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

November 13, 2025

marketplace

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).

perspectives

Americans continue to be satisfied with employer-sponsored coverage

A new national survey commissioned by AHIP finds American workers hold consistently positive views of employer-sponsored health coverage, with nearly 9 in 10 expressing satisfaction with their plans and a decisive 96% valuing the financial security their coverage provides. Workers view employer-provided coverage as integral to their employment decisions, with 68% ranking health insurance as […]
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Solutions

AHIP and BCBSA provide progress update on prior authorization commitments

On April 7, The Cigna Group joined other health plans in announcing an update on the industry’s progress implementing the voluntary prior authorization commitments made in partnership with the Department of Health and Human Services and CMS last year. Since June 2025, participating health plans have eliminated 11% of prior authorizations across a range of […]
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legislation

Washington lawmakers pass tax increase impacting insurers

Since returning in January, Washington lawmakers have been busy advancing a variety of tax increases to help manage significant budget shortfalls and introduce new revenue streams. One new source of revenue approved by both the Senate and House and included in the state’s budget is HB 2487, which removes a tax exemption for health plan-affiliated […]
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