Bill > S3380

This bill, called the "ACA Marketplace Integrity Act," introduces two primary changes to health insurance marketplace regulations. First, it limits premium tax credits by establishing a minimum monthly premium payment of $5, meaning individuals receiving premium assistance through the Affordable Care Act (ACA) marketplace will always be responsible for at least $5 of their monthly premium, regardless of their calculated tax credit amount. Second, the bill enhances enrollment verification procedures for qualified health plans (QHPs) by requiring government-issued photo identification for all enrollees over 18 years old and authorizing the Centers for Medicare & Medicaid Services (CMS) Administrator to request additional documentation to verify enrollment. The bill also formally enacts a specific marketplace integrity and affordability rule published in the Federal Register, which suggests additional regulatory measures to strengthen the ACA marketplace's operational integrity and cost management. These provisions aim to reduce potential fraud, ensure more precise enrollment processes, and introduce a minimal financial responsibility for marketplace participants.

Budget and Finance

https://www.congress.gov/bill/119th-congress/senate-bill/3380/all-info