The Paragon Health Institute, a conservative think tank, has released a report claiming that around 25% of all enrollments in ObamaCare exchanges are improper, translating to more than 6 million individuals in 2026. The report suggests that taxpayers could face nearly $25 billion in improper subsidies due to these enrollments. Paragon defines improper enrollment as those in the lowest income bracket exceeding the number of eligible individuals. The analysis, which relies on public enrollment and Census Bureau data, indicates that states not expanding Medicaid and those using the federal healthcare.gov platform have particularly high rates of improper enrollments. Mehmet Oz, head of the Centers for Medicare and Medicaid Services, echoed these concerns, stating that about 35% of enrollees may not be legitimate. The report calls for enhanced oversight of enrollment processes and the discontinuation of zero-premium plans, arguing that these factors create incentives for misrepresentation of income to maximize subsidies. As the November midterm elections approach, Republicans are leveraging these findings to counter Democratic claims about the impact of subsidy expirations on health care costs.