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HHS/OS RIN: 0991-AB70 Publication ID: Fall 2010 
Title: ●Group Health Plans and Health Insurance Issuers Relating to Internal Claims and Appeals and External Review Processes Under the Patient Protection and Affordable Care Act 
Abstract: The Affordable Care Act provides consumers with the right to appeal decisions made by their health carrier to an outside, independent decision-maker, regardless of the state of residence or type of health insurance. Under the interim final regulations plans and issuers must comply with a State external review process or the federal external review process. 
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 
CFR Citation: 45 CFR 147   
Legal Authority: PL 111-148   
Legal Deadline:  None
Timetable:
Action Date FR Cite
Interim Final Rule  07/23/2010  75 FR 43330   
Interim Final Rule Comment Period End  09/21/2010    
Merged With 0950-AA01  09/16/2010    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: State 
Federalism: Yes 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Ellen Kuhn
Program Analyst
Department of Health and Human Services
200 Independence Avenue SW.,
Washington, DC 20201
Phone:301 492-4100
Email: externalappeals@hhs.gov