FEHB Protection Act of 2025 | ChamberLight

REPORTED· 119TH CONGRESS

House BillHR 2193Government employee pay, benefits, personnel managementHealth care costs and insurance

FEHB Protection Act of 2025

INTRO MAR 18· LAST ACTION MAR 25

READING

6MIN

COSPONSORS

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NO VOTES YET · BE THE FIRST

Reported, not passed

LEGISLATIVE PROGRESS

STEP 3 / 8

Introduced

In Committee

Reported

Passed House

Passed Senate

Conference

To President

Became Law

WHAT THE BILL DOES

AI-written

Voters should care about this bill because it aims to ensure that a large federal program, funded by both taxpayer dollars and employee contributions, is operating efficiently and fairly. If this bill becomes law, it could reduce instances of ineligible individuals receiving federal health benefits, potentially saving taxpayer money and ensuring the program's resources are used appropriately. It addresses concerns about waste, fraud, and abuse in government benefits programs.

Without this bill, the current processes for verifying eligibility might remain less stringent, potentially allowing ineligible individuals to continue receiving benefits. This bill changes that by mandating more rigorous checks and audits, which could lead to greater accountability and a stronger financial footing for the FEHB program, but also might introduce additional administrative steps for employees and the government.

KEY PROVISIONS

5AI-extracted

PROVISION 01

Requires OPM to issue regulations and implement a process to verify qualifying life events when adding family members to a health plan.

This aims to prevent ineligible individuals from being added to federal health plans through false claims of major life events.

PROVISION 02

Requires OPM to implement a process to verify that any individual added to a health plan, including during open season, is a qualifying family member.

This ensures that all individuals covered under the federal health insurance program meet eligibility requirements.

PROVISION 03

Mandates a comprehensive 3-year audit of family member eligibility, requiring review of documents like marriage and birth certificates.

This broad review will identify and address existing instances of ineligible individuals covered by the program.

PROVISION 04

Requires OPM to develop a process to disenroll or remove any individual found to be ineligible for coverage.

This provides a clear mechanism for removing individuals who do not meet the program's eligibility criteria.

PROVISION 05

Authorizes specific funding for OPM and its Inspector General to develop, maintain, and oversee enrollment and eligibility systems, and to conduct the required audits.

This provides the necessary financial resources for OPM to implement and maintain these new verification and oversight measures.

SPONSORSHIP

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COSPONSOR BREAKDOWNBIPARTISAN · 0%

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ACTION TIMELINE

4 EVENTS

MAR 25

Committee Consideration and Mark-up Session Held

COMMITTEE

MAR 25

Ordered to be Reported (Amended) by the Yeas and Nays: 29 - 15.

COMMITTEE

MAR 18

Introduced in House

INTROREFERRAL

MAR 18

Referred to the House Committee on Oversight and Government Reform.

HOUSE · INTROREFERRAL

BILL INFO

TypeHouse Bill

NumberHR 2193

Congress119th

StatusReported

IntroducedMar 18, 2025

Last actionMar 25, 2025

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REPORTED· 119TH CONGRESS · OVERSIGHT AND GOVERNMENT REFORM COMMITTEE · INTRODUCED MAR 18, 2025

House BillHR 2193Government employee pay, benefits, personnel managementHealth care costs and insurance

FEHB Protection Act of 2025

INTRODUCED MAR 18, 2025· LAST ACTION MAR 25, 2025

PASSAGE CHANCES

—%

READING

6 min

COSPONSORS

COMPLEXITY

Moderate

Call my reps

LEGISLATIVE PROGRESS

STEP 3 OF 8

Introduced

In Committee

Reported

Passed House

Passed Senate

Conference

To President

Became Law

Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law

WHAT THE BILL DOES

AI-written

KEY PROVISIONS

AI-extracted

high

Requires OPM to issue regulations and implement a process to verify qualifying life events when adding family members to a health plan.

This aims to prevent ineligible individuals from being added to federal health plans through false claims of major life events.

high

Requires OPM to implement a process to verify that any individual added to a health plan, including during open season, is a qualifying family member.

This ensures that all individuals covered under the federal health insurance program meet eligibility requirements.

high

Mandates a comprehensive 3-year audit of family member eligibility, requiring review of documents like marriage and birth certificates.

