HHS reports on ACA Exchange Enrollment in 2026
> Unfortunately, improper, phantom, or fraudulent enrollment persists. Recent experience during and after the 2026 Open Enrollment Period strongly suggests ongoing and persistent fraud, waste, and abuse in the system. We estimate 2.6 million improper and phantom enrollments remain, including over 1 million enrollments without a social security number.
and
> Preserving the fiscal and programmatic integrity of the ACA Exchanges is key to safeguarding taxpayer-funded resources for those that truly need them.