路透社
2026年9月22日 世界标准时间14:27 更新于21分钟前
2023年1月28日，美国南卡罗来纳州哥伦比亚市，前奥巴马医改健康保险计划的标识牌摆在围栏旁。路透社/香农·斯特普尔顿 授权许可使用
- 紧急规则冻结新奥巴马医改经纪商注册至2027年2月1日
- 医疗保险和医疗补助服务中心将取消约569名经纪商资格，因其提交的2026年计划申请“统计上不合常理”
- 医疗保险和医疗补助服务中心称，未经授权的投保可能导致2026年联邦不当支出最高达66亿美元
9月22日（路透社）——美国医疗保险和医疗补助服务中心（CMS）周二表示，该机构上月取消了31.5万份奥巴马医改健康保险保单，涉及约76万人，理由是公民或移民身份证明文件未经验证，以及存在涉嫌不当投保的情况。
该举措在《美国联邦公报》发布的规则制定文件中披露。与此同时，该机构表示将取消约569名经纪商的资格，称这些经纪商“提交的2026年计划申请率在统计上不合常理”，且申请未包含申请人信息，例如社会保险号码。
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这些由民主党总统巴拉克·奥巴马标志性的《平价医疗法案》设立的计划，根据收入提供补贴。共和党总统唐纳德·特朗普在首任任期内曾试图废除该法案但未成功，之后又提出了会让计划保障范围缩水的修改方案。
今年有数百万民众放弃了医保覆盖，原因是医疗成本上涨以及新冠疫情期间额外补贴到期，月度保费变得难以负担。
本届政府正采用紧急规则制定程序，在全行业范围内立即冻结新的奥巴马医改经纪商注册，绕过了通常的提前通知和意见征询期。
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医疗保险和医疗补助服务中心称，部分经纪人和代理机构涉嫌未经本人同意为他人投保、未经许可更改他人的保险计划、使用不准确信息，或通过可疑申请获取佣金。
该机构表示，此类行为可能引发联邦保费税收抵免支付不当，还可能让消费者面临保险计划意外变更、医疗账单纠纷或税务问题。
该卫生机构表示，未获得2026年注册资格的经纪商将受到此次冻结措施的影响，直至2027年2月1日。
“全面暂停新经纪人和代理机构注册，反而会惩罚合法从业者，而非瞄准那些应负责欺诈行为的害群之马，”代表健康保险经纪人和代理机构的行业团体——全国福利与保险专业人士协会主席迈查尔·沃克说道。
该协会敦促医疗保险和医疗补助服务中心重新考虑任何暂停注册的举措，转而专注于有针对性的保障措施和执法行动，在打击欺诈活动的同时，保障消费者接触合法、有执照经纪人和代理机构的渠道。
医疗保险和医疗补助服务中心称，通过奥巴马医改计划进行的未经授权投保，可能导致2026年计划年度联邦不当支出最高达66亿美元。
据《华尔街日报》报道，此次保单取消行动由副总统JD·万斯的反欺诈特别工作组牵头，政府官员估计此举可为纳税人节省约22亿美元资金。
美国卫生与公众服务部今年早些时候发布的一份报告估计，2021年至2024年间近一半的奥巴马医改新投保可能存在不当、虚假或欺诈行为。医疗保险和医疗补助服务中心称，已有超过100万名投保人在未提供社会保险号码的情况下获得了医保覆盖。
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US says it canceled Obamacare policies for 760,000 people last month
By Reuters
September 22, 2026 2:27 PM UTC Updated 21 mins ago
Signs for former Obamacare health insurance plans lay next to a fence in Columbia, South Carolina, U.S., January 28, 2023. REUTERS/Shannon Stapleton Purchase Licensing Rights
- Emergency rule freezes new Obamacare broker registrations through February 1, 2027
- CMS to bar some 569 brokers over ‘statistically implausible’ 2026 applications
- Unauthorized enrollments could cause up to $6.6 billion in improper 2026 federal spending, CMS says
Sept 22 (Reuters) – The US Centers for Medicare & Medicaid Services said on Tuesday it canceled 315,000 Obamacare health plans covering about 760,000 people last month, citing unverified citizenship or immigration documentation and suspected improper enrollments.
The move, disclosed in rule-making documents published in the US Federal Register, comes as the agency says it will bar some 569 brokers who it says “submitted statistically implausible rates of plan year 2026 applications” that did not include applicant information, such as a social security number.
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The plans, created by Democratic President Barack Obama’s signature Affordable Care Act, offer subsidies based on income. Republican President Donald Trump sought unsuccessfully in his first term to overturn the law and has proposed changes that would make the plans less comprehensive.
Millions of people dropped coverage this year as rising medical costs and the expiration of extra COVID-era subsidies made monthly premiums unaffordable.
The administration is using an emergency-style rule-making process to impose an immediate, industry-wide freeze on new Obamacare broker registrations, bypassing the usual advance notice-and-comment period.
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CMS said some brokers and agents have allegedly enrolled people without genuine consent, changed people’s plans without permission, used inaccurate information, or created questionable applications to receive commissions.
Such activity can trigger improper federal premium-tax-credit payments and can leave consumers with surprise coverage changes, medical-bill problems, or tax issues, CMS said.
The health agency said brokers who do not have a registration for 2026 will face the effects of the freeze until February 1, 2027.
“A blanket moratorium on new agent and broker registrations would punish legitimate professionals instead of targeting the bad actors responsible for fraud,” said Mychal Walker, president of the National Association of Benefits and Insurance Professionals, a trade group representing health-insurance agents and brokers.
The association urged CMS to reconsider any moratorium and instead focus on targeted safeguards and enforcement that stop fraudulent activity while protecting consumers’ access to legitimate, licensed agents and brokers.
CMS said unauthorized enrollments through Obamacare plans could result in up to $6.6 billion in improper federal spending for the 2026 plan year.
According to the Wall Street Journal, the policy cancellations were led by Vice President JD Vance’s antifraud task force with administration officials estimating the action could save about $2.2 billion in taxpayer funds.
A report by the US Department of Health and Human Services released earlier this year estimated that nearly half of new Obamacare enrollments between 2021 and 2024 may have been improper, phantom or fraudulent. CMS said more than 1 million enrollees received coverage without providing a social security number.
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Reporting by Christy Santhosh in Bengaluru, Editing by Alexandra Hudson and Bill Berkrot
Our Standards: The Thomson Reuters Trust Principles.
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