Vice President JD Vance said Tuesday that about 750,000 people on Affordable Care Act plans were never entitled to the coverage, and that pulling their subsidies will save taxpayers $2.2 billion. Mehmet Oz, who runs the Centers for Medicare and Medicaid Services, stood with him. The savings number is an administration estimate. The Congressional Budget Office has not scored it.
CMS had already acted. Rulemaking documents posted Tuesday in the Federal Register say the agency canceled 315,000 marketplace policies on Aug. 31, covering roughly 760,000 people, which the rule describes as unauthorized enrollments submitted through agents and brokers. Vance's 750,000 and the 760,000 covered lives are the same purge, counted two ways.
Officials also plan another pass at about 419,000 current enrollees, checking legal residency first and income second. "We are actually making sure that people receiving Obamacare subsidies are actually entitled to receive them," Vance said. "Amazingly we weren't doing that before."
Brokers are next. CMS sent notices of intent to terminate to 569 agents and brokers who filed statistically implausible rates of 2026 applications without identifying information, suc
