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HHS/CMS RIN: 0938-AR40 Publication ID: 2012 
Title: ●Patient Protection and Affordable Care Act; Health Insurance Market: Rate Review (CMS-9972-F) 
Abstract: This final rule implements the Affordable Care Act's policies related to fair health insurance premiums, guaranteed availability, guaranteed renewability, risk pools, and catastrophic plans. The rule clarifies the approach used to enforce the applicable requirements of the Affordable Care Act with respect to health insurance issuers and group health plans that are non-federal governmental plans. The rule also revises the timing of the submission of requests for State-specific thresholds; revises the standards for health insurance issuers and States regarding reporting, utilization, and collection of data, and amends the requirements for a State to have an Effective Rate Review Program. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 45 CFR 144; 45 CFR 147; 45 CFR 159; 45 CFR 156 
Legal Authority: PL 111-148, sec 1201 
Legal Deadline:
Action Source Description Date
Final  Statutory    01/01/2014 
Timetable:
Action Date FR Cite
NPRM  11/26/2012  77 FR 70584 
NPRM Comment Period End  12/26/2012   
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: State 
Small Entities Affected: Businesses  Federalism: Yes 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
James Mayhew
Director, Market Rules Division
Department of Health and Human Services
Centers for Medicare & Medicaid Services
7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-9244
Email: james.mayhew@cms.hhs.gov

 
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