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Fraud Risk Assessment of Obamacare Subsidies Accountability Act
To require the Secretary of Health and Human Services to complete fraud risk assessments of the advance premium tax credit, and for other purposes.
Summary
This bill requires the Secretary of Health and Human Services to conduct annual fraud risk assessments of the advance premium tax credits (subsidies) provided through the Affordable Care Act. The assessments must include a complete list of controls used to prevent fraud related to these tax credit claims and be completed by December 31, 2025, and annually thereafter. The assessments must follow the principles outlined in the Comptroller General's 2015 framework for managing fraud risks in federal programs. The results must be submitted to the HHS Inspector General and to relevant committees in both the Senate and House of Representatives.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
- Sen. Grassley, Chuck [R-IA] (R-IA)
Actions (2)
- Dec 8, 2025 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. · senate
- Dec 8, 2025 Introduced in Senate
Similar bills (6)
Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.
Full text
IN THE SENATE OF THE UNITED STATES
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
A BILL
To require the Secretary of Health and Human Services to complete fraud risk assessments of the advance premium tax credit, and for other purposes.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
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. <all>
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