Vice President JD Vance and Trump administration officials said Tuesday they plan to remove 760,000 Affordable Care Act (ACA) enrollees from public healthcare exchanges. The administration alleged the individuals were either fraudulently enrolled or do not exist. Vance stated that canceling these subsidy payments would result in $2.2 billion in cost savings.
The action was directed by the White House Task Force to Eliminate Fraud, led by Vance. The announcement follows a period of rising healthcare costs after the Republican-led Congress allowed COVID-era subsidies to expire this year. According to Department of Health and Human Services (HHS) data, approximately 19.2 million Americans were enrolled in ACA marketplace plans as of early 2026.
Vance was joined at the White House by Dr. Mehmet Oz, the administrator for the Centers for Medicare and Medicaid Services (CMS). In addition to the enrollment removals, the administration announced a six-month suspension on new brokers who sign up individuals for coverage. Officials stated that these brokers were responsible for a disproportionate amount of the fraud.
The enforcement action identifies 760,000 people currently enrolled in ACA insurance plans for removal. This occurs at a time when many ACA enrollees have seen their monthly premiums double or triple following the expiration of federal subsidies earlier this year.
For the individuals identified by the task force, the change will be the loss of the federal subsidies that offset the price of their health insurance. The administration also announced stricter eligibility requirements for ACA subsidies, stating that these measures are necessary to protect taxpayers and rein in federal spending.
The administration's focus on fraud comes as it faces pressure to address inflation and rising medical costs before the upcoming midterm elections. While the suspension of new brokers begins immediately, the administration has not yet reported the specific dates when the 760,000 individuals will lose their coverage or what appeal process is available to those who dispute the claims.