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HHS/CMS RIN: 0938-AV61 Publication ID: Spring 2025 
Title: ●Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability (CMS-9884) 
Abstract:

This final rule revises certain standards relevant to American Health Benefits Exchanges, including standards relating to past-due premium payments for qualified health plans; the impact of an Exchange enrollee’s failure to file and reconcile advance premium tax credits received during a tax year; income eligibility verifications for premium tax credits and cost-sharing reductions; annual eligibility redeterminations; the automatic reenrollment hierarchy; the annual open enrollment period; verifications of eligibility for special enrollment periods; and, the premium adjustment percentage methodology.

 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: First time 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    45 CFR 155    45 CFR 156   
Legal Authority: Pub. L. 111-148, Title I   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  03/19/2025  90 FR 12942   
NPRM Comment Period End  04/11/2025 
Final Action  06/25/2025  90 FR 27074   
Regulatory Flexibility Analysis Required: YES  Government Levels Affected: Federal, State 
Small Entities Affected: Businesses  Federalism: Yes 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: Yes 
Agency Contact:
Rogelyn McLean
Senior Policy Advisor
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Consumer Information and Insurance Oversight, MS: W-08-159, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-1524
Email: rogelyn.mclean@cms.hhs.gov