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HHS/CMS RIN: 0938-AT49 Publication ID: Fall 2020 
Title: Grandfathered Group Health Plans and Grandfathered Group Health Insurance Coverage (CMS–9923) 

The rule finalizes changes to grandfathered group health plans and grandfathered group health insurance coverage under section 1251 of the Patient Protection and Affordable Care Act.

Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
EO 13771 Designation: Deregulatory 
CFR Citation: 45 CFR 147   
Legal Authority: 42 U.S.C. 300gg through 300gg-63    42 U.S.C. 300gg-91 and 300gg-92    Pu. Bl. 111-148, Sec 1251   
Legal Deadline:  None
Action Date FR Cite
RFI Notice with Comment Period  02/25/2019  84 FR 5969   
RFI Comment Period End  03/27/2019 
NPRM  07/15/2020  85 FR 42782   
NPRM Comment Period End  08/14/2020 
Final Action  12/00/2020 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Related RINs: Related to 1210-AB89, Related to 1545-BP67  Related Agencies: Joint: TREAS/IRS, DOL/EBSA; 
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