I 
119TH CONGRESS 
1ST SESSION H. R. 2193 
To require the Director of the Office of Personnel Management to take 
certain actions with respect to the health insurance program carried 
out under chapter 89 of title 5, United States Code, and for other 
purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 18, 2025 
Mr. GROTHMAN introduced the following bill; which was referred to the 
Committee on Oversight and Government Reform 
A BILL 
To require the Director of the Office of Personnel Manage-
ment to take certain actions with respect to the health 
insurance program carried out under chapter 89 of title 
5, United States Code, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘FEHB Protection Act 
of 2025’’. 
SEC. 2. FEHB IMPROVEMENTS. 
(a) DEFINITIONS.—In this section: 
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(1) DIRECTOR.—The term ‘‘Director’’ means 
the Director of the Office of Personnel Management. 
(2) EMPLOYING OFFICE.—The term ‘‘employing 
office’’ has the meaning given the term in section 
890.101(a) of title 5, Code of Federal Regulations, 
or any successor regulation. 
(3) HEALTH
BENEFITS
PLAN; MEMBER
OF 
FAMILY.—The terms ‘‘health benefits plan’’ and 
‘‘member of family’’ have the meanings given those 
terms in section 8901 of title 5, United States Code. 
(4) OPEN SEASON.—The term ‘‘open season’’ 
means 
an 
open 
season 
described 
in 
section 
890.301(f) of title 5, Code of Federal Regulations, 
or any successor regulation. 
(5) PROGRAM.—The term ‘‘Program’’ means 
the health insurance programs carried out under 
chapter 89 of title 5, United States Code, including 
the program carried out under section 8903c of that 
title. 
(6) QUALIFYING
LIFE
EVENT.—The term 
‘‘qualifying life event’’ has the meaning given the 
term in section 892.101 of title 5, Code of Federal 
Regulations, or any successor regulation. 
(b) VERIFICATION REQUIREMENTS.—Not later than 
1 year after the date of the enactment of this Act, the 
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Director shall issue regulations and implement a process 
to verify— 
(1) the veracity of any qualifying life event 
through which an enrollee in the Program seeks to 
add a member of family with respect to the enrollee 
to a health benefits plan under the Program; and 
(2) that, when an enrollee in the Program seeks 
to add a member of family with respect to the en-
rollee to the health benefits plan of the enrollee 
under the Program, including during any open sea-
son, the individual so added is a qualifying member 
of family with respect to the enrollee. 
(c) FRAUD RISK ASSESSMENT.—In any fraud risk 
assessment conducted with respect to the Program on or 
after the date of the enactment of this Act, the Director 
shall include an assessment of individuals who are enrolled 
in, or covered under, a health benefits plan under the Pro-
gram even though those individuals are not eligible to be 
so enrolled or covered. 
(d) FAMILY MEMBER ELIGIBILITY VERIFICATION 
AUDIT.— 
(1) IN GENERAL.—During the 3-year period be-
ginning 1 year after the date of the enactment of 
this Act, the Director, in coordination with the head 
of each employing office, shall conduct a comprehen-
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sive audit regarding members of family who are cov-
ered under an enrollment in a health benefits plan 
under the Program. 
(2) CONTENTS.—In conducting an audit re-
quired under paragraph (1), the Director, in coordi-
nation with the head of each employing office, shall 
review marriage certificates, birth certificates, and 
other appropriate documents that are necessary to 
determine eligibility to enroll in a health benefits 
plan under the Program. 
(e) DISENROLLMENT OR REMOVAL.—Not later than 
6 months after the date of the enactment of this Act, the 
Director shall develop a process by which any individual 
enrolled in, or covered under, a health benefits plan under 
the Program who is not eligible to be so enrolled or cov-
ered shall be disenrolled or removed from enrollment in 
a health benefits plan under the Program. 
SEC. 3. EARNED BENEFITS AND HEALTHCARE ADMINISTRA-
TIVE SERVICES ASSOCIATED OVERSIGHT AND 
AUDIT FUNDING. 
(a) IN GENERAL.—Section 8909(a)(2) of title 5, 
United States Code, is amended by striking ‘‘Congress.’’ 
and inserting ‘‘Congress, except that the amounts author-
ized under subsection (b)(2) for the Office shall not be 
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