{"abstract":"This final rule implements certain functions of the Affordable Insurance Exchanges (\"Exchanges\"). These specific statutory functions include determining eligibility for and granting certificates of exemption from the individual shared responsibility payment described in section 5000A of the Internal Revenue Code. Additionally, this final rule implements the responsibilities of the Secretary of Health and Human Services, in coordination with the Secretary of the Treasury, to designate other health benefits coverage as minimum essential coverage by providing that certain coverage be designated as minimum essential coverage. It also outlines substantive and procedural requirements that other types of individual coverage must fulfill in order to be certified as minimum essential coverage.","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/2013/07/01/2013-15530.html","cfr_references":[{"chapter":null,"citation_url":null,"part":155,"title":45},{"chapter":null,"citation_url":null,"part":156,"title":45}],"citation":"78 FR 39494","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective Date: These regulations are effective on August 26, 2013.","disposition_notes":null,"docket_ids":["CMS-9958-F"],"dockets":[],"document_number":"2013-15530","effective_on":"2013-08-26","end_page":39529,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2013/07/01/2013-15530.xml","html_url":"https://www.federalregister.gov/documents/2013/07/01/2013-15530/patient-protection-and-affordable-care-act-exchange-functions-eligibility-for-exemptions","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2013-15530?publication_date=2013-07-01","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2013-07-01/2013-15530/mods.xml","not_received_for_publication":null,"page_length":36,"page_views":{"count":29601,"last_updated":"2026-08-26 18:15:08 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2013-07-01/pdf/2013-15530.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2013-15530.pdf?1372259845","publication_date":"2013-07-01","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2013/07/01/2013-15530.txt","regulation_id_number_info":{"0938-AR68":{"issue":"201304","html_url":"https://www.federalregister.gov/regulations/0938-AR68/exchange-functions-eligibility-for-exemptions-miscellaneous-minimum-essential-coverage-provisions-cm","title":"Exchange Functions: Eligibility for Exemptions; Miscellaneous Minimum Essential Coverage Provisions (CMS-9958-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201304&RIN=0938-AR68&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AR68"],"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-2022-0008-0375","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":39494,"subtype":null,"title":"Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions; Miscellaneous Minimum Essential Coverage Provisions","toc_doc":"Miscellaneous Minimum Essential Coverage Provisions","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}