Health Insurance Subsidies

The Government Accountability Office reported last week that the ACA marketplace paid enhanced premium tax credits in error to tens of thousands of accounts in 2023–2024, including duplicate coverage within a single plan year, payments tied to deceased SSNs, and benefits to 18 of 20 fictitious applicants it created. GAO also said it could not identify evidence of reconciliation for more than $21 billion in APTC for plan year 2023 enrollees with SSNs, while emphasizing the findings are preliminary and represent less than 1% of users, as Congress debates whether to extend the expiring COVID‑era subsidy enhancements.