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HHS/CMS RIN: 0938-AR25 Publication ID: Fall 2011 
Title: ●Exchange Functions in the Individual Market: Eligibility Determinations; Standards for Verification of Employer-Sponsored Health Coverage, Employer Appeals, and Employer SHOP Participation (CMS-9974-F 
Abstract: This rule continues to implement the new Affordable Insurance Exchanges (Exchanges), consistent with title I of the Affordable Care Act of 2010. The Exchanges will provide competitive marketplaces for individuals and small employers to directly compare available private health insurance options on the basis of price, quality, and other factors. The Exchanges, which will become operational by January 1, 2014, will help enhance competition in the health insurance market, improve choice of affordable health insurance, and give small businesses the same purchasing clout as large businesses. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 45 CFR 155    45 CFR 157   
Legal Authority: PL111-148 secs 1311, 1411, 1412, and 1413   
Legal Deadline:
Action Source Description Date
Final  Statutory    01/01/2014 
Timetable:
Action Date FR Cite
NPRM  08/17/2011  76 FR 51202   
NPRM Comment Period End  10/31/2011    
Merged With 0938-AQ67  12/31/2011    
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: None 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Alissa Deboy
Health Insurance Specialist, Center for Consumer Information & Insurance Oversight
Department of Health and Human Services
Centers for Medicare & Medicaid Services
7500 Security Boulevard,
Baltimore, MD 21244
Phone:301 492-4428
Email: alissa.deboy1@cms.hhs.gov