<?xml version='1.0' encoding='utf-8'?>
<section article="gin" article_name="Insurance" number="31-204" title_number="31" title_name="Maryland Health Benefit Exchange" subtitle_number="2" subtitle_name="Maryland Easy Enrollment Health Insurance Program">
  <level label="a">
    <text>The Exchange or the Department, as applicable, shall determine eligibility for insurance affordability programs as soon as possible after an individual files a State income tax return on which the individual chose a  checkoff box described in  § 2–115(c)(3) of the Tax – General Article indicating that an uninsured individual may be interested in obtaining minimum essential coverage.</text>
  </level>
  <level label="b">
    <level label="1">
      <text>To the maximum extent practicable, the Exchange or the Department, as applicable, shall verify an uninsured individual’s eligibility for an insurance affordability program:</text>
      <level label="i">
        <text>with information on a State income tax return and other data from third–party data sources, including data described in § 1413 of the Affordable Care Act or available under § 2–115(b)(2) of the Tax – General Article;  and</text>
      </level>
      <level label="ii">
        <text>without requesting additional information or attestations from the uninsured individual.</text>
      </level>
    </level>
    <level label="2">
      <text>If additional attestations or documentation from the uninsured individual are required to establish eligibility for an insurance affordability program, the Exchange or the Department, as applicable, shall take steps to limit the burden on the uninsured individual, including:</text>
      <level label="i">
        <text>proactively contacting the individual who filed the tax return or the uninsured individual;</text>
      </level>
      <level label="ii">
        <text>recording, by telephonic or electronic means, attestations and  documentation provided by the individual who filed the tax return or the uninsured individual; and</text>
      </level>
      <level label="iii">
        <text>if the attestations or documentation required to determine eligibility are not obtained using the steps described in items (i) and (ii) of this paragraph, facilitating the selection of an authorized representative for the uninsured individual.</text>
      </level>
    </level>
  </level>
  <level label="c">
    <level label="1">
      <text>Before determining eligibility of an uninsured individual for an insurance affordability program, the Exchange or the Department, as applicable, shall attempt to verify the citizenship status of the uninsured individual and each household member listed on the State income tax return, based on the information available from the return and reliable third–party sources of citizenship data.</text>
    </level>
    <level label="2">
      <text>If the process described in paragraph (1) of this subsection does not confirm that the uninsured individual and each household member listed on the State income tax return is a United States citizen, the Exchange and the Department may not seek additional verification or take other steps to determine eligibility for or enroll the uninsured individual in an insurance affordability program until the uninsured individual provides affirmative consent using forms and procedures approved by the Exchange.</text>
    </level>
    <level label="3">
      <text>The affirmative consent required under paragraph (2) of this subsection may be satisfied through the procedures described in 42 U.S.C. § 1320b–7(d).</text>
    </level>
    <level label="4">
      <text>If citizenship is not verified and affirmative consent is not provided in accordance with paragraph (2) of this subsection, the Exchange and the Department may not take any further steps to determine an uninsured individual’s eligibility for or enroll an uninsured individual in an insurance affordability program.</text>
    </level>
  </level>
</section>
