On June 22, the Departments of Health and Human Services, Labor and Treasury jointly issued interim final regulations implementing the “Patient’s Bill of Rights” requirements of the Patient Protection and Affordable Care Act of 2010 (PPACA). The rules regarding lifetime and annual dollar limits, preexisting condition exclusions and coverage rescissions generally apply to all group health plans for plan years starting on or after September 23, 2010, including “grandfathered” plans. The patient protection provisions, however, do NOT apply to grandfathered plans.