Bills · S 976
IN COMMITTEE· 119TH CONGRESS
Senate BillS 976Civil actions and liabilityFraud offenses and financial crimes
Insurance Fraud Accountability Act
INTRO MAR 12· LAST ACTION NOV 6
READING
11MIN
COSPONSORS
11
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed Senate
Passed House
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenThis bill matters to voters because it aims to protect people from deceptive practices in health insurance enrollment, particularly those involving agents or brokers. If it becomes law, it could significantly reduce instances of individuals being unknowingly enrolled in plans, having their coverage changed without consent, or facing issues due to incorrect information submitted on their behalf. This means more secure health coverage and less stress for consumers dealing with complex insurance processes.
Without this bill, the current system might continue to leave consumers vulnerable to fraudulent or negligent agent behavior, potentially leading to unwanted plans, unexpected costs, or even gaps in coverage. By strengthening penalties and adding specific consumer protections, the bill seeks to build greater trust and transparency in the ACA marketplace enrollment process, directly addressing a problem that can have serious financial and health consequences for individuals.
KEY PROVISIONS
5AI-extractedPROVISION 01
Imposes new civil penalties of $10,000 to $50,000 per individual on agents and brokers who negligently or with disregard provide incorrect enrollment information for ACA plans.
This creates a specific financial deterrent for agents and brokers who are careless or negligent with consumer data.
PROVISION 02
Establishes civil penalties of up to $200,000 per individual for agents and brokers who knowingly provide false or fraudulent information during ACA plan enrollments.
This provides a strong financial penalty for intentional fraudulent behavior by agents and brokers.
PROVISION 03
Authorizes criminal penalties, including fines and up to 10 years imprisonment, for agents and brokers who knowingly and willfully provide false or fraudulent enrollment information.
This introduces severe consequences for the most egregious forms of insurance fraud committed by agents and brokers.
PROVISION 04
Requires the Secretary to establish a verification process for agent/broker-assisted enrollments in federal ACA Exchanges by January 1, 2029, including consent forms and timely notifications to consumers about changes.
This adds a layer of protection for consumers by ensuring their explicit consent for enrollments and keeping them informed.
PROVISION 05
Mandates that commissions for agents/brokers are paid only after the enrollee has resolved any inconsistencies in their application information.
This incentivizes agents and brokers to submit accurate information upfront and follow through on applications.
SPONSORSHIP
1 + 11
D· Oregon
YRS IN OFFICE
45
BILLS LED
92
COSPONSOR BREAKDOWNBIPARTISAN · 0%
DEM 11 REP 0 IND 0
ACTION TIMELINE
3 EVENTSNOV 6
Committee on Homeland Security and Governmental Affairs Senate Permanent Subcommittee on Investigations. Hearings held.
MAR 12
Introduced in Senate
MAR 12
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
BILL INFO
TypeSenate Bill
NumberS 976
Congress119th
StatusIn Committee
IntroducedMar 12, 2025
Last actionNov 6, 2025
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IN COMMITTEE· 119TH CONGRESS · HEALTH, EDUCATION, LABOR, AND PENSIONS COMMITTEE · INTRODUCED MAR 12, 2025
Senate BillS 976Civil actions and liabilityFraud offenses and financial crimes
Insurance Fraud Accountability Act
INTRODUCED MAR 12, 2025· LAST ACTION NOV 6, 2025
PASSAGE CHANCES
—%
READING
11 min
COSPONSORS
11
COMPLEXITY
Moderate
