ACA Title 1, Sec. 1412. Advance determination and payment of premium tax credits and cost-sharing reductions: “Ugly” – A bureaucratic nightmare. The bureaucratic machinery necessary to provide advance payments to a possible premium tax credit is another example of overkill. What about the old stand-by of providers carrying accounts payable until the individual or family financial condition changes?. It used to be a standard business practice. If the recipient’s financial condition is so precarious they need advance payments of a tax credit why not provide public subsidy for their health plan purchase. This does not make a lot of sense to me. Are we trying to have everyone in our society work for the federal government?

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