{"abstract":"This proposed rule would implement the Affordable Care Act's policies related to fair health insurance premiums, guaranteed availability, guaranteed renewability, risk pools, and catastrophic plans. The proposed rule would clarify the approach used to enforce the applicable requirements of the Affordable Care Act with respect to health insurance issuers and group health plans that are non-federal governmental plans. This proposed rule would also amend the standards for health insurance issuers and states regarding reporting, utilization, and collection of data under section 2794 of the Public Health Service Act (PHS Act). It also revises the timeline for states to propose state-specific thresholds for review and approval by CMS.","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/2012/11/26/2012-28428.html","cfr_references":[{"chapter":null,"citation_url":null,"part":144,"title":45},{"chapter":null,"citation_url":null,"part":147,"title":45},{"chapter":null,"citation_url":null,"part":150,"title":45},{"chapter":null,"citation_url":null,"part":154,"title":45},{"chapter":null,"citation_url":null,"part":156,"title":45}],"citation":"77 FR 70584","comment_url":null,"comments_close_on":"2012-12-26","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. on December 26, 2012.","disposition_notes":null,"docket_ids":["CMS-9972-P"],"dockets":[],"document_number":"2012-28428","effective_on":null,"end_page":70617,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2012/11/26/2012-28428.xml","html_url":"https://www.federalregister.gov/documents/2012/11/26/2012-28428/patient-protection-and-affordable-care-act-health-insurance-market-rules-rate-review","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2012-28428?publication_date=2012-11-26","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2012-11-26/2012-28428/mods.xml","not_received_for_publication":null,"page_length":34,"page_views":{"count":14650,"last_updated":"2026-06-25 08:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2012-11-26/pdf/2012-28428.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2012-28428.pdf?1353431232","publication_date":"2012-11-26","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2012/11/26/2012-28428.txt","regulation_id_number_info":{"0938-AR40":null},"regulation_id_numbers":["0938-AR40"],"regulations_dot_gov_info":{"supporting_documents":[],"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2012-0141","supporting_documents_count":0,"docket_id":"CMS-2012-0141","regulation_id_number":null,"title":"Patient Protection and Affordable Care Act; Health Insurance Market Rules CMS-9972-P","checked_regulationsdotgov_at":"2012-12-28T05:00:22Z"},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":70584,"subtype":null,"title":"Patient Protection and Affordable Care Act; Health Insurance Market Rules; Rate Review","toc_doc":"Health Insurance Market Rules; Rate Review","toc_subject":"Patient Protection and Affordable Care Act:","topics":["Administrative practice and procedure","Advertising","Advisory committees","Brokers","Claims","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)","Penalties","Public assistance programs","Reporting and recordkeeping requirements","Safety","State and local governments","Sunshine Act","Technical assistance","Women","Youth"],"type":"Proposed Rule","volume":77}