CMS says it canceled about 315,000 unauthorized ACA enrollments, expects $2.2B in credits back

Benzinga

CMS says it canceled about 315,000 unauthorized Affordable Care Act enrollments covering more than 760,000 people and expects roughly $2.2 billion in advance premium tax credits to be returned. JD Vance said the administration is checking subsidy eligibility.

CMS has issued termination notices to more than 200 non-compliant agents and brokers since January and sent 569 notices of intent to terminate this summer for applications missing information such as SSNs. It is temporarily pausing new 2027 registrations for agents and brokers without an active 2026 Exchange Agreement. New requirements call for identity verification through Login.gov or ID.me and electronic consumer authorization before agents can act on applications. Earlier, federal officials said more than 1 million Marketplace enrollees lacked a Social Security number on file; CMS estimated about 35% of enrollments could be illegitimate.

CMS Administrator Mehmet Oz said the agency uses data and enforcement authorities to identify and recover improper payments. Former House Speaker Nancy Pelosi criticized the action, saying it would “rip away health insurance from thousands” and calling the fraud rationale a “false pretext.” CMS said it would continue working with insurers to identify and cancel unauthorized enrollments and recover associated subsidies.

#ACA-enrollment-cancellations #ACA-subsidy-eligibility
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