Mahalo nui to Herb K. Schultz, Region IX Director for the U.S. Department of Health and Human Services, for issuing this long-awaited clarification of COFA migrants' eligibility in the new healthcare marketplaces and for financial assistance with health plan premiums and out-of-pocket costs under the Affordable Care Act, i.e. "Obamacare."
According to a statement released by Director Schultz's office:
A citizen of one of the Freely Associated COFA States who is present in the United States is considered a lawfully present non-citizen in accordance with Marketplace regulation and is eligible for the following:
• Enrollment in a Qualified Health Plan offered through the Marketplace;
• Advance payments of the premium tax credit, if he or she is an applicable taxpayer and otherwise meets the requirements set forth in section 36B of the Internal Revenue Code and the regulations governing advance payments of the premium tax credit - see the final rule, Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers (45 C.F.R. §§ 155.305(f), 155.315 and 155.320); and
• Cost-sharing reductions, if he or she is eligible for advance payments of the premium tax credit and has a projected annual household income that does not exceed 250 percent of the Federal Poverty Level (FPL) for the benefit year. See also the final rule, Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers (45 C.F.R. §§ 155.305(g), 155.315, and 155.320).
For questions, please contact Bonnie Preston, MSPH, Outreach and Policy Specialist for the Office of the Regional Director, Region IX, at (415)437-8503.
According to a statement released by Director Schultz's office:
A citizen of one of the Freely Associated COFA States who is present in the United States is considered a lawfully present non-citizen in accordance with Marketplace regulation and is eligible for the following:
• Enrollment in a Qualified Health Plan offered through the Marketplace;
• Advance payments of the premium tax credit, if he or she is an applicable taxpayer and otherwise meets the requirements set forth in section 36B of the Internal Revenue Code and the regulations governing advance payments of the premium tax credit - see the final rule, Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers (45 C.F.R. §§ 155.305(f), 155.315 and 155.320); and
• Cost-sharing reductions, if he or she is eligible for advance payments of the premium tax credit and has a projected annual household income that does not exceed 250 percent of the Federal Poverty Level (FPL) for the benefit year. See also the final rule, Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers (45 C.F.R. §§ 155.305(g), 155.315, and 155.320).
For questions, please contact Bonnie Preston, MSPH, Outreach and Policy Specialist for the Office of the Regional Director, Region IX, at (415)437-8503.
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