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Contact Congress about S. 3380: ACA Marketplace Integrity Act

People with subsidized Affordable Care Act marketplace plans would still owe at least $5 each month. Adults would also need a government photo ID to sign up, and federal officials could ask for more proof before approving coverage.

Modern Action explains legislation in plain English, helps you choose whether to support, oppose, or ask for changes, and drafts a message tied to the bill, your stance, and the elected officials who can act on it.

ACA Marketplace Integrity Act is a Senate bill in committee. The latest recorded action: Read twice and referred to the Committee on Finance.

Latest action on S. 3380: Read twice and referred to the Committee on Finance.

Who this affects: This bill mainly affects people who buy health insurance through Affordable Care Act marketplaces, especially those whose federal tax credits now cover nearly all or all of their monthly premium. It also affects adults signing up for coverage, because they would need a government photo ID and may need more papers. Insurers and marketplace agencies would have to handle the new payment and verification rules.

Why this matters: This bill matters because it could change both the cost and the sign-up process for marketplace health coverage. Some people who now pay nothing each month would have to pay $5 to keep coverage. The new ID and document checks could reduce improper sign-ups, but they could also slow down or block some eligible people. Turning the 2025 rule into law could make these marketplace policies harder to change later.

Key provisions in S. 3380

  • Federal help could not pay the last $5 of a monthly marketplace premium. People with subsidies would have to pay at least that amount themselves.
  • The $5 limit would apply for every month of coverage for people getting Affordable Care Act premium tax credits under section 36B of the tax code.
  • Every adult age 18 or older enrolling in an Affordable Care Act marketplace plan would have to show a government photo ID.
  • The Centers for Medicare & Medicaid Services Administrator could ask applicants for more documents to check enrollment.
  • The bill changes the Affordable Care Act rule that tells the government how to check whether people qualify to enroll and get subsidies.

How Modern Action helps you take action on S. 3380

You do not have to start with a blank letter. Modern Action turns the bill, your position, and the relevant congressional context into a message you can edit and send. The goal is to make contacting Congress clear, specific, and useful without forcing you to parse bill text or figure out the right office on your own.

Questions people ask about S. 3380

What is S. 3380?
People with subsidized Affordable Care Act marketplace plans would still owe at least $5 each month. Adults would also need a government photo ID to sign up, and federal officials could ask for more proof before approving coverage.
How do I support or oppose S. 3380?
Choose support, oppose, or ask for changes on Modern Action. The action flow drafts the message for you and keeps the wording tied to this bill.
Who should I contact about S. 3380?
Modern Action uses your location to route the action to the congressional offices relevant to the bill and your representation.
Can Modern Action explain S. 3380 before I act?
Yes. Modern Action gives you a plain-English summary, current status, and action context before you send anything.

Keep acting on Modern Action

More ways to act on this issue

Compare the broader issue and related bills without leaving Modern Action.

Related issues

  • Contact your reps on Set marketplace enrollment windows and CMS rulesDecide whether to extend 2026 ACA marketplace open enrollment, require outreach about longer signup windows, or block or codify CMS marketplace integrity rules.
  • Contact your reps on Verify eligibility and prevent improper marketplace subsidiesUse identity checks, document requests, Medicaid or CHIP matching, death-record checks, immigration-status verification, minimum premium payments, and recurring fraud-risk reviews to reduce improper ACA marketplace enrollment and advance premium tax credit payments.

Related bills

  • Take action on S.J.Res. 84: A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability".
  • Take action on H.R. 5972: Right to Enroll Act of 2025
  • Take action on H.R. 6575: CommonGround for Affordable Health Care Act
  • Take action on H.R. 1: An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
  • Take action on S. 3384: Fraud Risk Assessment of Obamacare Subsidies Accountability Act
  • Take action on H.R. 6516: To amend the Patient Protection and Affordable Care Act to identify individuals dually enrolled in Medicaid or CHIP and an Exchange.