ACA Marketplace Integrity Act — Full text

Section 1. Short title

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

Section 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.

Section 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

Section 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.