"The 2027 Payment Notice proposed rule contains provisions to improve implementation of the ACA ... as well as 2027 user fee rates for issuers offering qualified health plans (QHPs) through Federally-facilitated Exchanges (FFEs) and State-based Exchanges on the Federal platform (SBE-FPs).... Enhancing program integrity ... Empowering states and enhancing qualified health plan certification flexibilities ... Further refining the HHS-operated risk adjustment program ... Promoting state flexibility to establish and operate exchanges ... Maintaining EBH alignment and increasing state accountability ... Increasing consumer accountability and reducing improper enrollments ... Increasing sustainability of the federal exchange ... Ensuring subsidies for eligible individuals ... Verifying consumer income eligibility for insurance affordability programs ... Strengthening issuer accountability ... Improving access to coverage."  MORE >>