Patient Protection and Affordable Care Act

A new GAO review examines persistent fraud risks in the Advance Premium Tax Credit program, which helps millions of Americans afford health insurance through federal and state marketplaces. Preliminary findings show ongoing weaknesses in enrollment controls, identity verification, and oversight of agent and broker activity. The report highlights how these gaps can lead to improper payments, unauthorized enrollments, and financial harm to both taxpayers and consumers. It also raises concerns about outdated fraud risk assessments and the need for stronger, more adaptive safeguards.