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HHS/CMS RIN: 0938-AV59 Publication ID: Fall 2024 
Title: ●Cost Sharing Under the Affordable Care Act (CMS-9885) 
Abstract:

The proposed rule would amend regulations implementing the Affordable Care Act’s provisions related to preventive services and cost sharing protections. Among other actions, this proposed rule would amend the regulations implementing the Affordable Care Act’s requirement to cover recommended preventive services without cost sharing, and address the applicability of drug manufacturer support to the annual limitation on cost sharing for group and individual coverage. It would also address how these provisions would apply to a plan or coverage without an established network.

 
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: Undetermined 
CFR Citation: 45 CFR 147   
Legal Authority: Pub. L. 111-148, Sections 2713 & 2707 (PHS Act) & 1302 (ACA)   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  11/00/2025 
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Undetermined 
Federalism: Undetermined 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Related Agencies: Joint: DOL/EBSA, TREAS/IRS; 
Agency Contact:
Lindsey Murtagh
Director, Division of Regulations and Policy
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