119 S3380 IS: ACA Marketplace Integrity Act U.S. Senate 2025-12-04 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

II119th CONGRESS1st SessionS. 3380IN THE SENATE OF THE UNITED STATESDecember 4, 2025Mr. Marshall introduced the following bill; which was read twice and referred to the Committee on FinanceA BILLTo provide for a minimum monthly premium payment amount for individuals receiving premium tax credits, and to require additional enrollment verification procedures prior to enrollment in qualified health plans.

1.

Short title

This Act may be cited as the ACA Marketplace Integrity Act.

2.

Minimum monthly premium payments

Section 36B(b) of the Internal Revenue Code of 1986 is amended by adding at the end the following new paragraph:(4)

Limitation

The premium assistance amount with respect to any coverage month shall not exceed the excess (if any) of the amount determined under paragraph (2)(A) over $5..

3.

QHP enrollment verification

Section 1411(b)(1) of Patient Protection and Affordable Care Act (42 U.S.C. 18081(b)(1)) is amended—(1)in subparagraph (A), by striking ; and and inserting a semicolon;(2)by redesignating subparagraph (B) as subparagraph (C); and(3)by inserting after subparagraph (A) the following:(B)government-issued photo identification for each enrollee over the age of 18, and any other documentation as the Administrator of the Centers for Medicare & Medicaid Services may require for purposes of enrollment verification; and.

4.

Marketplace integrity and affordability

The final rule entitled Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability (90 Fed. Reg. 27074 (June 25, 2025)) is enacted into law.