{"abstract":"This final rule sets forth standards for health insurance issuers 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. Specifically, this final rule outlines Exchange and issuer standards related to coverage of essential health benefits and actuarial value. This rule also finalizes a timeline for qualified health plans to be accredited in Federally-facilitated Exchanges and amends regulations providing an application process for the recognition of additional accrediting entities for purposes of certification of qualified health plans.","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/2013/02/25/2013-04084.html","cfr_references":[{"chapter":null,"citation_url":null,"part":147,"title":45},{"chapter":null,"citation_url":null,"part":155,"title":45},{"chapter":null,"citation_url":null,"part":156,"title":45}],"citation":"78 FR 12834","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective April 26, 2013.","disposition_notes":null,"docket_ids":["CMS-9980-F"],"dockets":[],"document_number":"2013-04084","effective_on":"2013-04-26","end_page":12872,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2013/02/25/2013-04084.xml","html_url":"https://www.federalregister.gov/documents/2013/02/25/2013-04084/patient-protection-and-affordable-care-act-standards-related-to-essential-health-benefits-actuarial","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2013-04084?publication_date=2013-02-25","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2013-02-25/2013-04084/mods.xml","not_received_for_publication":null,"page_length":39,"page_views":{"count":26498,"last_updated":"2026-07-28 10:15:05 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2013-02-25/pdf/2013-04084.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2013-04084.pdf?1361377029","publication_date":"2013-02-25","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2013/02/25/2013-04084.txt","regulation_id_number_info":{"0938-AR03":{"issue":"201110","html_url":"https://www.federalregister.gov/regulations/0938-AR03/establishment-of-exchange-program-part-ii-appeals-of-eligibility-determinations-and-oversight-and-fi","title":"Establishment of Exchange Program Part II; Appeals of Eligibility Determinations and Oversight and Financial Integrity (CMS-9980-P)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201110&RIN=0938-AR03&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0938-AR03"],"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-2022-0008-0363","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":12834,"subtype":null,"title":"Patient Protection and Affordable Care Act; Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation","toc_doc":"Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation","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":"Rule","volume":78}