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Patient Protection and Affordable Care Act (PPACA) Resources: Regulations

Request for Information about discrimination in health programs and activites

"This [Request for Information from the Department of Health and Human Services] seeks information on a variety of issues to better understand individuals' experiences with discrimination in health programs or activities and covered entities' experiences in complying with Federal civil rights laws." in anticipation of the requirements of Section 1557 of PPACA.

Final Rule on Navigators

Essential Health Benefits

Health Insurance Market Reforms

The major consumer protection reforms to the health insurance industry that are set to take effect Jan. 1, 2014 (e.g., guaranteed availablity regardless of pre-exiting conditions). 

Medicaid: Eligibility Rules and Essential Benefits

Medical Device Tax

Employer Shared Responsibility

IRS proposed regulations and guidance on the "shared responsibility" provisions of section 4980H of the Internal Revenue Code (added by section 1513 of PPACA, as amended by section 1003 of the Health Care and Education Reconciliation Act) which apply to persons who work more than 30 hours a week for employers with over 50 employees.

Establishment of the Multi-State Plan Program for the Affordable Insurance Exchanges

HHS Notice of Benefit and Payment Parameters for 2014

Center for Consumer Information and Insurance Oversight--Regulations

Follow regulations and guidance relating to the work of this sub-agency within CMS Pre-Existing Condition Insurance Plan (PCIP), Early Retiree Reinsurance Program (ERRP), Affordable Insurance Exchanges, and other insurance and consumer-oriented reforms.

Incentives for Nondiscriminatory Wellness Programs in Group Health Plans

Recognition of Entities for the Accreditation of Qualified Health Plans

Medicaid Section 1115 Demonstration Waivers

This rule implements Section 10201(i) of PPACA, which requires greater transparency and public notice in the Medicaid demonstration waiver process under Section 1115 of the Social Security Act.

Student Health Plan Final Rule

Although the most famous aspect of this rule is the controversy over contraception coverage, it also deals with many other aspects of student health coverage as provided through higher education instiutions.

Medical Loss Ratio--Interim Final Rule

Accountable Care Organizations (ACO) and other shared savings program regulations

ACOs are intended to be groups of providers who coordinate care for Medicare beneficiaries with the goal of cost savings and appropriate provision of services in mind. To learn more about ACOs at the Centers for Medicare and Medicaid (CMS) website, click here.

Department of Labor: Rules on multiple employer welfare arrangements (MEWAs)

These proposed regulations relate to the Employee Benefits Security Administration's enforcement authority over multiple employer welfare arrangements (MEWAs)

Establishment of Consumer Operated and Oriented Plan (CO–OP) Program

Final rule from HHS, establishing "the Consumer Operated and Oriented Plan (CO–OP) program, which provides loans to foster the creation of consumer governed, private, nonprofit health insurance issuers to offer qualified health plans in the Affordable Insurance Exchanges (Exchanges)."

Proposed Regulations: Summary of Benefits and Coverage and the Uniform Glossary

These regulations, proposed by the IRS; the Employee Benefits Security Administration (EBSA), Department of Labor; and Centers for Medicare & Medicaid Services, woud require plain language disclosures to consumers about health insurance coverage.

Dockets for Proposed Regulations on Affordable Insurance Exchange under Comment Period

Reinsurance, Risk Corridors and Risk Adjustment