H.R. 7860

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 7860 Introduced in House (IH)]

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119th CONGRESS
2d Session
H. R. 7860

To amend the Patient Protection and Affordable Care Act to address 
fraudulent enrollments in the Exchanges.

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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

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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.''.
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