The Washington Report
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April 26, 2023
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While we do our best to provide timely updates, it is possible that the information shared in the newsletter may change after our publication deadline.
Health
HHS Issues Proposed Regulations to Expand Health Care for DACA Recipients
On April 24, 2023, the Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), released proposed regulations that, if finalized, would expand access to health care by reducing barriers for Deferred Action for Childhood Arrivals (DACA) recipients. The change would apply to the Health Insurance Marketplaces, the Basic Health Program, and some Medicaid and Children’s Health Insurance Programs. The proposed rule would remove the current exclusion that treats DACA recipients differently from other individuals with deferred action who would otherwise be eligible for coverage under select CMS programs. The proposed effective date for these regulations is November 1, 2023.
The HHS news release is available here.
The proposed regulations are available here.
HHS Releases Final Regulations on 2024 ACA Notice of Benefit and Payment Parameters
On April 17, 2023, HHS released final regulations that include payment parameters and provisions related to the HHS-operated risk adjustment and risk adjustment data validation programs, as well as 2024 user fee rates for issuers offering qualified health plans (QHPs) through federally facilitated Exchanges (FFEs) and state-based Exchanges on the federal platform (SBE-FPs), as required by the Affordable Care Act (ACA). The final regulations also have requirements related to updating standardized plan options and reducing plan choice overload; the automatic re-enrollment hierarchy; plan and plan variation marketing name requirements for QHPs; essential community providers and network adequacy; failure to file and reconcile; special enrollment periods; the annual household income verification; the deadline for QHP issuers to report enrollment and payment inaccuracies; requirements related to CMS-9899-F 2 the state Exchange improper payment measurement program; and requirements for agents, brokers, and web-brokers assisting FFE and SBE-FP consumers. These regulations will become effective on June 26, 2023, 60 days after publication in the Federal Register.
The news release is available here.
The Fact Sheet is available here.
The final regulations are available here.
Notice: This HHS-approved document has been submitted to the Office of the Federal Register for publication. It is scheduled to be published on April 27, 2023. The document published in the Federal Register is the final official document.