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Combating Insurance Fraud: New Penalties and Consumer Protections

This act introduces stricter penalties for insurance agents and brokers providing false information during health plan enrollments. Its aim is to protect citizens from dishonest practices and ensure their data is used correctly, thereby increasing security and trust in the health insurance system.
Key points
Agents and brokers providing incorrect information may face penalties from $10,000 to $50,000 per individual.
Knowingly providing false information can result in penalties up to $200,000 per individual, and up to 10 years in prison.
A verification process for health plan enrollments will be established to ensure agents have client consent.
Citizens will be notified of any changes to their coverage and can easily cancel unauthorized activity.
Audits of agents and brokers are introduced, along with a requirement to report their suspension or termination.
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Status:
Introduced
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Additional Information
Print number: 119_HR_2079
Sponsor: Rep. Ross, Deborah K. [D-NC-2]
Process start date: 2025-03-11
System Note: Lustra is free, publicly auditable civic infrastructure, with full source code available on GitHub. You are reading sterilized legislative data, processed by our radical neutrality engine to strip political spin and retain factual mechanics. We process only official government data. Original documents remain the authoritative source, always verify them if you can.
Summarized by: gemini-2.5-flash
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

Insurance Fraud Accountability Act

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 119_HR_2079.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2025-03-11.

What are the main provisions?

Key points include:

  • Agents and brokers providing incorrect information may face penalties from $10,000 to $50,000 per individual.
  • Knowingly providing false information can result in penalties up to $200,000 per individual, and up to 10 years in prison.
  • A verification process for health plan enrollments will be established to ensure agents have client consent.
  • Citizens will be notified of any changes to their coverage and can easily cancel unauthorized activity.
  • Audits of agents and brokers are introduced, along with a requirement to report their suspension or termination.
What is the specific legal status?

The current status is Introduced.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Ross, Deborah K. [D-NC-2].

What is the latest detailed status?

The latest detailed status is: Referred to the House Committee on Energy and Commerce.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-22.

What is the impact of this bill?

We don't know, that is up to you to decide. Summarizing raw data with AI is fundamentally different from predicting socio-economic outcomes. As of 2026, we believe impact assessment strictly requires a human in the loop to verify and judge.

CATEGORIES

Health Courts and Law