To amend the Patient Protection and Affordable Care Act to identify individuals dually enrolled in Medicaid or CHIP and an Exchange.

# HR 6516 Summary **What the Bill Does** This bill would modify the Affordable Care Act (ACA) to create a system for identifying people who are enrolled in multiple health insurance programs at the same time—specifically those signed up for both Medicaid (or CHIP, the Children's Health Insurance Program) and a marketplace health plan through the ACA exchange. Currently, there's no clear mechanism to track when someone has coverage through both programs simultaneously. **Who It Affects and Why It Matters** The bill primarily affects low-income individuals and families who may accidentally or intentionally maintain coverage under both Medicaid/CHIP and an exchange plan. Dual enrollment can create billing problems, duplicate payments, and confusion about which insurance is primary.

By identifying these cases, the bill aims to prevent waste, fraud, and administrative errors in how taxpayer dollars are spent on health insurance subsidies. **Current Status** HR 6516 was introduced in the 119th Congress by Representative Tim Burchett (R-TN) and is currently in committee, meaning it hasn't yet been debated or voted on by the full House. The bill's specific details and implementation methods are not yet fully detailed in available sources.