2026-09-22T17:46:14.436Z / 美国有线电视新闻网（CNN）
美国副总统JD·万斯周二与美国医疗保险与医疗补助服务中心主任穆罕默德·奥兹一同宣布，白宫专项工作组将以大规模欺诈为由，移除数十万名《平价医疗法案》（即奥巴马医改）的参保者。
万斯在新闻发布会上表示，此次行动将节省22亿美元的不当支付联邦补贴。
奥兹称，这超过76万名参保者中，有一部分是所谓的“幽灵参保者”，即根本不存在的人，另有一些人可能在本人不知情的情况下被参保。
他补充说，特朗普政府还将暂停涉及不当参保操作的经纪人和代理机构，并对新的经纪人和代理机构实施为期六个月的禁令。2024年拜登政府也曾因涉嫌欺诈暂停了数百名经纪人和代理机构的资质，2021年联邦补贴大幅放宽后，这类欺诈行为有所加剧。
另有41.9万人将接受额外核查，包括确认他们符合收入门槛且为合法居民。
此次行动正值共和党试图在11月中期选举前展现其打击医疗保健欺诈（包括医疗补助和医疗保险领域欺诈）的姿态。共和党官员辩称，此举将为纳税人节省资金、强化联邦健康保险计划，并确保真正有需要的人能够获得医保保障。
医疗保健成本的急剧上涨是选民最关注的问题之一，民主党则将矛头指向对手，称其支持唐纳德·特朗普总统的“宏伟法案”中对医疗补助的大规模削减，以及今年奥巴马医改强化补贴的到期。预计这两项措施将导致数百万人在未来几年失去医保覆盖。
此外，2026年奥巴马医改、雇主赞助医保计划和医疗保险的保费大幅上涨，且预计明年还将继续上涨——这进一步加剧了美国人的支付负担困境。
根据美国卫生与公众服务部的最新数据，截至2月，约有1920万人参保《平价医疗法案》，低于去年同期的2180万人。强化补贴政策实施后，参保人数几乎翻倍。
作为强化政策的一部分，低收入美国人可以免缴保费参保，高收入人群也首次有资格获得补贴。
犯罪分子（主要是经纪人和代理机构）利用这项强化补贴政策，在参保者不知情的情况下为其参保并更换保险计划。有些人甚至都不知道自己的保险被变更过。
拜登政府2024年曾暂停了850名涉嫌欺诈的经纪人和代理机构的资质，但特朗普政府后来悄悄恢复了其中数百人的资质。
《平价医疗法案》一直是特朗普的打击目标，他多年来一直试图废除该法案，之后又试图削弱其效力。
特朗普首届政府时期的一名医疗保健顾问布莱恩·布莱斯曾发布多份报告，指出《平价医疗法案》存在大规模参保欺诈问题。他所在的智库帕拉贡健康研究所指出，2024年有近1200万保单持有人没有任何医疗索赔记录，这表明这些人是“幽灵参保者”。
奥兹呼应了这一观点，称35%的参保者从未使用过该计划——这一比例约为传统保险参保者的两倍。奥兹还指出，有110万参保者没有存档的社会保险号码。他表示，今后所有申请人都必须提供社会保险号码，医疗保险与医疗补助服务中心还将为寻求帮助参保的经纪人和代理机构增设更多监管屏障。
随着奥巴马医改强化保费补贴政策到期，目前只有收入低于贫困线400%的人群才有资格获得补贴。这一标准对应个人年收入62600美元、四口之家年收入128600美元。
倡导组织“保护我们的医保”主席布拉德·伍德豪斯在一份声明中表示，此次专项工作组行动“是一场政治作秀，旨在以所谓节省纳税人资金为幌子，让更多人失去医保覆盖”。
White House fraud task force will remove more than 760,000 Obamacare enrollees, some of whom may not exist
2026-09-22T17:46:14.436Z / CNN
A White House task force will remove hundreds of thousands of enrollees from Affordable Care Act coverage, citing widespread fraud, Vice President JD Vance announced Tuesday alongside Mehmet Oz, administrator of the Centers for Medicare and Medicaid Services.
The action will save $2.2 billion in improperly paid federal subsidies, Vance said at a news conference.
Some of these more than 760,000 people are so-called phantom enrollees who don’t exist, while others may have been enrolled without their knowledge, Oz said.
The Trump administration will also suspend brokers and agents involved in improperly signing up enrollees and place a six-month moratorium on new brokers and agents, he added. The Biden administration in 2024 also suspended hundreds of brokers and agents for suspected fraud, which ramped up after federal subsidies were made more generous in 2021.
Another 419,000 people will be subject to additional verification, including making sure they meet the income thresholds and are legal residents.
The latest move comes as Republicans are trying to show they are cracking down on healthcare fraud, including in Medicaid and Medicare, ahead of the midterm elections in November. The action will save taxpayers money, strengthen the federal health insurance programs and ensure that those who need health coverage have access to it, GOP officials argue.
The steeply rising cost of healthcare is among voters’ top concerns, and Democrats are highlighting their opponents’ support of sweeping cuts to Medicaid as part of President Donald Trump’s “big, beautiful bill” and the expiration of the enhanced Obamacare premium subsidies this year. The two measures are expected to result in millions of people losing their coverage in coming years.
Moreover, healthcare premiums for Obamacare, employer-based coverage and Medicare soared for 2026 and are expected to jump again for the coming year — adding to Americans’ affordability woes.
Some 19.2 million people were enrolled in Affordable Care Act coverage as of February, according to the latest data from the Department of Health and Human Services — down from 21.8 million people the same period the year before. Enrollment nearly doubled after the enhanced subsidies were launched.
As part of the enhancement, lower-income Americans could sign up for coverage with no premiums and higher-income ones became eligible for assistance for the first time.
Criminals, largely brokers and agents, took advantage of this enhanced assistance and began enrolling enrollees and switching them to different plans without their knowledge. Some were unaware of the changes.
The Biden administration suspended 850 brokers and agents suspected of fraud in 2024, though Trump officials later quietly reinstated several hundred of them.
The Affordable Care Act has long been a target for Trump, who unsuccessfully sought for years to repeal it and then to weaken it.
One of the president’s healthcare advisors from his first administration, Brian Blase, has been releasing reports about widespread enrollment fraud in the Affordable Care Act. His think tank, Paragon Health Institute, has pointed out that nearly 12 million policyholders had no medical claims in 2024, suggesting these were “phantom enrollees.”
Oz echoed this argument, saying 35% of enrollees never used the program — about twice the traditional rate of those with insurance. Oz also noted that 1.1 million enrollees did not have Social Security numbers on file. Going forward, all applicants must include their Social Security numbers, and the Centers for Medicare and Medicaid Services is adding more guardrails for brokers and agents seeking to enroll people, he said.
Now that ACA’s enhanced premium subsidies have expired, only people who earn less than 400% of the poverty level are eligible for assistance. That equates to $62,600 for an individual and $128,600 for a family of four.
Brad Woodhouse, president of advocacy group Protect Our Care, said in a statement that the task force is “a political stunt designed to throw even more people off their coverage while pretending to save taxpayers’ money.”
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