NYS Comments: On Health Insurance Market Rules; Rate Review Proposed Rule

Dec 21, 2012

On November 26, 2012, the U.S. Department of Health and Human Services issued a proposed rule on health insurance market rules and rate review. This proposed rule would implement the Affordable Care Act’s (ACA) policies related to fair health insurance premiums, guaranteed availability, guaranteed renewability, risk pools, and catastrophic plans. The proposed rule would clarify the approach used to enforce the applicable requirements of the ACA with respect to health insurance issuers and group health plans that are non-federal governmental plans. This proposed rule would also amend the standards for health insurance issuers and states regarding reporting, utilization, and collection of data. It also revises the timeline for states to propose state-specific thresholds for review and approval by CMS. Comments were due by December 26, 2012.

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