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2020-02-06
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Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2021; Notice Requirement for Non-Federal Governmental Plans
Part III
Proposed Rules
D09002ee1c11276f7
D09002ee1c1127b00
United States
Department of Health and Human Services
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org
United States Government Agency or Subagency
This proposed rule sets forth payment parameters and provisions related to the risk adjustment and risk adjustment data validation programs; cost-sharing parameters and cost-sharing reductions; and user fees for federally-facilitated Exchanges and State-based Exchanges on the Federal platform. It also proposes changes related to essential health benefits and would provide states with additional flexibility in the operation and establishment of Exchanges. It includes proposed changes related to cost-sharing for prescription drugs; excepted benefit health reimbursement arrangements offered by non-Federal governmental plan sponsors; the medical loss ratio program; Exchange eligibility and enrollment; exemptions from the requirement to maintain coverage; quality rating information display standards for Exchanges; and other related topics. It also proposes to repeal regulations relating to the Early Retiree Reinsurance Program.
85 FR 7088
https://www.govinfo.gov/app/details/FR-2020-02-06/2020-02021
2020-02021
fr06fe20-28
RIN 0938-AT98
4120-01-P
CMS-9916-P
https://www.govinfo.gov/app/details/FR-2020-02-06/2020-02021
https://www.govinfo.gov/content/pkg/FR-2020-02-06/html/2020-02021.htm
https://www.govinfo.gov/content/pkg/FR-2020-02-06/pdf/2020-02021.pdf
Health Care
Health Insurance
Reporting and Recordkeeping Requirements
Administrative Practice and Procedure
Advertising
Brokers
Conflict of Interests
Consumer Protection
Grants 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
Advisory Committees
Health Maintenance Organization (Hmo)
State and Local Governments
Sunshine Act
Women
Youth
Claims
Penalties
72 p.
7088
7159
85 FR 7088
Code of Federal Regulations
Title 45 Part 146
45 CFR Part 146
Code of Federal Regulations
Title 45 Part 149
45 CFR Part 149
Code of Federal Regulations
Title 45 Part 155
45 CFR Part 155
Code of Federal Regulations
Title 45 Part 156
45 CFR Part 156
Code of Federal Regulations
Title 45 Part 158
45 CFR Part 158
Regulation Identification Number 0938-AT98
RIN 0938-AT98
Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2021; Notice Requirement for Non-Federal Governmental Plans; Federal Register Vol. 85, Issue
PRORULE
2020-02021
III
DEPARTMENT OF HEALTH AND HUMAN SERVICES
2020-03-02
CMS-9916-P
4120-01-P
2020-02021
Proposed rule.
This proposed rule sets forth payment parameters and provisions related to the risk adjustment and risk adjustment data validation programs; cost-sharing parameters and cost-sharing reductions; and user fees for federally-facilitated Exchanges and State-based Exchanges on the Federal platform. It also proposes changes related to essential health benefits and would provide states with additional flexibility in the operation and establishment of Exchanges. It includes proposed changes related to cost-sharing for prescription drugs; excepted benefit health reimbursement arrangements offered by non-Federal governmental plan sponsors; the medical loss ratio program; Exchange eligibility and enrollment; exemptions from the requirement to maintain coverage; quality rating information display standards for Exchanges; and other related topics. It also proposes to repeal regulations relating to the Early Retiree Reinsurance Program.
To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on March 2, 2020.
Usree Bandyopadhyay, (410) 786-6650, Kiahana Brooks, (301) 492-5229, or Evonne Muoneke (301) 492-4402, for general information.
Health Care
Health Insurance
Reporting and Recordkeeping Requirements
Administrative Practice and Procedure
Advertising
Brokers
Conflict of Interests
Consumer Protection
Grants 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
Advisory Committees
Health Maintenance Organization (Hmo)
State and Local Governments
Sunshine Act
Women
Youth
Claims
Penalties
Benefit and Payment Parameters; Notice Requirement for Non-Federal Governmental Plans,
HealthCare.gov
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www.cms.hhs.gov/PaperworkReductionActof1995
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2020-02-06
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Table of Contents:
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https://www.govinfo.gov/app/details/FR-2020-02-06
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https://www.govinfo.gov/content/pkg/FR-2020-02-06/xml/FR-2020-02-06.xml
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