{"abstract":"These proposed rules would amend regulations regarding coverage of certain preventive services under the Patient Protection and Affordable Care Act, which requires non-grandfathered group health plans and non-grandfathered group or individual health insurance coverage to cover certain contraceptive services without cost sharing. Current regulations include exemptions and optional accommodations for entities and individuals with religious or moral objections to coverage of contraceptive services. These rules propose rescinding the moral exemption rule. These proposed rules also would establish a new individual contraceptive arrangement that individuals enrolled in plans or coverage sponsored, arranged, or provided by objecting entities may use to obtain contraceptive services at no cost directly from a provider or facility that furnishes contraceptive services. Contraceptive services would be available through the proposed individual contraceptive arrangement without any involvement on the part of an objecting entity. Under these proposed rules, a provider or facility that furnishes contraceptive services in accordance with the individual contraceptive arrangement for eligible individuals would be able to be reimbursed for its costs by entering into an arrangement with an issuer on a Federally-facilitated Exchange or State Exchange on the Federal platform, which in turn may seek a user fee adjustment.","action":"Notice of proposed rulemaking.","agencies":[{"raw_name":"DEPARTMENT OF THE TREASURY","name":"Treasury Department","id":497,"url":"https://www.federalregister.gov/agencies/treasury-department","json_url":"https://www.federalregister.gov/api/v1/agencies/497","parent_id":null,"slug":"treasury-department"},{"raw_name":"Internal Revenue Service","name":"Internal Revenue Service","id":254,"url":"https://www.federalregister.gov/agencies/internal-revenue-service","json_url":"https://www.federalregister.gov/api/v1/agencies/254","parent_id":497,"slug":"internal-revenue-service"},{"raw_name":"DEPARTMENT OF LABOR","name":"Labor Department","id":271,"url":"https://www.federalregister.gov/agencies/labor-department","json_url":"https://www.federalregister.gov/api/v1/agencies/271","parent_id":null,"slug":"labor-department"},{"raw_name":"Employee Benefits Security Administration","name":"Employee Benefits Security Administration","id":131,"url":"https://www.federalregister.gov/agencies/employee-benefits-security-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/131","parent_id":271,"slug":"employee-benefits-security-administration"},{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services 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(REG-124930-21)"}],"document_number":"2023-01981","effective_on":null,"end_page":7281,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2023/02/02/2023-01981.xml","html_url":"https://www.federalregister.gov/documents/2023/02/02/2023-01981/coverage-of-certain-preventive-services-under-the-affordable-care-act","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2023-01981?publication_date=2023-02-02","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2023-02-02/2023-01981/mods.xml","not_received_for_publication":null,"page_length":46,"page_views":{"count":13891,"last_updated":"2026-04-04 20:15:04 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Certain Preventive Services under the Affordable Care Act","toc_subject":null,"topics":["Administrative practice and procedure","Advertising","Advisory committees","Aged","Alaska","Brokers","Citizenship and naturalization","Civil rights","Conflicts of interests","Consumer protection","Employee benefit plans","Excise taxes","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)","Pensions","Prescription drugs","Public assistance programs","Reporting and recordkeeping requirements","Sex discrimination","State and local governments","Sunshine Act","Technical assistance","Women","Youth"],"type":"Proposed Rule","volume":88}