Overview
- Committee leaders sent subpoenas on Feb. 9 to Blue Shield of California, Centene, CVS Health, Elevance Health, GuideWell, Health Care Service Corp., Kaiser Permanente and Oscar Health.
- Insurers must produce records by Feb. 23 covering fraud-prevention practices, subsidy data and audits after incomplete responses to December information requests.
- A December GAO report cited billions in unreconciled ACA subsidies and flagged 58,000 Social Security numbers matching death records, including about $94 million paid on behalf of deceased individuals.
- CMS proposed a rule on Feb. 9 to tighten eligibility verifications and revive integrity checks after a 2025 rule was stayed by a federal judge, with that case on appeal.
- Lawmakers say insurer responses will shape potential legislation and a review of APA procedures, noting APTCs are paid directly to insurers in a way that can distort incentives.