AHIP - DISCRIMINATION, FRAUD,
WASTE, & ABUSE – 2026 EXAM
QUESTIONS & ACCURATE ANSWERS
RATED 100% CORRECT
Under ACA Section 1557, a health plan premium sold through a state exchange may, based on
an individual's age and - correct answer ✔✔charge higher premiums.
As a result of violations of ACA Section 1557 nondiscrimination rules, - correct answer ✔✔a
health plan may revoke an agent or broker's appointment with the health plan.
ACA Section 1557 rules for disability concern - correct answer ✔✔policies and procedures,
physical access, and communication.
Which Medicare programs are covered by ACA Section 1557 under the Biden Administration's
Final Rule (2024)? - correct answer ✔✔Parts A, C, and D, and Part B.
Which of the following statements best describes Section 1557 of the Affordable Care Act
(ACA)? - correct answer ✔✔Section 1557 incorporates earlier civil rights protections in regard to
race, color, national origin, disability, age and sex.
Section 1557 of the Affordable Care Act applies to - correct answer ✔✔all health programs and
activities administered by or receiving federal financial assistance from HHS.
Which of the following would be considered permissible under Section 1557? - correct answer
✔✔Broker Mary Jones has recruited a diverse workforce. She encourages her agents to
prospect through community-based marketing and within their community of influence.
, Which of these actions is most likely to be permitted in dealing with a person with limited
English proficiency? - correct answer ✔✔Allowing a child to interpret in an emergency.
Which of the following statements best describes the scope of operations subject to Section
1557 under the Final Rule (2024) of the Biden Administration? - correct answer ✔✔Entities
principally engaged in health care, which includes health insurers, must comply with Section
1557 for all programs they offer.
For a health plan, what are the possible consequences of violations of ACA Section 1557? -
correct answer ✔✔Loss of federal business and compensatory damages.
Auxiliary aids and services must be provided to individuals with disabilities, such as those
suffering from vision or hearing impairments, free of charge, and in a timely manner. Auxiliary
aids and services include which of the following:
I. large print materials
II. qualified sign language interpreters
III. braille materials and displays
IV. screen reader software - correct answer ✔✔I, II, III, and IV
Under ACA Section 1557, a health plan - correct answer ✔✔cannot deny coverage to LEP
individuals and is required to provide language assistance to them, free of charge.
Under Section 1557, the 2020 Final Rule issued during the Trump Administration sex was
initially defined____________ - correct answer ✔✔as biologic sex only, meaning whether a
person was determined to be male or female at birth.
Which entity enforces Section 1557 for programs that receive funding from and are
administered by HHS? - correct answer ✔✔The Office of Civil Rights (OCR) of HHS.
WASTE, & ABUSE – 2026 EXAM
QUESTIONS & ACCURATE ANSWERS
RATED 100% CORRECT
Under ACA Section 1557, a health plan premium sold through a state exchange may, based on
an individual's age and - correct answer ✔✔charge higher premiums.
As a result of violations of ACA Section 1557 nondiscrimination rules, - correct answer ✔✔a
health plan may revoke an agent or broker's appointment with the health plan.
ACA Section 1557 rules for disability concern - correct answer ✔✔policies and procedures,
physical access, and communication.
Which Medicare programs are covered by ACA Section 1557 under the Biden Administration's
Final Rule (2024)? - correct answer ✔✔Parts A, C, and D, and Part B.
Which of the following statements best describes Section 1557 of the Affordable Care Act
(ACA)? - correct answer ✔✔Section 1557 incorporates earlier civil rights protections in regard to
race, color, national origin, disability, age and sex.
Section 1557 of the Affordable Care Act applies to - correct answer ✔✔all health programs and
activities administered by or receiving federal financial assistance from HHS.
Which of the following would be considered permissible under Section 1557? - correct answer
✔✔Broker Mary Jones has recruited a diverse workforce. She encourages her agents to
prospect through community-based marketing and within their community of influence.
, Which of these actions is most likely to be permitted in dealing with a person with limited
English proficiency? - correct answer ✔✔Allowing a child to interpret in an emergency.
Which of the following statements best describes the scope of operations subject to Section
1557 under the Final Rule (2024) of the Biden Administration? - correct answer ✔✔Entities
principally engaged in health care, which includes health insurers, must comply with Section
1557 for all programs they offer.
For a health plan, what are the possible consequences of violations of ACA Section 1557? -
correct answer ✔✔Loss of federal business and compensatory damages.
Auxiliary aids and services must be provided to individuals with disabilities, such as those
suffering from vision or hearing impairments, free of charge, and in a timely manner. Auxiliary
aids and services include which of the following:
I. large print materials
II. qualified sign language interpreters
III. braille materials and displays
IV. screen reader software - correct answer ✔✔I, II, III, and IV
Under ACA Section 1557, a health plan - correct answer ✔✔cannot deny coverage to LEP
individuals and is required to provide language assistance to them, free of charge.
Under Section 1557, the 2020 Final Rule issued during the Trump Administration sex was
initially defined____________ - correct answer ✔✔as biologic sex only, meaning whether a
person was determined to be male or female at birth.
Which entity enforces Section 1557 for programs that receive funding from and are
administered by HHS? - correct answer ✔✔The Office of Civil Rights (OCR) of HHS.
