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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. |
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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 |
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Timetable:
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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 Director, Market-Wide Regulation Division 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 |