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HHS/CMS RIN: 0938-AV23 Publication ID: Spring 2023 
Title: ●Clarifying Eligibility for a Qualified Health Plan Through an Exchange, Advance Payments of the Premium Tax Credit, Cost-sharing Reductions, A Basic Health Program and Medicaid and CHIP (CMS-9894) 

This proposed rule would make several clarifications and update the definitions currently used to determine whether a consumer is eligible to enroll in a Qualified Health Plan (QHP) through an Exchange; a Basic Health Program (BHP), in states that elect to operate a BHP; and for some state Medicaid and Children’s Health Insurance Programs (CHIP). This rule would  modify the definition of lawfully present” to include Deferred Action for Childhood Arrivals (DACA) recipients, and make additional technical modifications to the definition.

Agency: Department of Health and Human Services(HHS)  Priority: Section 3(f)(1) Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 45 CFR 152    45 CFFR 155    42 CFR 435    42 CFR 457    42 CFR 600   
Legal Authority: Pub. L. 111-148, secs. 1101 and 1331    42 U.S.C. 1302    42 U.S.C. 18021 to 18024    42 U.S.C. 18031 to 18033    42 U.S.C. 18041 and 18042    42 U.S.C. 18051    42 U.S.C. 18054    42 U.S.C. 18071    42 U.S.C. 18081 to 18083   
Legal Deadline:  None
Action Date FR Cite
NPRM  04/26/2023  88 FR 25313   
NPRM Comment Period End  06/23/2023 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal, State 
Federalism: Yes 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Jeff Wu
Deputy Director for Policy
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:301 492-4305