
contribution to certain enrollees, to reduce health care costs, and for
other purposes; which was ordered to lie on the table; as follows:

At the appropriate place, insert the following:

TITLE IV--STABILITY ACT OF 2025

SEC. 401. EXTENSION AND MODIFICATION OF ENHANCED PREMIUM TAX
CREDITS.

(a) Household Income Limitation.--Section 36B(c)(1)(E) of
the Internal Revenue Code of 1986 is amended--
(1) by striking ``2025.--In the case of'' and inserting the
following: ``2025.--
``(i) In general.--In the case of'',
(2) by adding at the end the following new clause:
``(ii) Special rule for 2026 and 2027.--In the case of any
taxable year beginning after December 31, 2025, and before
January 1, 2028, subparagraph (A) shall be applied by
substituting `600 percent' for `400 percent'.'', and
(3) in the heading--
(A) by striking ``rule'' and inserting ``rules'', and
(B) by striking ``2025'' in the heading and inserting
``2027''.
(b) Applicable Percentage.--Section 36B(b)(3)(A) of the
Internal Revenue Code of 1986 is amended--
(1) in clause (iii)--
(A) by striking ``January 1, 2026'' and inserting ``January
1, 2028, except as provided in clauses (iv) and (v)'', and
(B) by striking ``2025'' in the heading and inserting
``2027'', and
(2) by adding at the end the following new clauses:
``(iv) Special rule for 2026 and 2027.--In the case of any
taxable year beginning after December 31, 2025, and before
January 1, 2028, the table contained in clause (iii)(II)
shall be applied by adjusting the premium percentages such
that applicable taxpayers whose household income (expressed
as a percent of poverty line) is less than 150 percent
receive a premium assistance amount with respect to any
coverage month which is equal to the monthly premiums
described in paragraph (2)(A) with respect to the taxpayer,
reduced by $5.
``(v) Special rules for 2027.--In the case of any taxable
year beginning after December 31, 2026, and before January 1,
2028, the table contained in clause (iii)(II) shall be
applied as provided in clause (iv) and by adjusting the
premium percentages such that--

``(I) for applicable taxpayers whose household income (so
expressed) is 400 percent up to 500 percent, the final
premium percentage is 10 percent, and
``(II) for applicable taxpayers whose household income (so
expressed) is 500 percent up to 600 percent, the initial
premium percentage is 10 percent and the final premium
percentage is 12 percent.''.

(c) Coverage for Aliens Not Lawfully Present.--Clause (i)
of section 36B(c)(3)(A) of the Internal Revenue Code of 1986
is amended--
(1) by striking ``shall not include a qualified health
plan'' and inserting ``shall not include--

``(I) a qualified health plan'',

(2) by striking the period at the end and inserting ``,
and'', and
(3) by adding at the end the following new subclause:

``(II) any health plan that offers coverage to aliens not
lawfully present in the United States.''.

(d) Effective Date.--The amendments made by this section
shall apply to taxable years beginning after December 31,
2025.

SEC. 402. ENFORCEMENT ACTIONS AGAINST LEAD AGENTS FOR FEDERAL
EXCHANGE AGENTS AND BROKERS.

Section 1312(e) of the Patient Protection and Affordable
Care Act (42 U.S.C. 18032(e)) is amended--
(1) by redesignating paragraphs (1) and (2) as
subparagraphs (A) and (B), respectively, and adjusting the
margins accordingly;
(2) by striking ``The Secretary'' and inserting the
following:
``(1) In general.--The Secretary''; and
(3) by adding at the end the following:
``(2) Enforcement with respect to lead agents for federal
exchange agents and brokers.--
``(A) In general.--If the Secretary determines that an
agent or broker has failed to comply with the requirements
applicable to agents and brokers engaged in the activities
described in paragraph (1) with respect to an Exchange
operating pursuant to section 1321(c), in addition to any
remedies available with respect to the agent or broker as an
entity, any lead agent of such agent or broker--
``(i) may be disqualified from serving as a lead agent with
respect to any subsequent agreement between an agent or
broker and any such Exchange; and
``(ii) may be subject to civil money penalties as described
in section 155.285 of title 45, Code of Federal Regulations
(or any successor regulations).
``(B) Definition.--For purposes of this paragraph, the term
`lead agent' means an executive or other individual with a
leadership role with an agent or broker described in
paragraph (1).''.

SEC. 403. STANDARD FOR TERMINATION OF AGREEMENTS BETWEEN
FEDERAL EXCHANGES AND AGENTS AND BROKERS.

Section 1312(e) of the Patient Protection and Affordable
Care Act (42 U.S.C. 18032(e)), as amended by this Act, is
further amended by adding at the end the following:
``(3) Termination of agreements with federal exchanges.--
``(A) In general.--The Secretary may terminate an agreement
between an Exchange operating pursuant to section 1321(c) and
an agent or broker described in paragraph (1) for cause if
the Secretary determines, by the preponderance of the
evidence, that the agent or broker violated--
``(i) any standard established by regulation and applicable
to the agent or broker;
``(ii) any term or condition of the agreement with the
Exchange; or
``(iii) any Federal or State law applicable to agents and
brokers.
``(B) Definition.--For purposes of this paragraph, the term
`preponderance of the evidence' means proof by evidence that,
compared with evidence opposing it, leads to the conclusion
that the fact at issue is more likely true than not.''.

SEC. 404. VERIFYING ELIGIBILITY OF ENROLLEES.

Section 1311(d) of the Patient Protection and Affordable
Care Act (42 U.S.C. 18031(d)) is amended by adding at the end
the following:
``(8) Quarterly verification against death master file.--
``(A) In general.--An Exchange shall, not less frequently
than quarterly, conduct a check of the Death Master File (as
such term is defined in section 203(d) of the Bipartisan
Budget Act of 2013) to determine whether any individual
enrolled in a qualified health plan through the Exchange is
deceased.
``(B) Required actions.--If the Exchanges determines
through a check conducted pursuant to subparagraph (A) that
any such individual is deceased, the Exchange shall--
``(i) in the case of such an individual enrolled in an
individual plan, disenroll the individual; and
``(ii) in the case of such an individual enrolled in a
family plan, contact the estate of the deceased individual to
provide for the disenrollment of such individual while
ensuring that other qualified individuals enrolled in the
same family plan are not disenrolled.
``(C) Notification to the secretary.--The Exchange shall
report any disenrollment of an individual pursuant to clause
(i) or (ii) of subparagraph (B) to the Secretary. The
Secretary shall provide a process for appeals of
disenrollment determinations under this paragraph.''.
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