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HHS/CMS RIN: 0938-AS19 Publication ID: Spring 2015 
Title: CY 2016 Notice of Benefit and Payment Parameters (CMS-9944-F) 
Abstract:

This final rule sets forth payment parameters and provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges. It also provides additional standards for the annual open enrollment period for 2016, essential health benefits, network adequacy, essential community providers, quality improvement strategies, the sale of non-qualified health plans through Exchanges, the good faith compliance enforcement safe harbor, a suppression status for QHPs, the Small Business Health Options Program, guaranteed availability and guaranteed renewability, minimum essential coverage, and the medical loss ratio program.

 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: Yes  Unfunded Mandates: Private Sector 
CFR Citation: 45 CFR 153    45 CFR 155    45 CFR 156   
Legal Authority: Pub. L. 111-148, title I   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  11/26/2014  79 FR 70674   
NPRM Comment Period End  12/22/2014 
Final Action  02/27/2015  80 FR 10750   
Final Action Effective  04/28/2015 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal, Local, State, Tribal 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Laurie McWright
Director, Payment Policy and Financial Management Group
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Consumer Information and Insurance Oversight, MS: 733H.02, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:301 492-4311
Email: laurie.mcwright@cms.hhs.gov