Director, Payment Policy and Financial Management Group

0938-AS19 201410 The Regulatory Plan and the Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS CY 2016 Notice of Benefit and Payment Parameters (CMS-9944-P)

This proposed rule would set 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 would also provide 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.

]]> Economically Significant Previously Published in The Unified Agenda Proposed Rule Stage Yes State, local, or tribal governments Private Sector 45 CFR 153 45 CFR 155 45 CFR 156 PL 111-148, title I Statutory Final 03/31/2015 No NPRM 11/00/2014 No Federal Local State Tribal Yes No No No Laurie McWright Director, Payment Policy and Financial Management Group 0938 Centers for Medicare & Medicaid Services CMS 301 492-4311 laurie.mcwright@cms.hhs.gov Center for Consumer Information and Insurance Oversight, MS: 733H.02, 7500 Security Boulevard, Baltimore MD 21244