New Regs and Deadlines for Affordable Care Act

November 21, 2012

Several new developments have occurred in recent weeks regarding the Patient Protection and Affordable Care Act (PPACA). The Department of Health and Human Services (HHS) on Tuesday released three proposed regulations implementing various aspects of the law; and HHS Secretary Kathleen Sebelius extended the deadline for states to determine how they will implement the exchange requirement from Nov. 16 to Dec. 14.

Proposed Regulations

HHS has released three proposed rules implementing the Patient Protection and Affordable Care Act relating to wellness programs, essential health benefits and actuarial values, accreditation standards and the health insurance market.  In total, they are 331 pages long.  Comments are due within 30 days of their publication in the Federal Register.  NSBA will evaluate these rules and provide detailed comments to HHS.

To read the HHS Fact Sheet on the wellness program proposed regulations, click here.

To read the wellness program proposed regulations, click here.

To read the HHS Fact Sheet on the proposed regulations regarding essential health benefits, actuarial value, and accreditation standards, click here.

To read the proposed regulations regarding essential health benefits, actuarial value, and accreditation standards, click here.

To read the HHS Fact Sheet on the proposed regulations regarding health insurance markets, click here.

To read the proposed regulations regarding health insurance markets, click here.

Exchange Deadline Extended

Health and Human Services Secretary Kathleen Sebelius extended the deadline until December 14 for states to submit letters of intent whether they would establish health insurance exchanges. The original deadline had been November 16. To read her letter, click here.

The approximate status of the health insurance exchange implementation around the country is:

  • 12 states have yet to decide;
  • 15 states have decided to implement state exchanges;
  • 4 states have decided to implement partnership exchanges; and
  • 19 states are not expected to implement an exchange.

A federal exchange will be operated in those states without a state or partnership exchange.