; (II) a sponsoring health care organization; (III) a qualifying individual; and (IV) an employer of a qualifying individual or a skilled trade organization of a qualifying individual; (iii) determine the premiums and limitations on payments (including deductibles and coinsurance amounts) for the health coverage described in subsection (b)(1) for a qualifying individual enrolled under such coverage and the extent, if any, to which such premiums and limitations for a qualifying individual shall increase as the income of such qualifying individual increases relative to the poverty line applicable to a family of the size involved; (iv) establish a procedure to— (I) assist qualifying individuals in enrolling under the health coverage described in subsection (b)(1); (II) assist a qualifying individual that does not meet the requirements of a qualified individual specified under subsection (d), is eligible for medical assistance under a State plan under the Medicaid program under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq.), and resides in the catchment area of the hospital described in subsection (g)(2)(C) in enrolling under the appropriate State plan under such program; (III) bill and collect the share of payments for benefits described in clause (ii); (IV) bill and collect the premiums and limitations on payment described in clause (iii); (V) for the purposes of integrating community resources, form partnerships with community population health initiatives; (VI) remove a qualifying individual from the health insurance coverage described in subsection (b)(1) in the case the qualifying individual— (aa) has been enrolled under the qualifying covered benefits program for a 4-year period; and (bb) fails to meet the milestones identified pursuant to clause (vi); and (VII) determine a maximum enrollment period for individual participation, including required milestones for addressing social determinants of health while enrolled