Bill · S. 3380· Senate(119-S-3380)
ACA Marketplace Integrity Act
- Introduced
- 12/4/2025
- Last activity
- 12/4/2025 — Read twice and referred to the Committee on Finance.
- Sponsored by
- Roger Marshall
- Cosponsors
- - 1 - 0
- Introduced
- In Committee
What this bill would do
This bill, known as the "ACA Marketplace Integrity Act," introduces changes to how premium tax credits and health plan enrollments work. It establishes a minimum monthly premium payment amount for those receiving tax credits. Additionally, it requires new enrollment verification procedures for qualified health plans. These procedures include providing government-issued photo identification for enrollees over 18. The bill also allows the Administrator of the Centers for Medicare & Medicaid Services to require further documentation. Finally, it enacts a specific final rule regarding marketplace integrity and affordability.
Yes
Does this reduce what the federal government spends?+2
The bill limits the maximum premium assistance amount, which may reduce federal outlays for subsidies.
Does this make what the government does easier for the public to see?+1
The bill implements more rigorous enrollment verification procedures to ensure marketplace integrity.
The opposite· 3 of 5
Would households on low incomes be better off under this?-3
The bill limits the amount of premium assistance available to individuals seeking coverage through the marketplace.
Does this strengthen the Affordable Care Act?-3
The bill imposes new limitations on premium assistance and adds stricter enrollment requirements for ACA plans.
Would people in their twenties and thirties be better off under this?-2
Adults in this demographic must comply with new photo identification requirements for health plan enrollment.
Who it would affect, and how
Potential Positive Impacts for People
- Enrollment Verification: The bill requires government-issued photo identification for each enrollee over the age of 18, which is part of a new verification process (Section 3).
Potential Negative Impacts for People
-
Premium Payment Limitation: The premium assistance amount for a coverage month will be limited so that it cannot exceed the amount determined under paragraph (2)(A) over $5 (Section 2).
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Increased Documentation Requirements: Individuals enrolling in qualified health plans must now provide government-issued photo identification for every person over the age of 18 (Section 3).
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Additional Verification Burdens: The Administrator of the Centers for Medicare & Medicaid Services may require any other documentation for the purposes of enrollment verification (Section 3).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Low Income Households-3Good For Young Adults-2
- Healthcare
- Increases Affordable Care Act Support-3
- Economy And Finance
- Reduces Government Spending+2
- Social Issues And Justice
- Improves Poverty Reduction-2
- Governance And Ideology
- Improves Government Transparency+1Improves Privacy Rights-2
- 12/8/2025
- 1 Cosponsor added.
- 12/4/2025
- Read twice and referred to the Committee on Finance.
- Introduced in Senate
Katie BrittRepublican · Alabama