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HHS/CMS | RIN: 0938-AT66 | Publication ID: Fall 2018 |
Title: ●Patient Protection and Affordable Care Act; Adoption of the Methodology for the HHS-Operated Permanent Risk Adjustment Program for the 2018 Benefit Year Proposed Rule (CMS-9919-F) | |
Abstract:
This final rule sets forth the rationale for selecting the statewide average premium as the cost-scaling parameter in the risk adjustment methodology that HHS uses when operating the permanent risk adjustment program established in section 1343 of the Patient Protection and Affordable Care Act on behalf of a state for the 2018 benefit year. The HHS-operated risk adjustment methodology includes the payment transfer formula which utilizes the statewide average premium to achieve budget neutrality. This aspect of the HHS-operated risk adjustment methodology was vacated by the decision of the United States District Court for the District of New Mexico as to its use for the 2014 through 2018 benefit years. |
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Agency: Department of Health and Human Services(HHS) | Priority: Economically Significant |
RIN Status: First time published in the Unified Agenda | Agenda Stage of Rulemaking: Final Rule Stage |
Major: Yes | Unfunded Mandates: No |
EO 13771 Designation: Other | |
CFR Citation: 45 CFR 153 | |
Legal Authority: Pub. L. 111-148, sec. 1343 |
Legal Deadline:
None |
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Timetable:
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Regulatory Flexibility Analysis Required: No | Government Levels Affected: Federal, State |
Federalism: No | |
Included in the Regulatory Plan: No | |
RIN Data Printed in the FR: No | |
Related RINs: Related to 0938-AT65 | |
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 |