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HHS/CMS RIN: 0938-AV99 Publication ID: 2026 
Title: ●Patient Protection and Affordable Care Act; State Innovation Waivers and Health Care Choice Compacts (CMS-9877) 
Abstract:

This rule will include proposals to update HHS’s oversight and enforcement program for agents and brokers registered to sell qualified health plans (QHPs) through the Federally Exchange and to implement sections 1332 and 1333 of the Affordable Care Act. The section 1332 proposal updates the Department’s regulations and policy governing review and approval of Section 1332 State Innovation Waivers. The section 1333 proposal seeks to establish procedural standards for health care choice compacts under which states may enter into an agreement for QHPs to be sold across state lines in the individual market. 

 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Undetermined  Unfunded Mandates: Undetermined 
EO 14192 Designation: Other 
CFR Citation: 31 CFR Part 33    45 CFR Part 155     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: 42 U.S.C. 18032(e) (ACA sec. 1311(e)    42 U.S.C. 18041(a) (ACA sec. 1321(a)    42 U.S.C. 18051 (ACA 1331)    42 U.S.C. 18052 (ACA sec. 1332)   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  07/00/2026 
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Undetermined 
Small Entities Affected: No  Federalism: Undetermined 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Related Agencies: Joint: TREAS/IRS; 
Agency Contact:
Rogelyn D Mclean
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Consumer Information and Insurance Oversight, 7500 Security Blvd,
Baltimore, MD 21244
Phone:410 786-1524
Email: rogelyn.mclean@cms.hhs.gov