H.R. 7860

119 HR 7860 IH: Stop ACA Enrollment Fraud Act of 2026
 U.S. House of Representatives
 2026-03-09
 text/xml
 EN
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 I  119th CONGRESS  2d Session  H. R. 7860  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.
1.
Short title
This Act may be cited as the   Stop ACA Enrollment Fraud Act of 2026  .
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.
 .
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.
 .