The Priority Review

Policy Brief

CMS proposes pre-eligibility verification rule for health exchanges

The rule would require exchanges to verify household income, family size, citizenship status and residence before providing financial assistance, with the first pre-Open-Enrollment verification window beginning August 1, 2027 for 2028 coverage. Stakeholders may submit comments during the 30-day period following publication.

Primary source

CMS fact sheet, October 23, 2026

Exchange Pre-Eligibility Verification Proposed Rule (CMS 9873-P)

Read the source: Exchange Pre-Eligibility Verification Proposed Rule (CMS 9873-P) cms.gov

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