S. 2114

This bill amends title I (Quality, Affordable Health Care for All Americans) of the Patient Protection and Affordable Care Act to add a definition of “Indian.” This definition includes individuals of Indian descent who are members of an Indian community served by the Indian Health Service and individuals considered by the Department of Health and Human Services to be Indian for purposes of eligibility for Indian health care services, including California Indians, Eskimos, Aleuts, or other Alaska Natives.

Individuals included in the above definition are eligible for special monthly enrollment periods on health insurance exchanges and elimination of cost-sharing under individual health coverage for those whose income is not more than 300% of the poverty line. (Currently, only members of Indian tribes are eligible for these benefits.)

Indians are exempted from the penalty for not maintaining minimum essential health coverage.