United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2017_register executive 2017-04-17 article Part II Rules and Regulations D09002ee1c7f1da20 D09002ee1c7f1db0e United States Department of Health and Human Services originator org United States Government Agency or Subagency This rule finalizes changes that will help stabilize the individual and small group markets and affirm the traditional role of State regulators. This final rule amends standards relating to special enrollment periods, guaranteed availability, and the timing of the annual open enrollment period in the individual market for the 2018 plan year; standards related to network adequacy and essential community providers for qualified health plans; and the rules around actuarial value requirements. 82 FR 18346 https://www.govinfo.gov/app/details/FR-2017-04-18/2017-07712 2017-07712 fr18ap17-13 RIN 0938-AT14 4120-01-P CMS-9929-F https://www.govinfo.gov/app/details/FR-2017-04-18/2017-07712 https://www.govinfo.gov/content/pkg/FR-2017-04-18/html/2017-07712.htm https://www.govinfo.gov/content/pkg/FR-2017-04-18/pdf/2017-07712.pdf Health Care Health Insurance Reporting and Recordkeeping Requirements Administrative Practice and Procedure Advertising Brokers Conflict of Interest Consumer Protection Grant Administration Grant Programs-Health Health Maintenance Organizations (Hmo) Health Records Hospitals Indians Individuals with Disabilities Intergovernmental Relations Loan Programs-Health Medicaid Organization and Functions (Government Agencies) Public Assistance Programs Technical Assistance Women and Youth American Indian/Alaska Natives Cost-Sharing Reductions Grants Administration Health Maintenance Organization (Hmo) State and Local Governments Sunshine Act Women Youth 37 p. 18346 18382 82 FR 18346 Title 45 Part 147 45 CFR Part 147 Title 45 Part 155 45 CFR Part 155 Title 45 Part 156 45 CFR Part 156 RIN 0938-AT14 Patient Protection and Affordable Care Act; Market Stabilization; Federal Register Vol. 82, Issue RULE 2017-07712 II DEPARTMENT OF HEALTH AND HUMAN SERVICES 2017-06-19 CMS-9929-F 4120-01-P 2017-07712 Final rule.

This rule finalizes changes that will help stabilize the individual and small group markets and affirm the traditional role of State regulators. This final rule amends standards relating to special enrollment periods, guaranteed availability, and the timing of the annual open enrollment period in the individual market for the 2018 plan year; standards related to network adequacy and essential community providers for qualified health plans; and the rules around actuarial value requirements.

These regulations are effective on June 19, 2017. Jeff Wu, (301) 492-4305, Lindsey Murtagh, (301) 492-4106, or Michelle Koltov, (301) 492-4225, for general information. Health Care Health Insurance Reporting and Recordkeeping Requirements Administrative Practice and Procedure Advertising Brokers Conflict of Interest Consumer Protection Grant Administration Grant Programs-Health Health Maintenance Organizations (Hmo) Health Records Hospitals Indians Individuals with Disabilities Intergovernmental Relations Loan Programs-Health Medicaid Organization and Functions (Government Agencies) Public Assistance Programs Technical Assistance Women and Youth American Indian/Alaska Natives Cost-Sharing Reductions Grants Administration Health Maintenance Organization (Hmo) State and Local Governments Sunshine Act Women Youth Patient Protection and Affordable Care Act; Market Stabilization , HealthCare.gov http://healthcare.mckinsey.com/2016-oep-consumer-survey-findings http://wayback.archive-it.org/2744/20170118130449/https://blog.cms.gov/2016/01/19/clarifying-eliminating-and-enforcing-special-enrollment-periods/ http://www.naic.org/store/free/MDL-74.pdf http://www.urban.org/sites/default/files/publication/41616/2000104-Enrollment-Periods-in-2015-and-Beyond.pdf https://www.cms.gov/CCIIO/Programs-and-Initiatives/Health-Insurance-Marketplaces/Downloads/FINAL-CMS-ECP-LIST-PY-2018_12-16-16.xlsx https://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/Downloads/Pre-Enrollment-SEP-fact-sheet-FINAL.PDF https://www.cms.gov/CCIIO/Resources/Files/Downloads/Av-csr-bulletin.pdf https://www.cms.gov/CCIIO/Resources/Files/guidance_to_states_on_exchanges.html https://www.cms.gov/cciio/resources/regulations-and-guidance/#Plan https://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/2014_letter_to_issuers_04052013.pdf https://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/2015-final-issuer-letter-3-14-2014.pdf https://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/ENR_FFMSHOP_Manual_080916.pdf https://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/FAQ-Regarding-Verification-of-SEPs.pdf https://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/Revised-Key-Dates-for-Calendar-Year-2017-2-17-17.pdf https://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/index.html# https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-02-24.html https://www.hrsa.gov/opa/eligibilityandregistration/index.html https://www.sba.gov/contracting/getting-started-contractor/make-sure-you-meet-sba-size-standards/table-small-business-size-standards Vol. 82, no. 73 Office of the Federal Register, National Archives and Records Administration 2017-04-18 continuing daily deposited born digital 177 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2017-04-18 P0b002ee1949a6d4a 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr18ap17 https://www.govinfo.gov/app/details/FR-2017-04-18 https://www.govinfo.gov/content/pkg/FR-2017-04-18/pdf/FR-2017-04-18.pdf https://www.govinfo.gov/content/pkg/FR-2017-04-18/xml/FR-2017-04-18.xml fdlp 18215 18382 DGPO 2017-04-17 2024-06-01 FR-2017-04-18 machine generated eng FR FR-2017-04-18 82 73