General Discussion

Baked into the “One Big Beautiful Bill” / reconciliation package:
-Pre-enrollment verification & stronger documentation checks
The law would require more stringent verification (income, immigration status, coverage history, residence, family size, etc.) before someone can receive premium tax credits or cost-sharing reductions.
This also effectively ends auto-renewals of subsidized plans (or at least makes auto-renewal with credits harder).

-Loss of eligibility for certain immigrants / removal of DACA eligibility
The law rescinds eligibility for marketplace subsidies/coverage for certain lawful immigrants, including DACA recipients.
Hundreds of thousands of people who currently use ACA marketplace plans might lose eligibility entirely (not just lose subsidy).

Expected consequences:
-Overall rate increases. Insurers are already filing rate increases in anticipation of this, in part because they expect healthier enrollees to drop out, worsening the risk pool

-States running their own marketplaces must implement new verification, enrollment, and eligibility rules, i.e., upgrading state IT systems.