December 4, 2025
Mr. Marshall introduced the following bill; which was read twice and referred to the Committee on Finance
To 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.
Section 1. Short title
This Act may be cited as the ACA Marketplace Integrity Act
.
Sec. 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.
Sec. 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
Sec. 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.