{"abstract":"This final rule sets forth payment parameters and provisions related to the risk adjustment program; cost-sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges and State-based Exchanges on the Federal platform. It also provides additional guidance relating to standardized options; qualified health plans; consumer assistance tools; network adequacy; the Small Business Health Options Programs; stand-alone dental plans; fair health insurance premiums; guaranteed availability and guaranteed renewability; the medical loss ratio program; eligibility and enrollment; appeals; consumer-operated and oriented plans; special enrollment periods; and other related topics.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services 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20:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2016-12-22/pdf/2016-30433.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2016-30433.pdf?1481922925","publication_date":"2016-12-22","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2016/12/22/2016-30433.txt","regulation_id_number_info":{"0938-AS95":{"issue":"201610","html_url":"https://www.federalregister.gov/regulations/0938-AS95/cy-2018-notice-of-benefit-and-payment-parameters-cms-9934-p-","title":"CY 2018 Notice of Benefit and Payment Parameters (CMS-9934-P)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201610&RIN=0938-AS95&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"},"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","0938-AS95"],"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-2022-0008-0498","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":94058,"subtype":null,"title":"Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2018; Amendments to Special Enrollment Periods and the Consumer Operated and Oriented Plan Program","toc_doc":"Benefit and Payment Parameters for 2018; Amendments to Special Enrollment Periods and the Consumer Operated and Oriented Plan Program","toc_subject":"Patient Protection and Affordable Care Act:","topics":["Administrative practice and procedure","Advertising","Brokers","Claims","Consumer protection","Employee benefit plans","Grant programs-health","Grants administration","Health care","Health insurance","Health maintenance organizations (HMO)","Health records","Hospitals","Indians","Individuals with disabilities","Intergovernmental relations","Loan programs-health","Medicaid","Organization and functions (Government agencies)","Penalties","Public assistance programs","Reporting and recordkeeping requirements","State and local governments","Sunshine Act","Technical assistance","Women","Youth"],"type":"Rule","volume":81}