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| HHS/CMS | RIN: 0938-AV57 | Publication ID: Spring 2025 |
| Title: Enhancing Coverage of Preventive Services Under the Affordable Care Act (CMS-9887) | |
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Abstract:
The proposed rule was formally withdrawn on January 15, 2025. This rule would amend the regulations implementing the Affordable Care Act’s requirement that non-grandfathered group health plans and health insurance issuers offering non-grandfathered group or individual health insurance coverage cover recommended preventive services without cost sharing. Among other actions, the rule would take steps to expand access to certain recommended preventive items and services that are available over-the-counter; require coverage of certain preventive drugs and drug-led devices in a manner that minimizes barriers to accessing the drug or drug-led device of one’s choice; reduce the likelihood that individuals face unexpected out-of-pocket costs when they receive preventive services; and ensure medical management techniques are reasonable and do not unduly prevent individuals from accessing certain preventive services. Together, these actions would make it easier for covered individuals to access certain preventive services and improve health outcomes. |
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| 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 |
| EO 14192 Designation: Other | |
| CFR Citation: 45 CFR 147 | |
| Legal Authority: Public Health Service Act, Sec. 2713 | |
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Legal Deadline:
None |
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Timetable:
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| Regulatory Flexibility Analysis Required: YES | Government Levels Affected: Federal, Local, State |
| Small Entities Affected: Businesses | Federalism: Yes |
| Included in the Regulatory Plan: Yes | |
| RIN Data Printed in the FR: Yes | |
| Related Agencies: Joint: TREAS/IRS, DOL/EBSA; | |
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Agency Contact: Lindsey Murtagh Director, Division of Regulations and Policy Department of Health and Human Services Centers for Medicare & Medicaid Services Center for Consumer Information and Insurance Oversight, 7500 Security Boulevard, Baltimore, MD 21244 Phone:301 492-4106 Email: lindsey.murtagh@cms.hhs.gov |
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