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DOL/EBSA RIN: 1210-AC25 Publication ID: Fall 2024 
Title: ●Enhancing Coverage of Preventive Services under the Affordable Care Act (CMS-9887-P) 
Abstract:

This rule would amend the regulations implementing the Affordable Care Act’s requirement that non-grandfathered group health plans and health insurance issuers offering non-grandfathered group or individual health insurance coverage cover recommended preventive services without cost sharing. Among other actions, the rule would take steps to expand access to certain recommended preventive items and services that are available over-the-counter; require coverage of certain preventive drugs and drug-led devices in a manner that minimizes barriers to accessing the drug or drug-led device of one’s choice; reduce the likelihood that individuals face unexpected out-of-pocket costs when they receive preventive services; and ensure medical management techniques are reasonable and do not unduly prevent individuals from accessing certain preventive services. Together, these actions would make it easier for covered individuals to access certain preventive services and improve health outcomes.

 
Agency: Department of Labor(DOL)  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: 29 CFR 2590   
Legal Authority: 29 U.S.C. 1185d   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  10/28/2024  89 FR 85750   
NPRM Comment Period End  12/27/2024 
Regulatory Flexibility Analysis Required: YES  Government Levels Affected: Federal, Local, State 
Small Entities Affected: Businesses  Federalism: Yes 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: Yes 
Agency Contact:
Amber Rivers
Director, Office of Health Plan Standards and Compliance Assistance
Department of Labor
Employee Benefits Security Administration
200 Constitution Avenue NW,
Washington, DC 20210
Phone:202 693-8335
Email: rivers.amber@dol.gov