Trump Administration Tightens ACA Enrollment Fraud Rules

The Trump administration proposed sweeping Affordable Care Act regulations in 2027 to tighten verification and curb enrollment fraud, citing 341,906 complaints in 2025 versus 229,734 before its term. The rule would add income verification, stricter special-enrollment reviews, and new agent and marketing restrictions; critics and a federal judge warn these measures could burden eligible consumers amid ongoing litigation. Federal data also show a January 28 reported drop of about 1.2 million marketplace enrollments year‑over‑year.