The bill would require the Office of Personnel Management (OPM) to verify qualifying life events and family members added to Federal Employees Health Benefits (FEHB) plans. OPM would also assess ineligible coverage in fraud risk reviews, audit family-member eligibility, and create a process to remove people who are not eligible. The bill sets deadlines for these steps and provides funding for enrollment oversight and the audit.
If you are enrolled in an affected health plan, OPM would verify qualifying life events and whether family members meet eligibility rules, including when someone is added during open season. The bill also requires a process to remove people who are not eligible. It does not state how these checks would affect any specific enrollee.
The bill makes funds from program contributions available for OPM oversight, an eligibility audit, and related Inspector General oversight. It provides up to $80 million in fiscal year 2026 for the audit. OPM oversight funding is capped at $36,792,000 in 2026 and rises to $59,844,351 in 2034, with the cap increasing by 2.2% each year after that. Inspector General oversight is capped at $5,090,278 in 2026, with the cap increasing by 2.2% each year thereafter.
No publicly available information.
No publicly available information.