Fraud Risk Assessment of Obamacare Subsidies Accountability Act | ChamberLight
Bills · S 3384
IN COMMITTEE· 119TH CONGRESS
Senate BillS 3384Health
Fraud Risk Assessment of Obamacare Subsidies Accountability Act
INTRO DEC 8· LAST ACTION DEC 8
READING
2MIN
COSPONSORS
0
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8
Introduced
In Committee
Reported
Passed Senate
Passed House
Conference
To President
Became Law
WHAT THE BILL DOES
AI-written
Voters should care about this bill because it aims to ensure accountability and proper use of taxpayer money within a significant federal program. The Affordable Care Act's premium tax credits represent billions of dollars in federal spending annually, intended to make health insurance more affordable for millions of Americans. If this bill becomes law, it would establish a regular, structured process for identifying and addressing potential fraud, potentially safeguarding federal funds and improving the integrity of the subsidy program. Without this law, such comprehensive and mandated annual fraud assessments might not occur, leaving the program more vulnerable to misuse and reducing transparency about fraud prevention efforts.
KEY PROVISIONS
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PROVISION 01
Requires the Secretary of Health and Human Services, with the Treasury Secretary, to conduct an annual fraud risk assessment of advance premium tax credits.
This establishes a consistent and mandated process for identifying fraud vulnerabilities in a major federal health care subsidy program.
PROVISION 02
The assessment must include a complete list of controls used by HHS to prevent fraud related to these advance premium tax credit claims.
This provision ensures transparency regarding existing fraud prevention measures and helps evaluate their effectiveness.
PROVISION 03
Mandates the submission of these annual fraud risk assessments to the Inspector General of HHS and specific Congressional committees.
This ensures oversight bodies and elected representatives are informed about fraud risks and prevention efforts, enabling better accountability.
PROVISION 04
Specifies that the assessments must be conducted following the principles outlined in a 2015 Government Accountability Office (GAO) framework for managing federal fraud risks.
This ensures the assessments are thorough and adhere to established best practices for identifying and mitigating fraud.
Voters should care about this bill because it aims to ensure accountability and proper use of taxpayer money within a significant federal program. The Affordable Care Act's premium tax credits represent billions of dollars in federal spending annually, intended to make health insurance more affordable for millions of Americans. If this bill becomes law, it would establish a regular, structured process for identifying and addressing potential fraud, potentially safeguarding federal funds and improving the integrity of the subsidy program. Without this law, such comprehensive and mandated annual fraud assessments might not occur, leaving the program more vulnerable to misuse and reducing transparency about fraud prevention efforts.
KEY PROVISIONS
AI-extracted
high
Requires the Secretary of Health and Human Services, with the Treasury Secretary, to conduct an annual fraud risk assessment of advance premium tax credits.
This establishes a consistent and mandated process for identifying fraud vulnerabilities in a major federal health care subsidy program.
med
The assessment must include a complete list of controls used by HHS to prevent fraud related to these advance premium tax credit claims.
This provision ensures transparency regarding existing fraud prevention measures and helps evaluate their effectiveness.
high
Mandates the submission of these annual fraud risk assessments to the Inspector General of HHS and specific Congressional committees.
This ensures oversight bodies and elected representatives are informed about fraud risks and prevention efforts, enabling better accountability.
med
Specifies that the assessments must be conducted following the principles outlined in a 2015 Government Accountability Office (GAO) framework for managing federal fraud risks.
This ensures the assessments are thorough and adhere to established best practices for identifying and mitigating fraud.
First fraud risk assessment to be completed and submitted.
Annually thereafter
Subsequent fraud risk assessments.
GLOSSARY
AI-written
Advance premium tax credit
Money paid by the government directly to health insurance companies on behalf of eligible individuals to help lower the monthly cost of health insurance plans bought through the Affordable Care Act's marketplaces.
Fraud risk assessment
A formal process to identify and evaluate the potential for dishonest actions (fraud) that could lead to financial loss or harm, and to assess how likely and impactful these risks are.
Secretary of Health and Human Services
The head of the U.S. Department of Health and Human Services, which oversees many health and human service programs, including aspects of the Affordable Care Act.
Secretary of the Treasury
The head of the U.S. Department of the Treasury, which manages federal finances, collects taxes, and enforces tax laws.
Inspector General
An official within a government agency whose job is to investigate waste, fraud, and abuse within that agency's programs and operations.
Patient Protection and Affordable Care Act (ACA)
A comprehensive federal law enacted in 2010 that significantly reforms the U.S. healthcare system, often referred to as 'Obamacare'.
Internal Revenue Code of 1986
ACTION TIMELINE
2 EVENTS
DEC 8, 25
Introduced in Senate
INTROREFERRAL
DEC 8, 25
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
The main body of U.S. federal tax law, which includes provisions for various tax credits and deductions.
Comptroller General of the United States
The head of the U.S. Government Accountability Office (GAO), an independent, non-partisan agency that investigates how the federal government spends taxpayer dollars.
