Director, Office of Health Plan Standards and Compliance Assistance

1210-AC25 202410 The Regulatory Plan and the Unified Agenda of Federal Regulatory and Deregulatory Actions 1210 Employee Benefits Security Administration EBSA 1200 Department of Labor DOL Enhancing Coverage of Preventive Services under the Affordable Care Act (CMS-9887-P)

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.

]]> Section 3(f)(1) Significant First Time Published in The Unified Agenda Proposed Rule Stage Yes No 29 CFR 2590 29 U.S.C. 1185d No NPRM 10/28/2024 89 FR 85750 NPRM Comment Period End 12/27/2024 YES Businesses Federal Local State Yes Yes No Amber Rivers Director, Office of Health Plan Standards and Compliance Assistance 1210 Employee Benefits Security Administration EBSA 202 693-8335 rivers.amber@dol.gov 200 Constitution Avenue NW, Washington DC 20210