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HHS/CMS | RIN: 0938-AV41 | Publication ID: Fall 2024 |
Title: HHS Notice of Benefit and Payment Parameters for 2026 (CMS-9888) | |
Abstract:
This annual final rule sets forth payment parameters and provisions related to the risk adjustment programs; cost-sharing parameters; and user fees for issuers offering plans on Federally-facilitated Exchanges and State-based Exchanges using the Federal platform. It also provides additional standards for several other Affordable Care Act programs. Intention of Future Rulemaking: HHS and the Departments of Labor and Treasury intend to issue a future notice of proposed rulemaking to respond to the issues arising out of HIV and Hepatitis Policy Institute et al. v. U.S. Department of Health and Human Services et al., Civil Action No. 22-2604, which found the underlying statutory definition of cost sharing ambiguous and remanded to HHS to resolve the ambiguity and address the applicability of the annual limit on cost sharing to drug manufacturer support. |
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Agency: Department of Health and Human Services(HHS) | Priority: Section 3(f)(1) Significant |
RIN Status: Previously published in the Unified Agenda | Agenda Stage of Rulemaking: Final Rule Stage |
Major: Yes | Unfunded Mandates: No |
CFR Citation: Not Yet Determined (To search for a specific CFR, visit the Code of Federal Regulations.) | |
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, State |
Small Entities Affected: Businesses | Federalism: No |
Included in the Regulatory Plan: No | |
RIN Data Printed in the FR: Yes | |
Agency Contact: Rogelyn McLean Senior Advisor Department of Health and Human Services Centers for Medicare & Medicaid Services Center for Consumer Information and Insurance Oversight, MS: W-08-159, 7500 Security Boulevard, Baltimore, MD 21244 Phone:202 380-8211 Email: rogelyn.mclean@cms.hhs.gov |