It also adds more stringent income verification requirements for people with low incomes. effectively ends the ability of people to automatically re-enroll because of these new eligibility verification processes. In 2025, nearly 11 million marketplace enrollees — that is, 45 percent of total enrollment — were autoenrolled in their plans., Specifically, the current Senate draft would: Bar automatic reenrollment and impose burdensome new pre-enrollment verification requirements on most marketplace enrollees;, The changes in the OBBA that would require a pre-enrollment verification process that starts in August — three months before open enrollment for coverage that begins the next calendar year — would make it more difficult for consumers to enroll in coverage., What's inside: The bill would end automatic reenrollment in ACA plans for people getting subsidies, instead requiring them to proactively reenroll and resubmit information on their incomes for verification., The Congressional Budget Office (CBO) estimates that the One Big Beautiful Bill Act proposal to increase Marketplace verification steps and ends the reenrollment process used by nearly 11 million people will reduce coverage by only 700,000 people., The proposed rule that HHS published in March makes changes, among others, to the open enrollment period, special enrollment periods (SEPs), verification of eligibility for the premium tax credit, out-of-pocket costs for premiums, and how insurers meet requirements related to the costs they pay to cover medical expenses..