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2013-04-05
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Patient Protection and Affordable Care Act; Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel
Proposed Rules
D09002ee1bdca665f
D09002ee1bdca66d6
United States
Department of Health and Human Services
originator
org
United States Government Agency or Subagency
The proposed regulations would create conflict-of-interest, training and certification, and meaningful access standards applicable to Navigators and non-Navigator assistance personnel in Federally- facilitated Exchanges, including State Partnership Exchanges, and to non-Navigator assistance personnel in State-based Exchanges that are funded through federal Exchange Establishment grants. These proposed standards would help ensure that Navigators and non-Navigator assistance personnel will be fair and impartial and will be appropriately trained, and that they will provide services and information in a manner that is accessible. The proposed regulations would also make two amendments to the existing regulation for Navigators that would apply to all Navigators in all Affordable Insurance Exchanges (Exchanges), including State- based Exchanges, clarifying that any Navigator licensing, certification, or other standards prescribed by the state or Exchange must not prevent the application of the provisions of title I of the Affordable Care Act; and adding to the list of entities ineligible to become Navigators, those entities with relationships to issuers of stop loss insurance, including those who are compensated directly or indirectly by issuers of stop loss insurance in connection with enrollment in Qualified Health Plans or non-Qualified Health Plans. The proposed regulations would also clarify that the same ineligibility criteria that apply to Navigators would also apply to non-Navigator assistance personnel providing services in any Federally-facilitated Exchanges, including in State Consumer Partnership Exchanges, and to federally funded non-Navigator assistance personnel in State-based Exchanges.
78 FR 20581
https://www.govinfo.gov/app/details/FR-2013-04-05/2013-07951
2013-07951
fr05ap13-27
RIN 0938-AR75
4120-01-P
CMS-9955-P
https://www.govinfo.gov/app/details/FR-2013-04-05/2013-07951
https://www.govinfo.gov/content/pkg/FR-2013-04-05/html/2013-07951.htm
https://www.govinfo.gov/content/pkg/FR-2013-04-05/pdf/2013-07951.pdf
Administrative Practice and Procedure
Advertising
Brokers
Conflict of Interest
Consumer Protection
Grant Programs-Health
Grants Administration
Health Care
Health Insurance
Health Maintenance Organization (Hmo)
Health Records
Hospitals
Indians
Individuals with Disabilities
Loan Programs-Health
Organization and Functions (Government Agencies)
Medicaid
Public Assistance Programs
Reporting and Recordkeeping Requirements
Safety
State and Local Governments
Technical Assistance
Women
Youth
17 p.
20581
20597
78 FR 20581
Code of Federal Regulations
Title 45 Part 155
45 CFR Part 155
Regulation Identification Number 0938-AR75
RIN 0938-AR75
Patient Protection and Affordable Care Act; Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel; Federal Register Vol. 78, Issue
PRORULE
2013-07951
DEPARTMENT OF HEALTH AND HUMAN SERVICES
2013-05-06
CMS-9955-P
4120-01-P
2013-07951
Proposed rule.
The proposed regulations would create conflict-of-interest, training and certification, and meaningful access standards applicable to Navigators and non-Navigator assistance personnel in Federally- facilitated Exchanges, including State Partnership Exchanges, and to non-Navigator assistance personnel in State-based Exchanges that are funded through federal Exchange Establishment grants. These proposed standards would help ensure that Navigators and non-Navigator assistance personnel will be fair and impartial and will be appropriately trained, and that they will provide services and information in a manner that is accessible. The proposed regulations would also make two amendments to the existing regulation for Navigators that would apply to all Navigators in all Affordable Insurance Exchanges (Exchanges), including State- based Exchanges, clarifying that any Navigator licensing, certification, or other standards prescribed by the state or Exchange must not prevent the application of the provisions of title I of the Affordable Care Act; and adding to the list of entities ineligible to become Navigators, those entities with relationships to issuers of stop loss insurance, including those who are compensated directly or indirectly by issuers of stop loss insurance in connection with enrollment in Qualified Health Plans or non-Qualified Health Plans. The proposed regulations would also clarify that the same ineligibility criteria that apply to Navigators would also apply to non-Navigator assistance personnel providing services in any Federally-facilitated Exchanges, including in State Consumer Partnership Exchanges, and to federally funded non-Navigator assistance personnel in State-based Exchanges.
To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on May 6, 2013.
Joan Matlack, (888) 393-2789.
Administrative Practice and Procedure
Advertising
Brokers
Conflict of Interest
Consumer Protection
Grant Programs-Health
Grants Administration
Health Care
Health Insurance
Health Maintenance Organization (Hmo)
Health Records
Hospitals
Indians
Individuals with Disabilities
Loan Programs-Health
Organization and Functions (Government Agencies)
Medicaid
Public Assistance Programs
Reporting and Recordkeeping Requirements
Safety
State and Local Governments
Technical Assistance
Women
Youth
Patient Protection and Affordable Care Act:
Exchange Functions; Standards for Navigators and Non-Navigator Assistance Personnel
,
http://cciio.cms.gov/resources/files/ffe-guidance-05-16-2012.pdf
http://cciio.cms.gov/resources/files/partnership-guidance-01-03-2013.pdf
http://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/2012/general-schedule/gs_h.pdf
http://www.regulations.gov
http://www.sba.gov
Federal Register
Vol. 78, no. 66
Office of the Federal Register, National Archives and Records Administration
2013-04-05
continuing
daily
deposited
born digital
381 p.
Table of Contents:
AE 2.7:
GS 4.107:
AE 2.106:
KF70.A2
https://www.govinfo.gov/app/details/FR-2013-04-05
P0b002ee18403316f
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0042-1219
0364-1406
769-004-00000-9
000582072
f:fr05ap13
https://www.govinfo.gov/app/details/FR-2013-04-05
https://www.govinfo.gov/content/pkg/FR-2013-04-05/pdf/FR-2013-04-05.pdf
https://www.govinfo.gov/content/pkg/FR-2013-04-05/xml/FR-2013-04-05.xml
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2013-04-05
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FR-2013-04-05
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FR-2013-04-05
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