# CMS Strengthens Marketplace Fraud Controls

The Centers for Medicare & Medicaid Services (CMS) has intensified its efforts to combat fraud, waste, and abuse within the Federal Health Insurance Marketplace by canceling approximately 315,000 unauthorized enrollments and recovering about $2.2 billion in improper subsidies. CMS has implemented enhanced oversight measures targeting agents and brokers, introduced stricter application requirements, and imposed a temporary moratorium on new agent registrations for 2027 to reinforce program integrity and protect taxpayer funds.

- Procurement professionals should anticipate increased scrutiny and compliance requirements for contractors and agents involved in Marketplace operations.
- This indicates a shift toward more rigorous vendor management and oversight protocols, potentially affecting contract terms and eligibility.
- Organizations providing services to CMS or the Marketplace may need to adjust internal controls and reporting mechanisms to align with CMS's strengthened enforcement.
- Businesses should evaluate their risk management strategies in light of CMS's focus on reducing improper payments and unauthorized enrollments.

**Jurisdictions:** federal
**Industries:** Healthcare
**Topics:** Regulatory Compliance
**Published:** September 23, 2026

### Government Entities
- Centers for Medicare & Medicaid Services (CMS)
- U.S. Department of Health and Human Services (HHS)

### Key Quotes
> Every dollar lost to fraud is a dollar taken from hardworking taxpayers and the Americans these programs are intended to serve.
> — Dr. Mehmet Oz, Administrator, Centers for Medicare & Medicaid Services

### Sources
- [CMS Cracks Down on Fraud, Waste, and Abuse in the Federal Health Insurance Marketplace® | CMS](https://www.cms.gov/newsroom/press-releases/cms-cracks-down-fraud-waste-abuse-federal-health-insurance-marketplacer) - CMS