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HHS/CMS RIN: 0938-AR03 Publication ID: Spring 2013 
Title: Patient Protection and Affordable Care Act; Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation (CMS-9980-F) 
Abstract: This final rule details standards for health insurance consistent with title I of the Affordable Care Act. Specifically, this rule outlines Exchange and issuer standards related to coverage of essential health benefits (EHB) and actuarial value (AV). This rule also establishes a timeline for qualified health plans to be accredited in Federally Facilitated Exchanges and an amendment that provides an application process for the recognition of additional accrediting entities for purposes of certification of qualified health plans. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 45 CFR 156    45 CFR 155    45 CFR 147   
Legal Authority: PL 111-148, title I   
Legal Deadline:
Action Source Description Date
Final  Statutory    01/01/2014 
Timetable:
Action Date FR Cite
Notice  09/14/2011  76 FR 56767   
Comment Period End  10/31/2011    
NPRM  11/26/2012  77 FR 70644   
NPRM Comment Period End  12/26/2012 
Final Action  02/25/2013  78 FR 12834   
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal, Local, State, Tribal 
Small Entities Affected: Businesses, Governmental Jurisdictions, Organizations  Federalism: Yes 
Included in the Regulatory Plan: Yes 
RIN Data Printed in the FR: No 
Agency Contact:
Leigha Basini
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Consumer Information and Insurance Oversight, MS: 733H.02, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:301 492-4380
Email: leigha.basini1@cms.hhs.gov