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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. |
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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 |
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Timetable:
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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 |