Filed under: Groups (100+ Employees), Groups (2-50 Employees), Groups (51-99 Employees), Individuals and Families. Tagged as: Exchanges, health insurance reform.
The Department of Human Health Services released its rules for states regarding the implementation of health insurance exchanges. According to the HHS, the rules provide “a framework to assist states in building Affordable Insurance Exchanges.” They also “set minimum standards for Exchanges, give states the flexibility they need to design Exchanges that best fit their unique insurance markets, and are consistent with steps states have already taken to move forwards with Exchanges.” Some components of the regulation have been issued as final rule and will become law within 60 days of the regulation’s publication in the Federal Register on March 13th, but many rules are yet to be finalized. “We did not propose regulations on partnership exchanges and have not added any in this final rule,” the rule states. “Rather, further information will be provided in the context of future guidance on the federally facilitated exchange.” Industry groups, consumer advocates and other interested parties have 75 days to comment on the proposal. The final regulations are expected later this year.
What does this mean to you?
According to the National Association of Health Underwriters, the new rules do not include exemptions from the individual mandate, essential benefits, or quality standards. Nor does it include details about how federal exchanges that HHS will be required to set up for states that don’t create their own will work, or how “partnership” exchanges where HHS and the states will split exchange management functions will work. Timothy Hill, deputy director of the Center for Consumer Information and Insurance Oversight (CCIIO) at HHS, says this information will be available to the public “soon,” and will be released after all five of the proposed federal regulations are finalized.