Automatic Enrollment

We do not want this nationally

Reference: U.S. House Resolution 3200; fall 2009

• Medicaid automatic enrollment
  • Section 205 (d)(3), page 102
  • “AUTOMATIC ENROLLMENT OF MEDICAID ELIGIBLE INDIVIDUALS INTO MEDICAID.—The Commissioner shall provide for a process under which an individual who is described in section 202(d)(3) and has not elected to enroll in an Exchange-participating health benefits plan is automatically enrolled under Medicaid.”
  • Estate recovery then applies by government mandate to those individuals without them having any choice in the matter.
• Non-Medicaid automatic enrollment
  • Section 205 (b)(3), page 97
  • “AUTOMATIC ENROLLMENT FOR NON-MEDICAID ELIGIBLE INDIVIDUALS.— (A) IN GENERAL.—The Commissioner shall provide for a process under which individuals who are Exchange-eligible individuals described in subparagraph (B) are automatically enrolled under an appropriate Exchange-participating health benefits plan. Such process may involve a random assignment or some other form of assignment that takes into account the health care providers used by the individual involved or such other relevant factors as the Commissioner may specify. (B) SUBSIDIZED INDIVIDUALS DESCRIBED.—An individual described in this subparagraph is an Exchange-eligible individual who is either of the following:
    (i) AFFORDABILITY CREDIT ELIGIBLE INDIVIDUALS.—The individual—(I) has applied for, and been determined eligible for, affordability credits under subtitle C; (II) has not opted out from receiving such affordability credit; and (III) does not otherwise enroll in another Exchange-participating health benefits plan. (ii) INDIVIDUALS ENROLLED IN A TERMINATED PLAN.—The individual is enrolled in an Exchange-participating health benefits plan that is terminated (during or at the end of a plan year) and who does not otherwise enroll in another Exchange participating health benefits plan. (4) DIRECT PAYMENT OF PREMIUMS TO PLANS.—Under the enrollment process, individuals enrolled in an Exchange-participating health benefits plan shall pay such plans directly, and not through the Commissioner or the Health Insurance Exchange.” Note: “directly” would most often be directly to health insurance companies.

Additional Information

The U.S. House Resolution 3200 is one of several proposals and does not necessarily reflect the final legislation that would be established by the U.S. Congress.