Senate Hearing Draws Bipartisan Support for ACA Reforms, Unclear Path Forward

November 13, 2025

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The Senate Permanent Subcommittee on Investigations held a hearing this week on “Assessing the Damage Done by Obamacare,” with testimony from Paragon Health Institute, a right-leaning think tank that has published research on alleged unauthorized enrollments and called for an end to the enhanced subsidies.

Bipartisan members of the Committee expressed support for reforming the ACA to make coverage more affordable and reduce the reliance on federal subsidies to lower premiums. That being said, Republicans continue to assert widespread fraud in the program, despite a letter to the Committee from AHIP demonstrating there is no evidence of anything approaching “widespread, systemic fraud” nationally and how the industry has worked with CMS to identify and address improper and unauthorized enrollments.

An analysis by AHIP coalition partner Keep Americans Covered responding to claims of “fraud” was also entered into the record from Ranking Member Richard Blumenthal (D-CT).

Initiatives

Calls grow for Drug Patent reform

In a recent blog post, the Pharmaceutical Care Management Association (PCMA) highlighted increased attention to pharmaceutical companies’ abuse of drug patents. Last month, the Supreme Court unanimously ruled in favor of a generic drugmaker in a “skinny labeling” case, a victory for patients. Skinny labels allow generic and biosimilar competitors to launch products for non-patented indications, helping accelerate […]
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August 11, 2026

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perspectives

AHIP calls for Bipartisan reform to address health care cost drivers

On July 23, AHIP President and CEO Mike Tuffin wrote an opinion piece in The New York Times saying, “common-sense bipartisan reforms are needed to promote competition in care delivery and prescription drugs, protect consumers from providers and drugmakers’ anticompetitive practices and transition away from the perverse incentives of fee-for-service medicine.” Tuffin notes that health […]
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August 11, 2026

EGWP marketplace medicaid Medicare

Solutions

PCMA urges preserving patient access and flexibility in new fertility benefits rule

PCMA recently submitted comments to HHS, DOL, and the Treasury (the Departments) in response to the proposed rule establishing a new category of limited excepted benefits for fertility services. PCMA supports the Departments’ goal of expanding access to fertility care while encouraging employer innovation but urged several targeted refinements to ensure the framework is operationally […]
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August 11, 2026

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