{"abstract":"This proposed rule would implement standards for States related to reinsurance and risk adjustment, and for health insurance issuers related to reinsurance, risk corridors, and risk adjustment consistent with title I of the Patient Protection and Affordable Care Act as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. These programs will mitigate the impact of potential adverse selection and stabilize premiums in the individual and small group markets as insurance reforms and the Affordable Insurance Exchanges (\"Exchanges\") are implemented, starting in 2014. The transitional State-based reinsurance program serves to reduce the uncertainty of insurance risk in the individual market by making payments for high- cost cases. The temporary Federally-administered risk corridor program serves to protect against uncertainty in the Exchange by limiting the extent of issuer losses (and gains). On an ongoing basis, the State- based risk adjustment program is intended to provide adequate payments to health insurance issuers that attract high-risk populations (such as individuals with chronic conditions).","action":"Proposed rule.","agencies":[{"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/2011/07/15/2011-17609.html","cfr_references":[{"chapter":null,"citation_url":null,"part":153,"title":45}],"citation":"76 FR 41930","comment_url":null,"comments_close_on":"2011-09-28","correction_of":null,"corrections":[],"dates":"To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. Eastern Standard Time (E.S.T.) on September 28, 2011.","disposition_notes":null,"docket_ids":["CMS-9975-P"],"dockets":[],"document_number":"2011-17609","effective_on":null,"end_page":41956,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2011/07/15/2011-17609.xml","html_url":"https://www.federalregister.gov/documents/2011/07/15/2011-17609/patient-protection-and-affordable-care-act-standards-related-to-reinsurance-risk-corridors-and-risk","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2011-17609?publication_date=2011-07-15","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2011-07-15/2011-17609/mods.xml","not_received_for_publication":null,"page_length":27,"page_views":{"count":2722,"last_updated":"2026-04-04 18:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2011-07-15/pdf/2011-17609.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2011-07-15","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2011/07/15/2011-17609.txt","regulation_id_number_info":{"0938-AR07":{"issue":"201110","html_url":"https://www.federalregister.gov/regulations/0938-AR07/state-requirements-for-exchange-reinsurance-and-risk-adjustments-cms-9975-f-","title":"State Requirements for Exchange--Reinsurance and Risk Adjustments (CMS-9975-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201110&RIN=0938-AR07&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AR07"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AR07/state-requirements-for-exchange-reinsurance-and-risk-adjustments-cms-9975-f-","title":"State Requirements for Exchange--Reinsurance and Risk Adjustments (CMS-9975-F)"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=HHS-OS-2011-0022","supporting_documents_count":0,"docket_id":"HHS-OS-2011-0022","regulation_id_number":"0938-AR07","title":"State Requirements for Exchange--Reinsurance and Risk Adjustments","checked_regulationsdotgov_at":"2011-08-04T08:10:53Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":41930,"subtype":null,"title":"Patient Protection and Affordable Care Act; Standards Related to Reinsurance, Risk Corridors and Risk Adjustment","toc_doc":"Standards Related to Reinsurance, Risk Corridors and Risk Adjustment","toc_subject":"Patient Protection and Affordable Care Act:","topics":["Administrative practice and procedure","Consumer protection","Health care","Health insurance","Health records","Hospitals","Indians","Individuals with disabilities","Organization and functions (Government agencies)","Reporting and recordkeeping requirements","State and local governments"],"type":"Proposed Rule","volume":76}