{"abstract":"This document contains interim final regulations implementing the rules for group health plans and health insurance coverage in the group and individual markets under provisions of the Patient Protection and Affordable Care Act regarding preexisting condition exclusions, lifetime and annual dollar limits on benefits, rescissions, and patient protections.","action":"Interim final rules with request for comments.","agencies":[{"raw_name":"DEPARTMENT OF THE TREASURY","name":"Treasury Department","id":497,"url":"https://www.federalregister.gov/agencies/treasury-department","json_url":"https://www.federalregister.gov/api/v1/agencies/497","parent_id":null,"slug":"treasury-department"},{"raw_name":"Internal Revenue Service","name":"Internal Revenue Service","id":254,"url":"https://www.federalregister.gov/agencies/internal-revenue-service","json_url":"https://www.federalregister.gov/api/v1/agencies/254","parent_id":497,"slug":"internal-revenue-service"},{"raw_name":"DEPARTMENT OF LABOR","name":"Labor Department","id":271,"url":"https://www.federalregister.gov/agencies/labor-department","json_url":"https://www.federalregister.gov/api/v1/agencies/271","parent_id":null,"slug":"labor-department"},{"raw_name":"Employee Benefits Security Administration","name":"Employee Benefits Security Administration","id":131,"url":"https://www.federalregister.gov/agencies/employee-benefits-security-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/131","parent_id":271,"slug":"employee-benefits-security-administration"},{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2010/06/28/2010-15278.html","cfr_references":[{"chapter":null,"citation_url":null,"part":54,"title":26},{"chapter":null,"citation_url":null,"part":602,"title":26},{"chapter":null,"citation_url":null,"part":2590,"title":29},{"chapter":null,"citation_url":null,"part":144,"title":45},{"chapter":null,"citation_url":null,"part":146,"title":45},{"chapter":null,"citation_url":null,"part":147,"title":45}],"citation":"75 FR 37188","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective Date. These interim final regulations are effective on August 27, 2010.","disposition_notes":null,"docket_ids":["TD 9491","OCIIO-9994-IFC"],"dockets":[],"document_number":"2010-15278","effective_on":"2010-08-27","end_page":37241,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2010/06/28/2010-15278.xml","html_url":"https://www.federalregister.gov/documents/2010/06/28/2010-15278/patient-protection-and-affordable-care-act-preexisting-condition-exclusions-lifetime-and-annual","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2010-15278?publication_date=2010-06-28","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2010-06-28/2010-15278/mods.xml","not_received_for_publication":null,"page_length":54,"page_views":{"count":53984,"last_updated":"2026-04-23 10:15:05 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2010-06-28/pdf/2010-15278.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2010-06-28","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2010/06/28/2010-15278.txt","regulation_id_number_info":{"0991-AB69":{"issue":"201010","html_url":"https://www.federalregister.gov/regulations/0991-AB69/requirements-for-group-health-plans-and-health-insurance-issuers-relating-to-preexisting-condition-e","title":"Requirements for Group Health Plans and Health Insurance Issuers Relating to Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions and Patient Protections  \n","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201010&RIN=0991-AB69&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"},"1210-AB43":{"issue":"201104","html_url":"https://www.federalregister.gov/regulations/1210-AB43/preexisting-condition-exclusions-lifetime-and-annual-limits-rescissions-and-patient-protections-unde","title":"Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions and Patient Protections Under the Affordable Care Act","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201104&RIN=1210-AB43&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"},"1545-BJ61":{"issue":"201010","html_url":"https://www.federalregister.gov/regulations/1545-BJ61/prohibition-of-preexisting-condition-exclusions-or-other-discrimination-based-on-health-status-under","title":"Prohibition of Preexisting Condition Exclusions or Other Discrimination Based on Health Status Under the Patient Protection and Affordable Care Act ","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201010&RIN=1545-BJ61&operation=OPERATION_EXPORT_XML","priority_category":"Substantive, Nonsignificant"}},"regulation_id_numbers":["0991-AB69","1210-AB43","1545-BJ61"],"regulations_dot_gov_info":{"checked_regulationsdotgov_at":"2010-07-15T16:12:56Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":37188,"subtype":null,"title":"Patient Protection and Affordable Care Act: Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, and Patient Protections","toc_doc":"Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, and Patient Protections","toc_subject":"Patient Protection and Affordable Care Act:","topics":["Employee benefit plans","Excise taxes","Health care","Health insurance","Pensions","Reporting and recordkeeping requirements"],"type":"Rule","volume":75}