Health Insurance Affordability & Fraud Prevention Act
This act aims to make health insurance more affordable by extending and modifying tax credits. It also introduces new rules to prevent fraud in the insurance system and increases transparency for pharmacy benefit managers (PBMs). Additionally, it allows certain individuals with marketplace health plans to establish Health Savings Accounts (HSAs).
Key points
Extends health insurance premium tax credits for taxable years beginning before January 1, 2028.
Implements stricter civil and criminal penalties for agents and brokers providing false information and introduces enrollment verification mechanisms.
Increases transparency for pharmacy benefit managers (PBMs) by requiring them to pass through 100% of rebates and discounts to group health plans.
Allows individuals enrolled in certain marketplace health plans to establish Health Savings Accounts (HSAs).
Extends the annual open enrollment period for plan year 2026 (from November 1, 2025, to March 1, 2026).
Status:
Introduced
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