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Text of HHS Proposed Regs on ACA Program Integrity: Exchange, SHOP, Premium Stabilization Programs and Market Standards
U.S. Department of Health and Human Services [HHS]
[Official Guidance] June 14, 2013 "This proposed rule sets forth oversight and financial integrity standards with respect to Exchanges, QHP issuers in Federally-facilitated Exchanges (FFEs), and States with regard to the operation of risk adjustment and reinsurance programs. It also proposes additional standards for special enrollment periods, survey vendors that may conduct enrollee satisfaction surveys on behalf of QHP issuers in Exchanges, issuer participation in an FFE, and States' operation of a SHOP. Finally, it proposes additional standards for agents and brokers, geographic rating areas, and guaranteed availability and renewability.... [M]ost of the proposed standards are based on existing standards currently in effect in the private market, were previously proposed through the Blueprint process, discussed in agency-issued sub-regulatory guidance, or were discussed in the preambles to the Exchange Establishment Rule, Premium Stabilization Rule, and the HHS Notice of Benefit and Payment Parameters for 2014." MORE >> |
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