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HHS/CMS RIN: 0938-AT12 Publication ID: Fall 2017 
Title: CY 2019 Notice of Benefit and Payment Parameters (CMS-9930-P)(Section 610 Review) 
Abstract:

This proposed rule sets forth payment parameters and provisions related to the risk adjustment and risk adjustment data validation programs; cost-sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges and State-based Exchanges on the Federal platform. It proposes changes that would enhance the role of States related to essential health benefits and qualified health plan (QHP) certification; and would provide States with additional flexibility in the operation and establishment of Exchanges, including the Small Business Health Options Program (SHOP) Exchanges. It includes proposed changes to the required functions of the Small Business Health Options Programs; actuarial value for stand-alone dental plans; the rate review program; the medical loss ratio program; eligibility and enrollment; exemptions; and other related topics.

 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Yes  Unfunded Mandates: No 
EO 13771 Designation: Deregulatory 
RFA Section 610 Review: Section 610 Review 
CFR Citation: 45 CFR 153    45 CFR 154    45 CFR 155    45 CFR 157    45 CFR 158   
Legal Authority: Pub. L. 111-148, Title I   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  11/00/2017 
Regulatory Flexibility Analysis Required: Yes  Government Levels Affected: Federal, Local, State, Tribal 
Small Entities Affected: Businesses  Federalism: Yes 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: Yes 
Agency Contact:
Lindsey Murtagh
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Consumer Information and Insurance Oversight, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:301 492-4106
Email: lindsey.murtagh@cms.hhs.gov