# 119-s-3380: ACA Marketplace Integrity Act

119-s-3380, ACA Marketplace Integrity Act, is a 119th Congress bill sponsored by Sen. Marshall, Roger [R-KS] (R-KS); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-s-3380
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-3380
- Congress: 119
- Title: ACA Marketplace Integrity Act
- Status: introduced
- Introduced: 2025-12-04
- Sponsor: Sen. Marshall, Roger [R-KS] (R-KS)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Tighten marketplace integrity** by requiring at least a small monthly payment from people using premium tax credits and by adding stronger ID checks for adult enrollees. The bill also turns a 2025 Marketplace rule into statutory law to set the enrollment and affordability standards that will guide marketplaces and CMS. - Families and workers who get premium tax credits must pay at least $5 per month toward their plan. This changes how monthly premium assistance is calculated and can reduce the government’s monthly contribution by up to $5 per enrollee. - Adults enrolling in qualified health plans must provide a government-issued photo ID and any additional documents CMS requires before enrollment. This raises identity verification steps for anyone age 18 or older. - Health insurance Marketplaces and CMS will operate under the codified final rule titled “Marketplace Integrity and Affordability” (June 25, 2025). That rule becomes the primary statutory framework for enrollment verification and affordability standards.

## Cosponsors (1)

- Sen. Britt, Katie Boyd [R-AL] (R-AL), 2025-12-08T00:00:00.000Z

## Provisions PRIA read

- Marketplace subsidies: $5 minimum share: cost, high. If enacted, this would stop premium tax credits from covering the first $5 of each monthly premium. Your monthly premium assistance would be reduced so you pay at least $5 per coverage month. That is up to $60 less help per year for a household. This change would apply to every coverage month start…
- Photo ID to enroll in Marketplace: mixed, medium. If enacted, this would codify the final rule titled "Marketplace Integrity and Affordability" (90 Fed. Reg. 27074, June 25, 2025) into law. It would require each enrollee over age 18 to provide a government-issued photo ID for enrollment verification. CMS could also require other documents the Admi…

## Related bills

- 119-s-4952: Protecting American Taxpayers Act
- 119-s-4378: Protecting American Taxpayers Act
- 119-s-1748: Kids Online Safety Act
- 119-s-2010: TERMS Act
- 119-s-292: Educational Choice for Children Act of 2025
- 119-s-5164: Rural Emergency Hospital Designation Improvement Act

## Sources
- [119-s-3380 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/3380)

## Related
- [119-s-4952: Protecting American Taxpayers Act](https://policyrisk.com/legislation/119-s-4952)
- [119-s-4378: Protecting American Taxpayers Act](https://policyrisk.com/legislation/119-s-4378)
- [119-s-1748: Kids Online Safety Act](https://policyrisk.com/legislation/119-s-1748)
- [119-s-2010: TERMS Act](https://policyrisk.com/legislation/119-s-2010)
- [119-s-292: Educational Choice for Children Act of 2025](https://policyrisk.com/legislation/119-s-292)
- [119-s-5164: Rural Emergency Hospital Designation Improvement Act](https://policyrisk.com/legislation/119-s-5164)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-3380 (as of 2026-04-21).