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Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2022; Updates to State Innovation Waiver (Section 1332 Waiver) Implementing Regulations
by the Treasury Department and the Health and Human Services Department on 01/19/2021.

This final rule sets forth provisions related to user fees for federally-facilitated Exchanges and State-based Exchanges on the Federal Platform. It includes changes related to acceptance of payments by issuers of individual market Qualified Health Plans and clarifies the regulation imposing network adequacy standards with regard to Qualified...
Equal Participation of Faith-Based Organizations in the Federal Agencies' Programs and Activities
by the Education Department, the Homeland Security Department, the Agriculture Department, the Agency for International Development, the Housing and Urban Development Department, the Justice Department, the Labor Department, the Veterans Affairs Department, and the Health and Human Services Department on 12/17/2020.

This rule amends the regulations of the agencies listed above (``the Agencies'') to implement Executive Order 13831 of May 3, 2018 (Establishment of a White House Faith and Opportunity Initiative). This rule provides clarity about the rights and obligations of faith-based organizations participating in the Agencies' Federal financial assistance...
Grandfathered Group Health Plans and Grandfathered Group Health Insurance Coverage
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 12/15/2020.

This document includes final rules regarding grandfathered group health plans and grandfathered group health insurance coverage that amend current rules to provide greater flexibility for certain grandfathered health plans to make changes to certain types of fixed- amount cost-sharing requirements without causing a loss of grandfather status...
Regulatory Clean Up Initiative
by the Food and Drug Administration, the Centers for Medicare & Medicaid Services, and the Children and Families Administration on 11/16/2020.

The U.S Department of Health and Human Services (HHS) is amending its regulations to make miscellaneous corrections, including correcting references to other regulations, misspellings and other typographical errors. This document is necessary to inform the public of these non-substantive changes to HHS's regulations.
Transparency in Coverage
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 11/12/2020.

The final rules set forth requirements for group health plans and health insurance issuers in the individual and group markets to disclose cost-sharing information upon request to a participant, beneficiary, or enrollee (or his or her authorized representative), including an estimate of the individual's cost-sharing liability for covered items...
Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Centers for Medicare & Medicaid Services on 11/06/2020.

This interim final rule with request for comments (IFC) discusses CMS's implementation of section 3713 of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), which established Medicare Part B coverage and payment for Coronavirus Disease 2019 (COVID-19) vaccine and its administration. This IFC implements requirements in the CARES...
Health Reimbursement Arrangements and Other Account-Based Group Health Plans
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 06/20/2019.

This document sets forth final rules to expand opportunities for working men and women and their families to access affordable, quality healthcare through changes to rules under various provisions of the Public Health Service Act (PHS Act), the Employee Retirement Income Security Act (ERISA), and the Internal Revenue Code (Code) regarding health...
Religious Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 11/15/2018.

These rules finalize, with changes based on public comments, interim final rules concerning religious exemptions and accommodations regarding coverage of certain preventive services issued in the Federal Register on October 13, 2017. These rules expand exemptions to protect religious beliefs for certain entities and individuals whose health...
Moral Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 11/15/2018.

These rules finalize, with changes based on public comments, the interim final rules issued in the Federal Register on October 13, 2017 concerning moral exemptions and accommodations regarding coverage of certain preventive services. These rules finalize expanded exemptions to protect moral beliefs for certain entities and individuals whose...
Short-Term, Limited-Duration Insurance
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 08/03/2018.

This final rule amends the definition of short-term, limited- duration insurance for purposes of its exclusion from the definition of individual health insurance coverage. This action is being taken to lengthen the maximum duration of short-term, limited-duration insurance, which will provide more affordable consumer choices for health coverage.
Religious Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 10/13/2017.

The United States has a long history of providing conscience protections in the regulation of health care for entities and individuals with objections based on religious beliefs and moral convictions. These interim final rules expand exemptions to protect religious beliefs for certain entities and individuals whose health plans are subject to a...
Moral Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 10/13/2017.

The United States has a long history of providing conscience protections in the regulation of health care for entities and individuals with objections based on religious beliefs or moral convictions. These interim final rules expand exemptions to protect moral convictions for certain entities and individuals whose health plans are subject to a...
Excepted Benefits; Lifetime and Annual Limits; and Short-Term, Limited-Duration Insurance
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 10/31/2016.

This document contains final regulations regarding the definition of short-term, limited-duration insurance for purposes of the exclusion from the definition of individual health insurance coverage, and standards for travel insurance and supplemental health insurance coverage to be considered excepted benefits. This document also amends a...
Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017; Corrections
by the Health and Human Services Department on 08/11/2016.

This document corrects technical and typographical errors that appeared in the final rule published in the March 8, 2016 Federal Register (81 FR 12204 through 12352) entitled ``Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017.'' The effective date for the rule was May 9, 2016.
Federal Agency Final Regulations Implementing Executive Order 13559: Fundamental Principles and Policymaking Criteria for Partnerships With Faith-Based and Other Neighborhood Organizations
by the Education Department, the Homeland Security Department, the Agriculture Department, the Agency for International Development, the Housing and Urban Development Department, the Justice Department, the Labor Department, the Veterans Affairs Department, and the Health and Human Services Department on 04/04/2016.

The Agencies publishing this final rule amend or establish their regulations to implement Executive Order 13279, as amended by Executive Order 13559. Executive Order 13279 established fundamental principles to guide the policies of Federal agencies regarding the participation of faith-based and other community organizations in programs that the...
Final Rules for Grandfathered Plans, Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, Dependent Coverage, Appeals, and Patient Protections Under the Affordable Care Act
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 11/18/2015.

This document contains final regulations regarding grandfathered health plans, preexisting condition exclusions, lifetime and annual dollar limits on benefits, rescissions, coverage of dependent children to age 26, internal claims and appeal and external review processes, and patient protections under the Affordable Care Act. It finalizes...
Summary of Benefits and Coverage and Uniform Glossary
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 06/16/2015.

This document contains final regulations regarding the summary of benefits and coverage (SBC) and the uniform glossary for group health plans and health insurance coverage in the group and individual markets under the Patient Protection and Affordable Care Act. It finalizes changes to the regulations that implement the disclosure requirements...
Amendments to Excepted Benefits
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 03/18/2015.

This document contains final regulations that amend the regulations regarding excepted benefits under the Employee Retirement Income Security Act of 1974, the Internal Revenue Code, and the Public Health Service Act to specify requirements for limited wraparound coverage to qualify as an excepted benefit. Excepted benefits are generally exempt...
Amendments to Excepted Benefits
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 10/01/2014.

This document contains final regulations that amend the regulations regarding excepted benefits under the Employee Retirement Income Security Act of 1974, the Internal Revenue Code (the Code), and the Public Health Service Act. Excepted benefits are generally exempt from the health reform requirements that were added to those laws by the Health...
Coverage of Certain Preventive Services Under the Affordable Care Act
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 08/27/2014.

This document contains interim final regulations regarding coverage of certain preventive services under section 2713 of the Public Health Service Act (PHS Act), added by the Patient Protection and Affordable Care Act, as amended, and incorporated into the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code. Section...

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