Stop ACA Enrollment Fraud Act of 2026

Tom Barrett

Republican · MI · Representative

Source: Congress.gov · FEC

No cosponsors on record. Bills can pass without cosponsors — this often means the sponsor introduced the bill alone, either because it's a messaging bill, a chairman's mark, or simply early in the legislative cycle.

Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

2026-03-09

Source: Congress.gov

This bill would add new safeguards and penalties to prevent people from fraudulently signing up for health insurance through the Affordable Care Act marketplace or improperly claiming subsidies they don't qualify for. It would affect both individuals applying for coverage and the government agencies responsible for managing the health insurance program. The bill aims to reduce waste and ensure that financial assistance goes only to people who genuinely meet eligibility requirements.

AI-assisted summary generated from the official bill metadata (title, subjects, actions) sourced from Congress.gov. Cached and reviewed. Always verify against the official text linked below.

[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 7860 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 7860 To amend the Patient Protection and Affordable Care Act to address fraudulent enrollments in the Exchanges. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 9, 2026 Mr. Barrett introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned _______________________________________________________________________ A BILL To amend the Patient Protection and Affordable Care Act to address fraudulent enrollments in the Exchanges. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Stop ACA Enrollment Fraud Act of 2026''. SEC. 2. PREVENTING DUPLICATE ENROLLMENTS IN EXCHANGES. Section 1411 of the Patient Protection and Affordable Care Act (42 U.S.C. 18081) is amended by adding at the end the following new subsection: ``(j) Preventing Duplicate Enrollments.--Not later than 60 days after the date of the enactment of this subsection, the Secretary shall-- ``(1) establish, as part of the program established under subsection (a), a process for identifying whether the social security number provided by an individual who is to be covered in the individual market by a qualified health plan offered through an Exchange is identical to the social security number of any enrollee in any Exchange under this title enrolled for the same period in which such coverage is to be effective; and ``(2) in the case that identical social security numbers are so identified under paragraph (1), take such actions as are necessary to ensure that duplicative advance payments of premium tax credits under section 1412 are not made with respect to an individual.''. SEC. 3. ENSURING CONSENT FOR AGENT AND BROKER ENROLLMENTS. Section 1312(e) of the Patient Protection and Affordable Care Act (42 U.S.C. 18032(e)) is amended-- (1) by redesignating paragraphs (1) and (2) as subparagraphs (A) and (B), respectively, and adjusting the margins accordingly; (2) in the matter preceding subparagraph (A), as so redesignated, by striking ``The Secretary shall establish'' and inserting the following: ``(1) In general.--The Secretary shall establish''; and (3) by adding at the end the following new paragraph: ``(2) Consent.-- ``(A) In general.--The procedures established under paragraph (1) shall provide that, with respect to the enrollment of individuals and employers in qualified health plans in the individual or small group market offered through an Exchange for plan years beginning on or after January 1, 2027, no such enrollment made through an agent or broker is effectuated prior to such individual or employer (as applicable) consenting to such enrollment through the mechanism established by the Secretary under subparagraph (B). ``(B) Consent mechanism.--For purposes of subparagraph (A), the mechanism described in this subparagraph is a mechanism established and operated by the Secretary under which an individual or employer gives consent with respect to an enrollment of such individual or employer described in such subparagraph. Such mechanism may not accept an attestation of such individual's consent provided by the agent or broker enrolling such individual or employer as evidence of such individual's or employer's consent.''. <all>

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