由参议员罗恩·怀登（民主党-俄勒冈州）和伯尼·桑德斯（无党派-佛蒙特州）牵头的参议院民主党人，正在向10家主要保险公司施压，质询它们决定配合特朗普政府，因涉嫌欺诈而终止数千名“奥巴马医改”参保人的保险覆盖。
Senate Democrats, led by Sens.
周一，致这10家最大《平价医疗法案》（ACA）保险公司首席执行官的信件已发出，其中包括信诺和联合健康保险。信件质疑这些公司在特朗普政府计划中扮演的角色，该计划旨在作为打击欺诈行动的一部分，移除近76万名ACA参保人。另有11名参议院民主党人联署了这些信件。
Ron Wyden (D-Ore.) and Bernie Sanders (I-Vt.), are pressing 10 major insurance companies about their decisions to work with the Trump administration to terminate coverage for thousands of ObamaCare enrollees due to alleged fraud. The letters, sent Monday to the CEOs of the 10 biggest Affordable Care Act (ACA) insurers including Cigna and UnitedHealthcare, question the roles of the companies in the Trump administration’s plan to remove close to 760,000 ACA enrollees as part of its fraud crackdown. The letters were signed by 11 other Senate Democrats.
参议员们在信中写道：“配合共和党及其所谓的‘反欺诈战争’，保险公司选择参与与特朗普政府的合作行动，给ACA市场注入了更多的混乱和破坏。”
“Aligning with Republicans and their so-called ‘war on fraud,’ insurance companies chose to participate in a collaborative effort with the Trump administration to inject yet more chaos and damage into the ACA Marketplace,” the senators wrote.
对保险公司配合政府施加压力，很可能预示着如果民主党明年夺回参议院控制权将会发生的情况。怀登将成为参议院财政委员会主席，桑德斯将担任卫生委员会主席，这两个委员会均对医疗保健行业的某些方面拥有监督权。
The pressure on insurance companies for working with the administration is likely a preview of what could happen next year if Democrats flip control of the Senate. Wyden would become chairman of the Senate Finance Committee while Sanders would chair the Health Committee, both of which have oversight over aspects of the healthcare industry.
怀登和桑德斯写道：“我们对保险公司在这个有缺陷的过程中所扮演的角色、以及选择配合医疗保险和医疗补助服务中心（CMS）官员而不要求澄清依据的具体法律授权、或代表客户向国会提出担忧的判断，有许多疑问。”
“We have many questions about the role of [insurers] in this flawed process used to terminate coverage for 760,000 enrollees, and the judgment exercised by insurance companies that chose to cooperate with CMS officials without requesting clarification about the specific authorities being relied on to support this request or raising concerns to Congress on behalf of their customers,” Wyden and Sanders wrote.
参议员们表示，政府的这一举措基于“已被驳斥的、带有党派色彩的分析，认为零保费计划和零理赔参保人是欺诈的可靠替代指标。”
The senators said the administration’s move was based on “discredited, partisan analyses suggesting zero-dollar premium plans and zero-claims enrollees are reliable proxies for fraud.”
据参议员们称，保险公司发送了未经请求的通讯，在某些情况下甚至要求参保人核实其社会安全号码。
According to the senators, the insurance companies sent unsolicited communications, including in some cases asking enrollees to verify their Social Security numbers.
未回应者被认定为欺诈，其保险被终止。参议员们质问，尽管民主党人多次提出请求，为何保险公司“几乎无一例外”拒绝在2026年开放投保期之前主动联系参保人并告知其保费将大幅上涨。参议员们写道：“保险公司一再以启动新型年中参保人联系方式的复杂性和成本，以及保费最终确定的延迟为由，解释它们为何无法满足这一请求。”他们指出，相比之下，应共和党人的请求，与参保人的沟通在数周甚至数日内就已启动。
Individuals who did not respond were deemed fraudulent and their coverage was terminated. The senators asked why insurers “almost universally” declined to reach out to enrollees and notify them of significant premium increases ahead of 2026 open enrollment, despite repeated Democratic requests. “Insurance companies repeatedly cited the complexity and cost associated with initiating new types of mid-year contact with enrollees and delays in finalizing premiums as an explanation for why they were unable to comply with this request,” the senators wrote. In contrast, enrollee communications were initiated within weeks, if not days, in response to the request from Republicans, they noted.