Source: https://www.federalregister.gov/documents/2013/11/06/2013-26579/patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2014
Timestamp: 2019-07-16 22:25:39
Document Index: 306768871

Matched Legal Cases: ['§\u2009158', '§\u2009153', '§\u2009158', 'arts 153', '§\u2009153', '§\u2009153', '§\u2009153', '§\u2009153', '§\u2009153', '§\u2009158']

Federal Register :: Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014; Correcting Amendment
A Rule by the Health and Human Services Department on 11/06/2013
78 FR 66653
66653-66655 (3 pages)
CMS-2012-0152
0938-AR51
Read the 503 public comments on this document
https://www.federalregister.gov/d/2013-26579 https://www.federalregister.gov/d/2013-26579
In the March 11, 2013 issue of the Federal Register, we published a Start Printed Page 66654final rule entitled, “Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014”. This correcting amendment corrects several technical and typographical errors identified in the March 11, 2013 final rule.
In FR Doc. 2013-04902 (78 FR 15410), the final rule entitled, “Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014” there were technical and typographical errors that are identified and corrected in the regulations text of this correcting amendment. The effective date of the final rule was April 30, 2013.
On page 15421, in our discussion of factors included in the HHS risk adjustment models, we inadvertently omitted language regarding how an enrollee's age for risk score calculation will be determined.
On page 15493, in our discussion of limiting the definition of cost sharing to Essential Health Benefits, we inadvertently included the incorrect section reference to the Affordable Care Act.
On page 15495, in our discussion of estimating the value of cost-sharing reductions to be provided under the limited cost sharing plan variation open to Indians regardless of household income, we made typographical errors.
On pages 15503 and 15504 in our discussion regarding determining employer size for purposes of participation in the Small Business Health Option Program, we made inadvertent minor errors. On page 15505, in our discussion of the medical loss ratio formula, a phrase was erroneously included.
On page 15506, in our discussion of the technical correction to § 158.232(d), we made an inadvertent technical error.
On page 15526, in the regulation text of—
Section153.220(c)(2), we inadvertently used the term “if” instead of the term “of;” and
Section 153.230(a), we inadvertently omitted the term “collected” after the phrase “for reinsurance payments from contributions.”
On page 15529, in the regulations text of § 153.405(b), we inadvertently omitted references to paragraphs (f) and (g) of this section.
On page 15540, in the regulation text of § 158.232(d), we inadvertently used the term “and” instead of the term “an.”
1. On page 15421, first column, second full paragraph, lines 4 through 10, the sentence “To align with model calibration, an enrollee's age for risk score calculation will be the age as of the enrollee's last day of enrollment in a risk adjustment covered plan in the applicable benefit year will be used for enrollees in program operation.” is corrected to read “To align with model calibration, an enrollee's age for risk score calculation for all enrollment periods will be based on the enrollee's age in years on the last date of enrollment in the applicable benefit year in any risk adjustment covered plan for the issuer”.
2. On page 15493, third column, fourth full paragraph, line 2, “section 1301(c)” is corrected to read “section 1302(c)(3).”
3. On page 15495, third column, first full paragraph, lines 1 through 15, the sentences “We are finalizing both our proposal for annual rulemaking in the notice of benefits and payment provisions to establish a methodology for advance payments for cost-sharing reductions under the limited cost sharing plan variation, and our proposal of a specific methodology for the 2014 benefit year. As in the case of the other plan variation, we plan to review the methodology for calculating the advance payments once more data is available, and future notices of benefits and payment parameters may include different methodologies.” is corrected to read “We are finalizing both our proposal for annual rulemaking in the HHS notice of benefit and payment parameters provisions to establish a methodology for advance payments for cost-sharing reductions under the limited cost sharing plan variation, and our proposal of a specific methodology for the 2014 benefit year. As in the case of the other plan variations, we plan to review the methodology for calculating the advance payments once more data is available, and future HHS notices of benefit and payment parameters may include different methodologies.”
a. Second full paragraph, line 10 “IRC” is corrected to read “Code.”
(1) Line 6, “IRC” is corrected to read “Code.”
(2) Line 8, “IRC” is corrected to read “Code.”.
a. First full paragraph, line 3, “this Notice” is corrected to read “this final rule”.
b. Second full paragraph, line 3, “IRC” is corrected to read “Code”.
6. On page 15505, second column, last paragraph, lines 1 through 4, the sentence “Issuers must provide rebates to enrollees if their MLRs fall short of the applicable MLR standard for the reporting year.” is corrected to read “Issuers must provide rebates if their MLRs fall short of the applicable MLR standard for the reporting year.”.
7. On page 15506, third column, last paragraph, line 9, the phrase “50 percent—n” is corrected to read “50 percent ^ n”.
8. On page 15540, second column, second paragraph, line 3, the sentence “Beginning with the 2013 MLR reporting year, the credibility adjustment for and MLR based on partially credible experience is zero if both of the following conditions are met:” is corrected to read “Beginning with the 2013 MLR reporting year, the credibility adjustment for an MLR based on partially credible experience is zero if both of the following conditions are met:”
This document merely corrects technical and typographic errors in the Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014 final rule that was Start Printed Page 66655published on March 11, 2013 and became effective on April 30, 2013. The changes are not substantive changes to the standards set forth in the final rule. Therefore, we believe that undertaking further notice and comment procedures to incorporate these corrections and delay the effective date for these changes is unnecessary. In addition, we believe it is important for the public to have the correct information as soon as possible, and believe it is contrary to the public interest to delay when they become effective. For the reasons stated previously, we find there is good cause to waive notice and comment procedures and the 30-day delay in the effective date for this correction notice.
As noted in section I of this correcting amendment, the Department of Health and Human Services is making the following correcting amendments to 45 CFR parts 153 and 158.
2. In § 153.220(c)(2), the phrase “if this section” is removed and the phrase “of this section” is added in its place.
§ 153.230
3. In § 153.230(a), the phrase “for reinsurance payments from contributions” is removed and the phrase “for reinsurance payments from contributions collected” is added in its place.
§ 153.405
4. In § 153.405(b), the phrase “(d) or (e) of this section” is removed and the phrase “(d) through (g) of this section” is added in its place.
Authority: Section 2718 of the Public Health Service Act (42 U.S.C. 300gg-18, as amended).
6. In § 158.232(d) introductory text, the phrase “adjustment for and” is removed and the phrase “adjustment for an” is added in its place.