CMS Issues Proposed Rule on State Insurance Marketplace Integrity
June 18—To address the integrity of the health insurance marketplace and premium stabilization programs created by the Affordable Care Act, the Centers for Medicare & Medicaid Services (CMS) has released a proposed rule, which outlines several policies related to implementation of the healthcare legislation.
According to CMS, the overarching goal of the proposed rule is to safeguard federal funds and protect consumers by ensuring that issuers, marketplaces, and other entities comply with federal standards.
Some key policies found in the proposed rule include:
- Oversight of state-operated premium stabilization programs
- Program integrity for advance payments of the premium tax credit and cost-sharing reductions
- Program integrity of state marketplaces
- Oversight of qualified health plan issuers in federally facilitated marketplaces
- Consumer protections for enrollment assistance
The proposed rule will be published in the June 19 Federal Register with comments accepted for 30 days.
Publication Date: Tuesday, June 18, 2013