On November 25, 2020, the U.S. Departments of Health & Human Services (HHS) and Treasury released the proposed 2022 “Notice of Benefit & Payment Parameters” (NBPP), the annual rule governing core provisions of the Affordable Care Act (ACA), including the operation of the marketplaces, standards for insurers, and the risk adjustment program. This expert perspective focuses on several provisions that have implications for state oversight of insurance markets and the state-based marketplaces. Comments on the proposed rule are due by December 30, 2020.
Overview of Final Exchange Regulations
Manatt Health Solutions
On March 12, 2012, the Department of Health and Human Service (HHS) issued final and interim final rules governing the Establishment of Exchanges and Qualified Health Plans; and Exchange Standards for Employers under the Patient Protection and Affordable Care Act (ACA). These final rules represent the most significant guidance to date on the operation of Exchanges, setting forth the minimum standards Exchanges must meet, including: those related to eligibility and enrollment into qualified health plans and insurance affordability programs; the minimum requirements for issuers to offer plans through the Exchange; and, the standards for employers to participate in the Small Business Health Options Program (SHOP).
The purpose of this document, authored by Manatt Health Solutions, is to provide an overview of the final rules. Section I provides a high level overview of important highlights, focusing on key areas where HHS has changed or expanded upon previous guidance. Section II provides a more detailed summary of the regulations.