California Healthline: CMS Issues Proposed Rule Outlining Insurance Exchange Guidelines

On Friday, CMS issued a proposed rule that outlined a series of guidelines for the health insurance exchanges under the Affordable Care Act that would clarify oversight of premium assistance programs and provide other technical details, Modern Healthcare reports (Daly, Modern Healthcare, 6/14).


CMS in a press release and fact sheet said the proposal provides “program integrity” guidelines for the online marketplaces and “premium stabilization” programs under the ACA, which were designed to protect insurers from unusually large losses in the competitive environment of the exchanges (Reichard, CQ HealthBeat, 6/14).

Proposed Rule Details

Under the proposed rule:

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