Trump team claims successes against ACA fraud while pushing for more controls

KFF Health News – Friday, March 27, 2026
By Julie Appleby

Complaints about enrollment fraud in Affordable Care Act health insurance coverage have bedeviled the federal marketplace for years.
Now, the Trump administration is claiming wins in reducing the problem while simultaneously saying more controls are needed.

It has proposed a sweeping set of ACA regulations for next year, including stepped-up requirements for some applicants to prove eligibility for subsidies or enrollment and new scrutiny of sales agents and marketing practices.

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