The proposed CMS rule could result in between 750,000 and 2 million people losing their health insurance due to the elimination of the monthly enrollment opportunity and a shorter open enrollment period. The rule emphasizes concerns over program integrity and improper enrollments. The new policies would enforce overdue premium payments before coverage and impose a nominal monthly fee for automatic reenrollment. Notably, it also plans to exclude coverage for gender-affirming care and end ACA eligibility for undocumented immigrants brought as children. Critics assert these changes threaten healthcare access and exacerbate existing challenges.
"We believe several regulatory policies recently put in place to make it easier to enroll in subsidized coverage severely weakened program integrity and put consumers at risk from improper enrollment."
"Enrollment in ACA plans hit new record highs each year of the Biden administration. But reports of insurance brokers enrolling people in plans or changed their plan selection without consent have reportedly also increased in recent years."
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