This broad review will identify and address existing instances of ineligible individuals covered by the program.

med

Requires OPM to develop a process to disenroll or remove any individual found to be ineligible for coverage.

This provides a clear mechanism for removing individuals who do not meet the program's eligibility criteria.

med

Authorizes specific funding for OPM and its Inspector General to develop, maintain, and oversee enrollment and eligibility systems, and to conduct the required audits.

This provides the necessary financial resources for OPM to implement and maintain these new verification and oversight measures.

DEADLINES & DATES

AI-extracted

An AI model extracted this from the bill’s official record and can make mistakes. Check the official text ↗ (opens in new tab)

Not later than 6 months after the date of enactment

OPM must develop a process to disenroll or remove ineligible individuals.

Not later than 1 year after the date of enactment

OPM must issue regulations and implement a process to verify qualifying life events and family member eligibility.

During the 3-year period beginning 1 year after the date of enactment

OPM, in coordination with employing offices, must conduct a comprehensive audit of family member eligibility.

FUNDING & AUTHORIZATIONS

AI-extracted

An AI model extracted this from the bill’s official record and can make mistakes. Check the official text ↗ (opens in new tab)

AMOUNT	PROGRAM	TYPE	YEARS
$36,792,000	OPM oversight of enrollment and eligibility systems (including Postal Service Health Benefits Program)	discretionary	Fiscal Year 2026
$44,733,161	OPM oversight of enrollment and eligibility systems (including Postal Service Health Benefits Program)	discretionary	Fiscal Year 2027
$50,930,778	OPM oversight of enrollment and eligibility systems (including Postal Service Health Benefits Program)	discretionary	Fiscal Year 2028
$54,198,238	OPM oversight of enrollment and eligibility systems (including Postal Service Health Benefits Program)	discretionary	Fiscal Year 2029
$54,855,425	OPM oversight of enrollment and eligibility systems (including Postal Service Health Benefits Program)	discretionary

PENALTIES & ENFORCEMENT

AI-extracted

An AI model extracted this from the bill’s official record and can make mistakes. Check the official text ↗ (opens in new tab)

TYPE	AMOUNT	WHO
administrative	Disenrollment or removal from the health benefits plan	Any individual found to be ineligible for coverage under the Program

GLOSSARY

AI-written

FEHB Program: The Federal Employees Health Benefits Program is a health insurance program available to federal civilian employees, retirees, and their families.
Office of Personnel Management (OPM): The federal agency responsible for managing the civil service of the federal government, including administering the FEHB Program.
Qualifying Life Event: A specific change in a person's life, such as marriage, birth, divorce, or loss of other health coverage, that allows them to make changes to their health insurance outside of the normal 'open season' enrollment period.
Open Season: A specific period each year when federal employees and retirees can enroll in, change, or cancel their FEHB health insurance coverage.
Employing office: The specific federal agency or department that employs a federal worker, responsible for administering certain benefits for its employees.
Inspector General: An independent oversight official within a government agency whose role is to audit programs, investigate fraud and abuse, and promote efficiency.

ACTION TIMELINE

4 EVENTS

MAR 25, 25

Committee Consideration and Mark-up Session Held

COMMITTEE

MAR 25, 25

Ordered to be Reported (Amended) by the Yeas and Nays: 29 - 15.

COMMITTEE

MAR 18, 25

Introduced in House

INTROREFERRAL

MAR 18, 25

Referred to the House Committee on Oversight and Government Reform.

INTROREFERRAL

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Oversight and Government Reform CommitteeReferred

Mar 25, 2025

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FEHB Protection Act of 2025

LEGISLATIVE PROGRESS

WHAT THE BILL DOES

KEY PROVISIONS

SPONSORSHIP

ACTION TIMELINE

BILL INFO

READER REACTIONS

Discussion

FEHB Protection Act of 2025

LEGISLATIVE PROGRESS

WHAT THE BILL DOES

KEY PROVISIONS

DEADLINES & DATES

FUNDING & AUTHORIZATIONS

PENALTIES & ENFORCEMENT

GLOSSARY

ACTION TIMELINE

SPONSORS

READER REACTIONS

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