House Judiciary Committee Republicans have subpoenaed eight Affordable Care Act health insurers for documents as part of a widening investigation of potential fraud surrounding the use of premium subsidies in the individual market, Axios has learned.
Highlights:
- House Judiciary Chair Jim Jordan (R-Ohio) issued subpoenas on Monday to Elevance, CVS, Centene, GuideWell, Oscar Health, Kaiser Permanente, Health Care Service Corporation and Blue Shield of California.
- The insurers must send the requested information to the House Judiciary Committee by Feb. 23, according to subpoenas viewed by Axios.
- The subpoenas ask for documents showing the number of enrollees at each organization receiving ACA subsidies and how much money it received from the subsidies between 2020 and 2025
- They request information on enrollees with subsidies who did not utilize any benefits in a given year, as well as the total amount each insurer pays brokers and agents for work in ACA markets.
- They also demand information on how many employees work on subsidy-related fraud, communications with federal regulators on waste, fraud and abuse — as well as internal and external audits related to subsidy fraud. ARTICLE