包括死者的SSNs在内的假身份在2024年成功地获得了940万澳元的ACA补贴,因为没有身份检查。 Fake identities, including deceased people’s SSNs, successfully obtained $94M in ACA subsidies in 2024 due to no identity checks.

政府问责局的报告显示,假身份,包括使用已故个人社会安全号码的人,在2024年获得了100%的成功,获得了可负担医疗法案补贴,导致已故登记者的保险公司支付9400万美元. A Government Accountability Office report reveals that fake identities, including those using deceased individuals' Social Security numbers, were approved for Affordable Care Act subsidies with 100% success in 2024, resulting in $94 million in payments to insurers for deceased enrollees. 在测试的20名假申请人中,有18人到2025年9月仍在登记,没有进行身份或公民身份检查。 Of 20 fake applicants tested, 18 remained enrolled through September 2025, with no identity or citizenship checks conducted. 使用了与死亡记录相关的58 000多条特殊标准说明,2024年1 240亿美元的预付溢价税抵免额中近三分之一可能已经支付给不合格的领取者。 Over 58,000 SSNs linked to death records were used, and nearly one-third of $124 billion in 2024 advance premium tax credits may have been paid to ineligible recipients. 尽管2018年提出了加强预防欺诈的建议,但没有实施重大改革。 Despite a 2018 recommendation for stronger fraud prevention, no major reforms were implemented. 调查结果激起政治辩论, 讨论扩大美国民航局强化补贴, 共和党呼吁制定更严格的规则, 民主党则警告如果补贴过期, The findings fuel political debate over extending enhanced ACA subsidies, with Republicans calling for stricter rules and Democrats warning of premium hikes if subsidies expire.