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CMS proposes ACA subsidy verification rules to curb Exchange fraud

A photo of a store front awning sign reading "OBAMACARE" in large, all capitalized letters.
Photo: Joe Raedle/Getty Images

CMS proposes requiring eligibility verification before ACA premium subsidies are granted, implementing new anti-fraud provisions for 2028.

In a move the agency says is intended to combat fraudulent enrollments and safeguard taxpayer-funded assistance, the Centers for Medicare & Medicaid Services (CMS) has proposed new eligibility verification requirements for consumers seeking premium subsidies through the Affordable Care Act (ACA) Exchanges.

Under the proposed rule, consumers seeking advanced premium

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