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HHS/CMS RIN: 0938-AR03 Publication ID: Fall 2011 
Title: ●Establishment of Exchange Program Part II; Appeals of Eligibility Determinations and Oversight and Financial Integrity (CMS-9980-P) 
Abstract: This proposed rule would implement section 1311 of the Affordable Care Act. This will be the second rule establishing the Qualified Health Plans and Health Benefit Exchanges as defined in the Affordable Care Act. This rule focuses on requirements for Qualified Health Plans and is more implementation-focused on elements such as the Essential Health Benefits and oversight of the Exchanges. 
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: No  Unfunded Mandates: Undetermined 
CFR Citation: 45 CFR 156    45 CFR 156    45 CFR 157   
Legal Authority: PL 111-148   
Legal Deadline:
Action Source Description Date
Final  Statutory    01/01/2014 
Action Date FR Cite
Notice  09/14/2011  76 FR 56767   
Comment Period End  10/31/2011    
NPRM  04/00/2012    
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Federal, Local, State, Tribal 
Small Entities Affected: Businesses, Governmental Jurisdictions, Organizations  Federalism: Yes 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Alissa Deboy
Department of Health and Human Services
Centers for Medicare & Medicaid Services
7500 Security Boulevard,
Baltimore, MD 21244
Phone:301 492-4428