{"abstract":"This proposed rule would implement the new Affordable Insurance Exchanges (\"Exchanges\"), consistent with title I of the Patient Protection and Affordable Care Act of 2010 (Pub. L. 111-148) as amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. 111-152), referred to collectively as the Affordable Care Act. The Exchanges will provide competitive marketplaces for individuals and small employers to directly compare available private health insurance options on the basis of price, quality, and other factors. The Exchanges, which will become operational by January 1, 2014, will help enhance competition in the health insurance market, improve choice of affordable health insurance, and give small businesses the same purchasing clout as large businesses. A detailed Preliminary Regulatory Impact Analysis associated with this proposed rule is available at http://cciio.cms.gov under \"Regulations and Guidance.\" A summary of the aforementioned analysis is included as part of this proposed rule.","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/2011/07/15/2011-17610.html","cfr_references":[{"chapter":null,"citation_url":null,"part":155,"title":45},{"chapter":null,"citation_url":null,"part":156,"title":45}],"citation":"76 FR 41866","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 (EST) on September 28, 2011.","disposition_notes":null,"docket_ids":["CMS-9989-P"],"dockets":[],"document_number":"2011-17610","effective_on":null,"end_page":41927,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2011/07/15/2011-17610.xml","html_url":"https://www.federalregister.gov/documents/2011/07/15/2011-17610/patient-protection-and-affordable-care-act-establishment-of-exchanges-and-qualified-health-plans","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2011-17610?publication_date=2011-07-15","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2011-07-15/2011-17610/mods.xml","not_received_for_publication":null,"page_length":62,"page_views":{"count":17173,"last_updated":"2026-09-20 22:15:05 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2011-07-15/pdf/2011-17610.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/2011/07/15/2011-17610.txt","regulation_id_number_info":{"0938-AQ67":{"issue":"201110","html_url":"https://www.federalregister.gov/regulations/0938-AQ67/establishment-of-exchanges-and-qualified-health-plans-part-i-cms-9989-f-","title":"Establishment of Exchanges and Qualified Health Plans Part I (CMS-9989-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201110&RIN=0938-AQ67&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AQ67"],"regulations_dot_gov_info":{"supporting_documents":[],"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=HHS-OS-2011-0020","supporting_documents_count":0,"docket_id":"HHS-OS-2011-0020","regulation_id_number":null,"title":"Establishment of Exchanges and Qualified Health Plans","checked_regulationsdotgov_at":"2011-08-04T08:10:53Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":41866,"subtype":null,"title":"Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans","toc_doc":"Establishment of Exchanges and Qualified Health Plans","toc_subject":"Patient Protection and Affordable Care Act:","topics":["Administrative practice and procedure","Advertising","Advisory committees","Brokers","Consumer protection","Grant programs-health","Health care","Health insurance","Health maintenance organizations (HMO)","Health records","Hospitals","Indians","Individuals with disabilities","Loan programs-health","Medicaid","Organization and functions (Government agencies)","Public assistance programs","Reporting and recordkeeping requirements","Safety","State and local governments","Sunshine Act","Technical assistance","Women","Youth"],"type":"Proposed Rule","volume":76}