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HHS/CMS RIN: 0938-AR82 Publication ID: Fall 2013 
Title: Program Integrity: Exchange, Premium Stabilization Programs, Market Standards, and Cost-Sharing Reduction Reconcilliation; Amendments to Benefit and Payment Parameters for 2014 (CMS-9957-F2) 
Abstract: This final rule implements provisions of the Affordable Care Act. Specifically, this final rule outlines financial integrity and oversight standards with respect to Affordable Insurance Exchanges; Qualified Health Plan (QHP) issuers in Federally-Facilitated Exchanges (FFEs) and States with regard to the operation of risk adjustment and reinsurance programs. These standards, which include financial integrity provisions and protections against fraud and abuse, are consistent with title I of the Affordable Care Act. Additionally, this final rule both amends standards and adopts interim provisions as final as set forth in the Amendments to the HHS Notice of Benefit and Payment Parameters for 2014 interim final rule published in the Federal Register on March 11, 2013, related to risk corridors and cost-sharing reduction reconciliation. 
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: No 
CFR Citation: 45 CFR 144    45 CFR 146    45 CFR 147    45 CFR 153    45 CFR 155    45 CFR 156   
Legal Authority: PL 111-148, sec 1321   
Legal Deadline:
Action Source Description Date
Final  Statutory    01/01/2014 
Timetable:
Action Date FR Cite
NPRM  06/19/2013  78 FR 37032   
NPRM Comment Period End  07/19/2013 
Final Action  08/30/2013  78 FR 54069   
Second Final Action  10/29/2013  78 FR 65046   
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal 
Small Entities Affected: Businesses, Governmental Jurisdictions  Federalism: Yes 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Leigha Basini
Health Insurance Specialist
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:301 492-4380
Email: leigha.basini1@cms.hhs.gov