{"abstract":"This final rule implements 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). The goal of this program is to create a new CO-OP in every State in order to expand the number of health plans available in the Exchanges with a focus on integrated care and greater plan accountability.","action":"Final 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/2011/12/13/2011-31864.html","cfr_references":[{"chapter":null,"citation_url":null,"part":156,"title":45}],"citation":"76 FR 77392","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective February 13, 2012.","disposition_notes":null,"docket_ids":["CMS-9983-F"],"dockets":[],"document_number":"2011-31864","effective_on":"2012-02-13","end_page":77415,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2011/12/13/2011-31864.xml","html_url":"https://www.federalregister.gov/documents/2011/12/13/2011-31864/patient-protection-and-affordable-care-act-establishment-of-consumer-operated-and-oriented-plan","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2011-31864?publication_date=2011-12-13","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2011-12-13/2011-31864/mods.xml","not_received_for_publication":null,"page_length":24,"page_views":{"count":1910,"last_updated":"2026-08-26 10:15:07 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2011-12-13/pdf/2011-31864.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2011-31864.pdf?1323379632","publication_date":"2011-12-13","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2011/12/13/2011-31864.txt","regulation_id_number_info":{"0938-AQ98":{"issue":"201104","html_url":"https://www.federalregister.gov/regulations/0938-AQ98/establishment-of-the-consumer-operated-and-oriented-plan-program-cms-9983-p-","title":"Establishment of the Consumer Operated and Oriented Plan Program (CMS-9983-P)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201104&RIN=0938-AQ98&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0938-AQ98"],"regulations_dot_gov_info":{"supporting_documents":[],"comments_count":0,"agency_id":"HHS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=HHS-OS-2022-0008","supporting_documents_count":0,"docket_id":"HHS-OS-2022-0008","document_id":"HHS-OS-2022-0008-0336","regulation_id_number":null,"title":"HHS 2022 Archive","checked_regulationsdotgov_at":"2022-05-28T03:30:05Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":77392,"subtype":null,"title":"Patient Protection and Affordable Care Act; Establishment of Consumer Operated and Oriented Plan (CO-OP) Program","toc_doc":"Patient Protection and Affordable Care Act; Establishment of Consumer Operated and Oriented Plan Program","toc_subject":null,"topics":["Administrative practice and procedure","Advertising","Advisory committees","Brokers","Consumer protection","Grant programs-health","Health care","Health insurance","Health maintenance organizations (HMO)","Loan programs-health","Medicaid","Organization and functions (Government agencies)","Reporting and recordkeeping requirements","State and local governments","Sunshine Act","Technical assistance"],"type":"Rule","volume":76}