Fraud Risk Assessment of Obamacare Subsidies Accountability Act

Sponsor: Chuck Grassley (Republican-IA)December 8, 2025

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Introduced

In Committee

Passed One Chamber

Passed Both Chambers

Signed into Law

Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Requires annual fraud checks for health insurance tax credits

This bill would require the government to perform yearly fraud checks on health insurance tax credits. It aims to make sure these credits, which help people pay for health insurance, are used correctly. This would mean new reports for federal health and treasury departments, and for Congress.

What Would Change

Today, there is no explicit requirement for annual fraud risk assessments of advance premium tax credits. If this bill becomes law, the Secretary of Health and Human Services would be required to conduct these assessments yearly, starting by December 31, 2025, and submit them to Congress and the HHS Inspector General.

Key Provisions

Requires the Secretary of Health and Human Services to complete annual fraud risk assessments for advance premium tax credits.
Requires the Secretary of the Treasury to work with the Secretary of Health and Human Services on these assessments.
Requires these assessments to include a complete list of fraud prevention controls used by the Health and Human Services Department.
Requires the assessments to be sent to the Inspector General of the Department of Health and Human Services and specific committees in both the Senate and House.
Requires the assessments to follow a framework from the Comptroller General's 2015 report on managing fraud risks in federal programs.

View on Congress.gov

S 3384 · 119th Congress · December 8, 2025 · AI Summary by gemini-2.5-flash · 9/10

Fraud Risk Assessment of Obamacare Subsidies Accountability Act

What Would Change

Key Provisions

Lobbying Activity