CMS Issues Final Rule on Implementing Affordable Insurance Exchanges


On March 12, 2012, CMS issued a final rule that provides a framework to assist states in establishing Affordable Health Insurance Exchanges (Exchanges)— a crucial element to the implementation of health reform under the Patient Protection and Affordable Care Act (ACA). The final rule finalizes two previously issued Notices of Proposed Rule Making (NPRM): (i) a NPRM issued on July 15, 2011 addressing proposed state requirements and standards for establishing Exchanges and (ii) a NPRM issued on August 17, 2011 regarding proposed standards for eligibility and enrollment standards in qualified health plans through the Exchange. According to CMS, Exchanges, which will be operational starting in 2014, are “one-stop marketplaces” that will enable consumers and small businesses to select quality, affordable private health insurance plans that fit their health needs. They will perform a variety of functions, including certifying health plans to be offered in the Exchange, operating a website that will allow consumers to compare qualified health plans, operating a toll-free hotline for consumers, determining Exchange eligibility, and facilitating enrollment. ACA contains provisions that, among other things, give states the opportunity to establish, operate, and enforce Exchanges.

Please see full alert below for more information.

LOADING PDF: If there are any problems, click here to download the file.

Written by:

Published In:

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

© King & Spalding | Attorney Advertising

Don't miss a thing! Build a custom news brief:

Read fresh new writing on compliance, cybersecurity, Dodd-Frank, whistleblowers, social media, hiring & firing, patent reform, the NLRB, Obamacare, the SEC…

…or whatever matters the most to you. Follow authors, firms, and topics on JD Supra.

Create your news brief now - it's free and easy »

All the intelligence you need, in one easy email:

Great! Your first step to building an email digest of JD Supra authors and topics. Log in with LinkedIn so we can start sending your digest...

Sign up for your custom alerts now, using LinkedIn ›

* With LinkedIn, you don't need to create a separate login to manage your free JD Supra account, and we can make suggestions based on your needs and interests. We will not post anything on LinkedIn in your name.