{"abstract":"This interim final rule with comment establishes provisions that alter the parameters of select special enrollment periods and that revise certain rules governing consumer operated and oriented plans (CO-OPs).","action":"Interim final rule with comment period.","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/2016/05/11/2016-11017.html","cfr_references":[{"chapter":null,"citation_url":null,"part":155,"title":45},{"chapter":null,"citation_url":null,"part":156,"title":45}],"citation":"81 FR 29146","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective date: These regulations are effective on May 11, 2016, with the exception of the amendments to 45 CFR 155.420, which are effective on July 11, 2016.","disposition_notes":null,"docket_ids":["CMS-9933-IFC"],"dockets":[{"supporting_documents":[],"agency_name":null,"documents":[{"comment_count":24,"comment_start_date":"2016-05-11","updated_at":"2023-03-01T03:41:29.347-05:00","comment_url":"https://www.regulations.gov/commenton/CMS-2016-0070-0003","allow_late_comments":null,"id":"CMS-2016-0070-0003","comment_end_date":"2016-07-06","regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS-2016-0070","title":"Amendments to the Risk Adjustment Program, Special Enrollment Periods, and the Consumer Operated and Oriented Plan Program CMS-9933-IFC"},{"supporting_documents":[],"agency_name":"HHS","documents":[{"comment_count":0,"comment_start_date":"2016-05-11","updated_at":"2023-03-01T03:41:29.821-05:00","comment_url":"https://www.regulations.gov/commenton/HHS-OS-2022-0008-0475","allow_late_comments":null,"id":"HHS-OS-2022-0008-0475","comment_end_date":null,"regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"HHS-OS-2022-0008","title":"HHS 2022 Archive"}],"document_number":"2016-11017","effective_on":"2016-05-11","end_page":29156,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2016/05/11/2016-11017.xml","html_url":"https://www.federalregister.gov/documents/2016/05/11/2016-11017/patient-protection-and-affordable-care-act-amendments-to-special-enrollment-periods-and-the-consumer","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2016-11017?publication_date=2016-05-11","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2016-05-11/2016-11017/mods.xml","not_received_for_publication":null,"page_length":11,"page_views":{"count":2795,"last_updated":"2026-10-23 10:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2016-05-11/pdf/2016-11017.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2016-11017.pdf?1462565720","publication_date":"2016-05-11","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2016/05/11/2016-11017.txt","regulation_id_number_info":{"0938-AS87":{"issue":"201604","html_url":"https://www.federalregister.gov/regulations/0938-AS87/amendments-to-the-consumer-operated-and-oriented-plan-program-regulations-cms-9933-ifc-","title":"Amendments to the Consumer Operated and Oriented Plan Program Regulations (CMS-9933-IFC)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201604&RIN=0938-AS87&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0938-AS87"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AS87/amendments-to-the-consumer-operated-and-oriented-plan-program-regulations-cms-9933-ifc-","title":"Amendments to the Consumer Operated and Oriented Plan Program Regulations (CMS-9933-IFC)"},"comments_count":24,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2016-0070","supporting_documents_count":0,"docket_id":"CMS-2016-0070","document_id":"CMS-2016-0070-0003","regulation_id_number":"0938-AS87","title":"Amendments to the Risk Adjustment Program, Special Enrollment Periods, and the Consumer Operated and Oriented Plan Program CMS-9933-IFC","checked_regulationsdotgov_at":"2023-03-01T08:41:28Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":29146,"subtype":null,"title":"Patient Protection and Affordable Care Act; 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