News Briefs: Wyden Urges CMS to Penalize Unscrupulous Brokers

Sen. Ron Wyden (D-Ore.), Chair of the Senate Finance Committee, wrote a letter on May 20 to CMS Administrator Chiquita Brooks-LaSure urging the agency to fine unscrupulous health insurance brokers. Wyden sent his letter following a CMS statement earlier this month that the agency had received about 40,000 complaints that people had been switched from one Affordable Care Act marketplace plan to another without their consent during the first three months of this year. CMS also said it had received about 50,000 complaints of unauthorized enrollments in plans in January, February and March. Wyden noted that the Affordable Care Act contains a provision that allows for penalties of up to $250,000 for “individuals who submit fraudulent information for a qualified health plan” in a “knowing and willful” manner. He wrote that “I am disappointed these penalties have not yet been used to hold bad actors accountable.” Wyden added in his letter that “the brokers, agencies and lead generators participating in fraudulent enrollment schemes should be held criminally responsible. While CMS does not have this authority today, I intend to introduce legislation shortly to give you this authority.”

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AIS Health Staff

AIS Health Staff

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