官员称，马萨诸塞州州级市场可免受《平价医疗法案》打击的影响
【中美创新时报2026年9月24日讯】（记者温友平编译）马萨诸塞州健康保险交易平台执行主任奥黛丽·莫尔斯·加斯特尔周三表示，联邦政府宣布将数十万人从《平价医疗法案》保险市场中移除，但该平台约 35 万名参保者不会受到影响。马萨诸塞州州议会新闻社记者艾拉·亚当斯对此作了下述报道。
加斯泰尔表示，马萨诸塞州不受此次行动的影响，因为该行动仅影响联邦政府主导的医疗保险市场。Connector 是一个州级医疗保险市场，由 2006 年的医疗改革法案——罗姆尼医改法案——创建，该法案为 2010 年的联邦法律《平价医疗法案》（又称奥巴马医改）提供了框架。根据美国医疗保险和医疗补助服务中心的数据，马萨诸塞州是 2026 年“计划年度”内拥有州级医疗保险市场的 21 个州之一。
据美国医疗保险和医疗补助服务中心（CMS）称，联邦政府的这项举措取消了约31.5万份“未经授权的注册”，涉及超过76万人，预计将为政府追回约22亿美元。副总裁JD Vance周二在新闻发布会上表示，这些被取消注册的人“我们认为是以欺诈手段注册该计划的”。
据美国医疗保险和医疗补助服务中心 (CMS) 称，此举是白宫消除欺诈工作组“打击医疗保健系统中的欺诈行为并保护纳税人资金”努力的一部分。
Gasteier表示，Health Connector知道工作组正在努力防止欺诈，并且“很快”会发布公告，但是“具体细节，包括他们得出结论的方法以及他们采取的行动，我们不得而知，这可能是因为我们的市场并非由联邦政府运营。”
“我认为，目前很多运营自主医保市场的州都非常庆幸自己拥有这种能力，”加斯泰尔说。“昨天的公告虽然对马萨诸塞州没有影响，但它是一系列更广泛行动的一部分，所有这些行动加在一起，似乎都是为了剥夺民众的医保。所以我们正在密切关注事态发展。”
预计马萨诸塞州立法者和行政部门将在 2027 年处理 2025 年联邦法律中政策带来的重大的人力和财政影响，批评人士称，该法律可能会导致该州无保险人数增加。
题图：7月2日，马萨诸塞州健康保险交易平台（Massachusetts Health Connector）执行主任奥黛丽·莫尔斯·加斯泰尔（Audrey Morse Gasteier）在波士顿的州健康保险交易平台办公室拍摄肖像照。（图片来源：Leah Willingham/美联社）
附原英文报道：
State marketplace offers insulation from ACA crackdown, official says
By Ella Adams State House News Service,Updated September 23, 2026
Massachusetts Health Connector executive director Audrey Morse Gasteier poses for a portrait in the state health insurance marketplace’s office in Boston on July 2.Leah Willingham/Associated Press
None of the Massachusetts Health Connector’s around 350,000 enrollees will be impacted by the federal government’s announcement that it’s removing hundreds of thousands of people from Affordable Care Act insurance marketplaces, agency Executive Director Audrey Morse Gasteier said Wednesday.
Massachusetts is “insulated” from the action because it exclusively affects federally facilitated marketplaces, Gasteier said. The Connector is a state-based marketplace created by a 2006 health care reform law — Romneycare offered a framework for the Affordable Care Act, the 2010 federal law also known as Obamacare. Massachusetts is one of 21 states with state-based marketplaces in “Plan Year 2026,” according to the Centers for Medicare and Medicaid Services.
The federal move cancels about 315,000 “unauthorized enrollments” covering more than 760,000 people, and is expected to return about $2.2 billion to the government, per CMS. Vice President JD Vance said Tuesday at a news conference that the cancelations are “people who we believe are fraudulently enrolled in the program.”
The action is part of White House Task Force to Eliminate Fraud efforts to “crush fraud in the health care system and protect taxpayer dollars,” according to CMS.
The Health Connector knew of task force fraud prevention efforts and that there would be an announcement “coming soon,” Gasteier said, but “the specific details, including the methodology that they used to get to the conclusion that they did and the actions that they took, we don’t have sightlines into, perhaps because we’re not operated by the federal government in terms of our marketplace.”
“This is a moment where I think a lot of states that operate their own marketplaces are very glad that they have that ability to do so,” Gasteier said. “I would say the announcement yesterday, while no impact to Massachusetts, is part of a broader theme of actions that, all taken together, do seem to be in the spirit of trying to take coverage away from people. So we are watching that space very closely.”
Massachusetts lawmakers and the executive branch in 2027 are expected to deal with the significant human and fiscal impacts of policies in a 2025 federal law that critics say could drive up the number of uninsured people in the state.
