CMS Imposes Temporary Moratorium on New ACA Agent Registrations Amid Fraud Concerns
The Centers for Medicare & Medicaid Services (CMS) has issued an interim final rule placing a temporary moratorium on new agent and broker registrations for the federally facilitated Affordable Care Act (ACA) exchanges for the 2027 plan year. This moratorium does not impact registrations on state-based exchanges. CMS stated that this pause is necessary to implement enhanced program-integrity safeguards aimed at preventing noncompliance, fraud, waste, and abuse by agents and brokers. The agency cited instances of unauthorized enrollment activity, misuse of consumer personally identifiable information, and other conduct that threatens consumers and the integrity of the exchanges. CMS has observed a substantial increase in allegations and confirmed instances of such noncompliant practices, particularly involving newly registered agents and brokers. In Plan Year 2026, CMS issued final terminations to 160 agents and brokers for noncompliant behavior, with 11% being newly registered. Additionally, in July and Au...