CMS expands enforcement power over shady ACA brokers

Healthcare DIVE January 14, 2025
Rebecca Pifer

A rule finalized Monday makes it easier for regulators to suspend agents and brokers from selling Affordable Care Act plans if they pose a risk to the exchanges.

Dive Brief:

• The Biden administration on Monday finalized a rule making it easier for regulators to punish insurance agents and brokers for violating rules when selling Affordable Care Act plans.
• The rule expands the CMS’ ability to immediately suspend a broker from the marketplace if they pose a risk to eligibility determinations, operations or enrollees. It also updates consent forms to ensure applications for plans are accurate and to prevent unauthorized changes to ACA coverage, according to regulators.
• The rule also notifies consumers who have failed to reconcile government subsidies for...

Today's Sponsors

Today's Sponsor