December 8 (legislative day, December 4), 2025
Mr. Grassley introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions
To require the Secretary of Health and Human Services to complete fraud risk assessments of the advance premium tax credit, and for other purposes.
Section 1. Short title
This Act may be cited as the Fraud Risk Assessment of Obamacare Subsidies Accountability Act
.
Sec. 2. Fraud risk assessment
(a) In general
Not later than December 31, 2025, and annually thereafter, the Secretary of Health and Human Services, in coordination with the Secretary of the Treasury, shall prepare a fraud risk assessment of the advance determinations under section 1412 of the Patient Protection and Affordable Care Act (42 U.S.C. 18082) of premium tax credits allowable under section 36B of the Internal Revenue Code of 1986, including a complete list of any controls used by the Secretary of Health and Human Services for purposes of preventing fraud with respect to advance premium tax credit claims, and submit such assessment to—
(1)
the Inspector General of the Department of Health and Human Services;
(2)
the Committee on Finance, the Committee on the Budget, and the Committee on Health, Education, Labor, and Pensions of the Senate; and
(3)
the Committee on Ways and Means, the Committee on the Budget, and the Committee on Energy and Commerce of the House of Representatives.
(b) Requirements
Each fraud risk assessment under subsection (a) shall be conducted in accordance with the principles of the report of the Comptroller General of the United States titled A Framework for Managing Fraud Risks in Federal Programs
, issued in July 2015.