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HHS/CMS RIN: 0938-AS02 Publication ID: Fall 2013 
Title: ●Eligibility, Enrollment, and Appeals Updates (CMS-9949-P) 
Abstract: This proposed rule would update policy based on experience with initial open enrollment. 
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: Undetermined  Unfunded Mandates: Undetermined 
CFR Citation: 45 CFR 155; 45 CFR 156 
Legal Authority: PL 11-148 secs 1301 to 1304; secs 1311 to 1313; secs 1321 and 1322; secs 1331 and 1332; secs 1334 and 1402 
Legal Deadline:  None

Statement of Need: The Affordable Care Act establishes an initial open enrollment period beginning October 1, 2013, and annual open enrollment periods in subsequent years. CMS expects that updates or revisions to existing policy may be necessary based on our experience with the initial open enrollment. These updates would be implemented before the second open enrollment period begins.

Summary of the Legal Basis: This rule would address updates to provisions included in Title I of the Affordable Care Act.

Alternatives: None. Revisions made to the existing Exchange regulations would require rulemaking.

Anticipated Costs and Benefits: An estimate of costs or benefits will be completed once the necessary policy updates have been determined.

Risks: If this rule is not published, the Exchanges may not continue to function optimally.

Timetable:
Action Date FR Cite
NPRM  02/00/2014   
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Federal, State 
Small Entities Affected: Businesses, Governmental Jurisdictions  Federalism: Undetermined 
Included in the Regulatory Plan: Yes 
RIN Data Printed in the FR: No 
Agency Contact:
Manasse Spencer
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-1642
Email: spencer.manasse@cms.hhs.gov

 
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