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119-hr-2193119th CongressWALLET

FEHB Protection Act of 2025

Sponsored By: Representative Grothman, Glenn [R-WI-6]

In Committee

Summary

Strengthens eligibility verification and fraud oversight across the Federal Employees Health Benefits (FEHB) Program. This bill would create new checks and audits to verify family members, require removal of ineligible enrollees, and expand OPM and Inspector General oversight.

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  • Federal employees and their families would face stricter checks when adding family members. Ineligible family members could be removed through a new disenrollment process.
  • Employing offices would coordinate a three-year Family Member Eligibility Verification Audit and must help verify documents like birth and marriage certificates.
  • The Office of Personnel Management would have set deadlines to implement verification rules and would create a removal process; the bill also expands the Inspector General's audit role.

*This bill would authorize new federal spending for oversight, including specified annual caps for an OPM oversight fund (starting at $36.8 million in FY2026 and rising to about $59.8 million by FY2034), an $80.0 million pool available in FY2026 to conduct the required audit, and an OIG allocation starting at $5.1 million in FY2026 that would grow 2.2 percent annually thereafter.*

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 0 costs, 1 mixed.

Tighter checks on FEHB family coverage

This bill would tighten who can be added to a federal worker’s FEHB plan. Within 1 year, OPM would set rules to verify life events and confirm that added people are true family members, including during open season. Starting 1 year after enactment, a 3-year audit would review marriage, birth, and other records for covered family members. In FY2026, $80 million would be available to run the audit, and OPM could transfer funds to employing offices. Within 6 months, OPM would create a process to remove people who are not eligible. Fraud-risk reviews would also have to examine ineligible enrollees.

Stable funding for FEHB oversight

This bill would provide capped, ongoing funds for OPM to run and oversee FEHB and Postal Service enrollment systems. Caps would be $36.792 million in FY2026, rising to about $59.844 million by FY2034; from FY2035 forward, the cap would grow 2.2% each year. OPM’s Inspector General would get up to $5.090 million in FY2026 for audits and oversight, with 2.2% yearly increases after that. The bill would also remove yearly congressional limits on certain authorized OPM amounts under 5 U.S.C. 8909(a)(2).

Sponsors & CoSponsors

Sponsor

Grothman, Glenn [R-WI-6]

WI • R

Cosponsors

  • Rep. Crenshaw, Dan [R-TX-2]

    TX • R

    Sponsored 3/21/2025

  • Rep. McGuire, John J. [R-VA-5]

    VA • R

    Sponsored 3/24/2025

Roll Call Votes

No roll call votes available for this bill.

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