{"abstract":"This final rule addresses various requirements applicable to Navigators and non-Navigator assistance personnel in Federally- facilitated Exchanges, including State Partnership Exchanges, and to non-Navigator assistance personnel in State Exchanges that are funded through federal Exchange Establishment grants. It finalizes the requirement that Exchanges must have a certified application counselor program. It creates conflict-of-interest, training and certification, and meaningful access standards; clarifies that any licensing, certification, or other standards prescribed by a state or Exchange must not prevent application of the provisions of title I of the Affordable Care Act; adds entities with relationships to issuers of stop loss insurance to the list of entities that are ineligible to become Navigators; and clarifies that the same ineligibility criteria that apply to Navigators apply to certain non-Navigator assistance personnel. The final rule also directs that each Exchange designate organizations which will then certify their staff members and volunteers to be application counselors that assist consumers and facilitate enrollment in qualified health plans and insurance affordability programs, and provides standards for that designation.","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/2013/07/17/2013-17125.html","cfr_references":[{"chapter":null,"citation_url":null,"part":155,"title":45}],"citation":"78 FR 42824","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective Date: These regulations are effective on August 12, 2013.","disposition_notes":null,"docket_ids":["CMS-9955-F","CMS-2334-F2"],"dockets":[],"document_number":"2013-17125","effective_on":"2013-08-12","end_page":42862,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2013/07/17/2013-17125.xml","html_url":"https://www.federalregister.gov/documents/2013/07/17/2013-17125/patient-protection-and-affordable-care-act-exchange-functions-standards-for-navigators-and","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2013-17125?publication_date=2013-07-17","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2013-07-17/2013-17125/mods.xml","not_received_for_publication":null,"page_length":39,"page_views":{"count":11562,"last_updated":"2026-10-24 06:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2013-07-17/pdf/2013-17125.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2013-17125.pdf?1373661129","publication_date":"2013-07-17","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2013/07/17/2013-17125.txt","regulation_id_number_info":{"0938-AR75":{"issue":"201304","html_url":"https://www.federalregister.gov/regulations/0938-AR75/patient-protection-and-affordable-care-act-exchange-functions-standards-for-navigators-and-non-navig","title":"Patient Protection and Affordable Care Act; Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel (CMS-9955-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201304&RIN=0938-AR75&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"},"0938-AR04":{"issue":"201304","html_url":"https://www.federalregister.gov/regulations/0938-AR04/medicaid-exchanges-and-children-s-health-insurance-programs-eligibility-appeals-and-other-provisions","title":"Medicaid, Exchanges, and Children's Health Insurance Programs: Eligibility, Appeals, and Other Provisions Under the Affordable Care Act (CMS-2334-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201304&RIN=0938-AR04&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AR04","0938-AR75"],"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-2022-0008-0381","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":42824,"subtype":null,"title":"Patient Protection and Affordable Care Act; Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel; Consumer Assistance Tools and Programs of an Exchange and Certified Application Counselors","toc_doc":"Standards for Navigators and Non-Navigator Assistance Personnel, etc.","toc_subject":"Patient Protection and Affordable Care Act; Exchange Functions:","topics":["Administrative practice and procedure","Advertising","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","Technical assistance","Women","Youth"],"type":"Rule","volume":78}