美国削减18.9万人的“奥巴马医改”补贴，因其存在重复覆盖问题作者：艾哈迈德·阿布勒奈因、阿米娜·尼亚塞华盛顿，10月14日——特朗普政府周三表示，已决定停止向约18.9万人发放《平价医疗法案》（Affordable Care Act）的补贴。这些人被认定存在政府保险重复覆盖或已经去世。官员估计，此举今年将为纳税人节省约7.38亿美元。
US cuts Obamacare subsidies for 189,000 with duplicate coverage By Ahmed Aboulenein and Amina Niasse WASHINGTON, Oct 14 - The Trump administration said on Wednesday it is cutting off Affordable Care Act subsidies for about 189,000 people it identified as having duplicate government coverage or being deceased, a move officials estimate will save taxpayers roughly $738 million this year.
美国卫生部长小罗伯特·F·肯尼迪表示，美国医疗与医疗补助服务中心（CMS）发现，2026年部分参保人同时拥有联邦“奥巴马医改”市场（即ACA联邦市场）的补贴性保险，以及医疗补助计划（Medicare）、医疗补助计划（Medicaid）或儿童健康保险计划（CHIP）的覆盖。此外，名单中还存在已去世但仍在补贴名单上的人员。
US Health Secretary Robert F. Kennedy Jr. said the Centers for Medicare & Medicaid Services identified enrollees in 2026 as holding subsidized coverage on the ACA federal marketplace, also known as Obamacare, while also enrolled in Medicare, Medicaid or the Children's Health Insurance Program. It also identified deceased people still on the subsidy lists.
肯尼迪在新闻发布会上表示：“当联邦政府为healthcare.gov上的保险计划支付补贴时，我们有义务核实这笔补贴是否应当支付。我们当然不能继续为已经去世的人付款。”他称，政府估计此举今年将避免7.38亿美元的违规补贴支付，按年计算则超过15亿美元。政府预计，到今年年底，将避免超过100万个月的违规补贴覆盖。此举是更广泛打击欺诈行为的延续。
"When the federal government pays a subsidy for a healthcare.gov plan, we have an obligation to check whether that payment is owed," Kennedy said at a press conference. "We certainly can't keep paying for people who are deceased." The administration estimates the action will prevent $738 million in improper subsidy payments this year, a figure that exceeds $1.5 billion annualized, Kennedy said. The government expects to prevent more than 1 million months of improperly subsidized coverage by year's end. The move builds on a broader crackdown against alleged fraud.
副总统JD·范斯9月份曾表示，政府已暂停超过76万人的“奥巴马医改”计划参保资格，这些人据信是通过欺诈手段参保的。他估计此举将节省22亿美元。医疗与医疗补助服务中心（CMS）局长穆罕默德·奥兹博士则表示，周三的行动与上个月宣布的措施无关。
Vice President JD Vance in September said the administration was halting enrollment for more than 760,000 people believed to have been fraudulently signed up for Obamacare plans, an effort he estimated would save $2.2 billion. CMS Administrator Dr. Mehmet Oz said Wednesday's action is separate from the one announced last month.
该机构表示，截至7月，已取消约12万名同时拥有医疗补助计划（Medicaid）——即联邦和各州为美国低收入人群设立的健康计划——的重复补贴，另有5.8万名同时拥有医疗保计划（Medicare）——即美国为65岁及以上人群提供的健康保险——的重复补贴，以及约1.1万名已故参保人的补贴；预计到本月底，这一数字还将增加3500人。美国卫生与公众服务部（CMS）官员彼得·尼尔森（Peter Nelson）表示，拥有医疗补助计划或医疗保计划的人将继续保留其中一个项目的保障。
The agency said it canceled duplicate subsidies for about 120,000 people who also had Medicaid, the federal and state health plan for low-income Americans, and 58,000 who also had Medicare, the US health insurance for those age 65 and older, and roughly 11,000 deceased enrollees through July, with another 3,500 expected by month's end, CMS official Peter Nelson said. Those with Medicaid or Medicare kept coverage in one program.
尼尔森表示，被标记的参保人或其遗产继承人将有30天的时间对认定结果提出异议，之后补贴才会停止。
Nelson said flagged enrollees or their estates receive 30 days to contest the finding before any subsidy stops.
他表示，在今年夏季首轮医疗补助计划削减中，有一半人在截止日期前解决了重复参保问题，并补充说，没有人因此失去保障，因为所有受影响的人都已经通过其他途径获得保障，或是已经去世。
In the first Medicaid cuts round this summer, half resolved the match by the deadline, he said, adding that no one lost coverage because everyone affected was already covered elsewhere or deceased.
医疗补助计划主任丹·布里尔曼（Dan Brillman）表示，该机构发现每月可能有120万人同时在多个州参保医疗补助计划或儿童健康保险计划（CHIP）。他称，各州必须从2027年1月起核实参保人的地址。
Medicaid Director Dan Brillman said the agency found a potential 1.2 million people a month enrolled in Medicaid or CHIP across more than one state. States must verify enrollee addresses starting January 2027, he said.