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Updating Payment Parameters, Section 1332 Waiver Implementing Regulations, And Improving Health Markets For 2022 And Beyond Prop.pdf

2021-13993.pdf
Preview of Updating Payment Parameters, Section 1332 Waiver Implementing Regulations, and Improving Health Markets for 2022 and Beyond Prop
🔗 Source: public-inspection.federalregister.gov
📊 Size: 718 KB
📄 Pages: 198 pages
⬇️ Downloads: 84

Summary

CMS Proposed Rule for 2022 Health Insurance Market Regulations

This Centers for Medicare & Medicaid Services (CMS) proposed rule outlines significant changes to regulations governing health insurance markets under the Patient Protection and Affordable Care Act (ACA) for 2022 and beyond. Key provisions include:

User Fees: Proposes revised 2022 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).

Abortion Services: Repeals requirements for separate billing and collection of payments for QHP premiums related to abortion services.

Open Enrollment: Expands the annual open enrollment period and Navigator duties, and introduces a new monthly special enrollment period for individuals eligible for Advanced Payments of the Premium Tax Credit (APTC) with household incomes up to 150% of the Federal Poverty Level (FPL).

Direct Enrollment: Proposes repealing the recent establishment of a Direct Enrollment option for Exchanges.

Section 1332 Waivers: Modifies regulations and policies related to ACA section 1332 state waivers.

The rule also includes updates to collection of information requirements (ICRs) for various programs, including the Navigator program, segregation of funds for abortion services, and section 1332 waiver processes.

Comment Period: Public comments on the proposed rule are accepted through July 28, 2021. Comments can be submitted electronically, by mail, or by express/overnight mail.

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  • File Size: 718 KB
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