{"abstract":"This final rule implements Section 1557 of the Affordable Care Act (ACA) (Section 1557). Section 1557 prohibits discrimination on the basis of race, color, national origin, sex, age, or disability in certain health programs and activities. The final rule clarifies and codifies existing nondiscrimination requirements and sets forth new standards to implement Section 1557, particularly with respect to the prohibition of discrimination on the basis of sex in health programs other than those provided by educational institutions and the prohibition of various forms of discrimination in health programs administered by the Department of Health and Human Services (HHS or the Department) and entities established under Title I of the ACA. In addition, the Secretary is authorized to prescribe the Department's governance, conduct, and performance of its business, including, here, how HHS will apply the standards of Section 1557 to HHS-administered health programs and activities.","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"},{"raw_name":"Office of the Secretary"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2016/05/18/2016-11458.html","cfr_references":[{"chapter":null,"citation_url":null,"part":92,"title":45}],"citation":"81 FR 31376","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective Date: This rule is effective July 18, 2016.","disposition_notes":null,"docket_ids":[],"dockets":[],"document_number":"2016-11458","effective_on":"2016-07-18","end_page":31473,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2016/05/18/2016-11458.xml","html_url":"https://www.federalregister.gov/documents/2016/05/18/2016-11458/nondiscrimination-in-health-programs-and-activities","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2016-11458?publication_date=2016-05-18","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2016-05-18/2016-11458/mods.xml","not_received_for_publication":null,"page_length":98,"page_views":{"count":206636,"last_updated":"2026-06-24 14:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2016-05-18/pdf/2016-11458.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2016-11458.pdf?1463153360","publication_date":"2016-05-18","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2016/05/18/2016-11458.txt","regulation_id_number_info":{"0945-AA02":{"issue":"201604","html_url":"https://www.federalregister.gov/regulations/0945-AA02/nondiscrimination-under-the-patient-protection-and-affordable-care-act","title":"Nondiscrimination Under the Patient Protection and Affordable Care Act","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201604&RIN=0945-AA02&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0945-AA02"],"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-2022-0008-0476","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":31376,"subtype":null,"title":"Nondiscrimination in Health Programs and Activities","toc_doc":"Nondiscrimination in Health Programs and Activities","toc_subject":null,"topics":["Administrative practice and procedure","Civil rights","Health care","Health facilities","Health insurance","Individuals with disabilities","Reporting and recordkeeping requirements","Sex discrimination"],"type":"Rule","volume":81}