To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and for other purposes.

Enhanced Premium Tax Credits: The bill modifies the premium tax credit percentages for various household income levels for taxable years beginning after December 31, 2025, and before January 1, 2028 (Section 1).

Improved Medicare Advantage Risk Adjustment: The Secretary would use two years of diagnostic data for risk adjustment methodology starting in 2026 (Section 2(a)).

Exclusion of Certain Diagnoses from Medicare Risk Adjustment: Diagnoses collected from chart reviews or health risk assessments would no longer be used for establishing payment adjustment factors (Section 2(b)).

New Consumer Protections for Enrollment: The Secretary is tasked with establishing a verification process for enrollments submitted by agents or brokers, which includes requiring documentation of consumer consent and providing timely notifications regarding coverage changes (Section 3(b)).

Continuity of Coverage: The enrollment verification process is required to prioritize the continuity of coverage and care, ensuring individuals are not disenrolled from qualified health plans without their consent (Section 3(b)).

Strict Penalties to Deter Fraud: The bill establishes civil and criminal penalties for agents or brokers who provide false or fraudulent information during the enrollment process (Section 3(a)).

Civil Penalties for Agents or Brokers: Agents or brokers may face civil penalties of at least $10,000 and up to $50,000 if they fail to provide correct information due to negligence or disregard of rules (Section 3(a)).

Significant Penalties for Knowing Violations: Agents or brokers who knowingly provide false or fraudulent information could face civil penalties of up to $200,000 (Section 3(a)).

Criminal Prosecution for Fraud: Agents or brokers who willfully provide false or fraudulent information face potential fines and imprisonment for up to 10 years (Section 3(a)).