{"abstract":"This proposed rule would implement provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act) related to the Small Business Health Options Program (SHOP). Specifically, this proposed rule would amend existing regulations regarding triggering events and special enrollment periods for qualified employees and their dependents and would implement a transitional policy regarding employees' choice of qualified health plans (QHPs) in the SHOP.","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/2013/03/11/2013-04952.html","cfr_references":[{"chapter":null,"citation_url":null,"part":155,"title":45},{"chapter":null,"citation_url":null,"part":156,"title":45}],"citation":"78 FR 15553","comment_url":null,"comments_close_on":"2013-04-01","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 April 1, 2013.","disposition_notes":null,"docket_ids":["CMS-9964-P2"],"dockets":[],"document_number":"2013-04952","effective_on":null,"end_page":15558,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2013/03/11/2013-04952.xml","html_url":"https://www.federalregister.gov/documents/2013/03/11/2013-04952/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/2013-04952?publication_date=2013-03-11","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2013-03-11/2013-04952/mods.xml","not_received_for_publication":null,"page_length":6,"page_views":{"count":7264,"last_updated":"2026-07-28 12:15:07 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2013-03-11/pdf/2013-04952.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2013-04952.pdf?1362154637","publication_date":"2013-03-11","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2013/03/11/2013-04952.txt","regulation_id_number_info":{"0938-AR76":null},"regulation_id_numbers":["0938-AR76"],"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-2012-0152","supporting_documents_count":0,"docket_id":"CMS-2012-0152","regulation_id_number":"0938-AR51","title":"Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014 (CMS-9964-P)","checked_regulationsdotgov_at":"2013-04-03T05:01:21Z"},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":15553,"subtype":null,"title":"Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Small Business Health Options Program","toc_doc":"Establishment of Exchanges and Qualified Health Plans; Small Business Health Options Program","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":78}