Source: http://www.law.cornell.edu/cfr/text/45/153
Timestamp: 2013-12-20 21:26:06
Document Index: 670448918

Matched Legal Cases: ['art 153', 'art 153', 'art 153', '§ 153', '§ 153', '§ 153', '§ 153', '§ 153', '§ 153', '§ 153', 'arts 153', 'arts 153', 'arts 144', 'arts 153']

45 CFR Part 153 - STANDARDS RELATED TO REINSURANCE, RISK CORRIDORS, AND RISK ADJUSTMENT UNDER THE AFFORDABLE CARE ACT | Title 45 - Public Welfare | Code of Federal Regulations | LII / Legal Information Institute
CFR › Title 45 › Subtitle A › Subchapter B › Part 153	prev | next
45 CFR Part 153 - STANDARDS RELATED TO REINSURANCE, RISK CORRIDORS, AND RISK ADJUSTMENT UNDER THE AFFORDABLE CARE ACT
There are 2 Updates appearing in the Federal Register for 45 CFR 153. Select the tab below to view, or View eCFR (GPOAccess)
SUBPART A — General Provisions (§§ 153.10 - 153.20)
SUBPART B — State Notice of Benefit and Payment Parameters (§§ 153.100 - 153.110)
SUBPART C — State Standards Related to the Reinsurance Program (§§ 153.200 - 153.250)
SUBPART D — State Standards Related to the Risk Adjustment Program (§§ 153.300 - 153.350)
SUBPART E — Health Insurance Issuer and Group Health Plan Standards Related to the Reinsurance Program (§§ 153.400 - 153.410)
SUBPART F — Health Insurance Issuer Standards Related to the Risk Corridors Program (§§ 153.500 - 153.530)
SUBPART G — Health Insurance Issuer Standards Related to the Risk Adjustment Program (§§ 153.600 - 153.620)
Secs. 1321, 1341-1343, Pub. L. 111-148, 24 Stat. 119.
77 FR 17245, Mar. 23, 2012, unless otherwise noted.
Title 45 published on 2012-10-01The following are only the Rules published in the Federal Register after the published date of Title 45.For a complete list of all Rules, Proposed Rules, and Notices view the Rulemaking tab.2013-03-11; vol. 78 # 47 - Monday, March 11, 201378 FR 15410 - Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014
typeregulations.gov FR Doc.2013-04902 RIN0938-AR51 CMS-9964-F DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services (CMS) Final rule. This final rule is effective on April 30, 2013. 45 CFR Parts 153, 155, 156, 157 and 158 SummaryThis final rule provides detail and parameters related to: the risk adjustment, reinsurance, and risk corridors programs; cost-sharing reductions; user fees for Federally-facilitated Exchanges; advance payments of the premium tax credit; the Federally-facilitated Small Business Health Option Program; and the medical loss ratio program. Cost-sharing reductions and advance payments of the premium tax credit, combined with new insurance market reforms, are expected to significantly increase the number of individuals with health insurance coverage, particularly in the individual market. In addition, we expect the premium stabilization programs—risk adjustment, reinsurance, and risk corridors—to protect against the effects of adverse selection. These programs, in combination with the medical loss ratio program and market reforms extending guaranteed availability (also known as guaranteed issue) and prohibiting the use of factors such as health status, medical history, gender, and industry of employment to set premium rates, will help to ensure that every American has access to high-quality, affordable health insurance.
78 FR 15541 - Patient Protection and Affordable Care Act; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014
typeregulations.gov FR Doc.2013-04904 RIN0938-AR74 CMS-9964-IFC DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services (CMS) Interim final rule with comment. Effective date: These regulations are effective on April 30, 2013. Comment date: To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on April 30, 2013. 45 CFR Parts 153 and 156 SummaryThis interim final rule with comment builds upon standards set forth in the HHS Notice of Benefit and Payment Parameters for 2014, published elsewhere in this issue of the Federal Register . This document will adjust risk corridors calculations that would align the calculations with the single risk pool provision, and set standards permitting issuers of qualified health plans the option of using an alternate methodology for calculating the value of cost-sharing reductions provided for the purpose of reconciliation of advance payments of cost-sharing reductions.
Title 45 published on 2012-10-01The following are ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 45 CFR 153 after this date.2013-06-19; vol. 78 # 118 - Wednesday, June 19, 201378 FR 37032 - Patient Protection and Affordable Care Act; Program Integrity: Exchange, SHOP, Premium Stabilization Programs, and Market Standards
typeregulations.gov FR Doc.2013-14540 RIN0938-AR82 CMS-9957-P DEPARTMENT OF HEALTH AND HUMAN SERVICES, HHS, Centers for Medicare & Medicaid Services (CMS) Proposed rule. To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on July 19, 2013. 45 CFR Parts 144, 147, 153, 155, and 156 SummaryThis proposed rule sets forth financial integrity and oversight standards with respect to Affordable Insurance Exchanges; Qualified Health Plan (QHP) issuers in Federally-facilitated Exchanges (FFEs); and States with regard to the operation of risk adjustment and reinsurance programs. It also proposes additional standards with respect to agents and brokers. These standards, which include financial integrity provisions and protections against fraud and abuse, are consistent with Title I of the Patient Protection and Affordable Care Act as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act.
2013-03-11; vol. 78 # 47 - Monday, March 11, 201378 FR 15410 - Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014
2012-12-07; vol. 77 # 236 - Friday, December 7, 201277 FR 73118 - Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014
typeregulations.gov FR Doc.2012-29184 RIN0938-AR51 CMS-9964-P DEPARTMENT OF HEALTH AND HUMAN SERVICES, HHS, Centers for Medicare & Medicaid Services (CMS) Proposed rule. To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on December 31, 2012. 45 CFR Parts 153, 155, 156, 157 and 158 SummaryThis proposed rule provides further detail and parameters related to: the risk adjustment, reinsurance, and risk corridors programs; cost-sharing reductions; user fees for a Federally-facilitated Exchange; advance payments of the premium tax credit; a Federally-facilitated Small Business Health Option Program; and the medical loss ratio program. The cost-sharing reductions and advanced payments of the premium tax credit, combined with new insurance market reforms, will significantly increase the number of individuals with health insurance coverage, particularly in the individual market. The premium stabilization programs—risk adjustment, reinsurance, and risk corridors—will protect against adverse selection in the newly enrolled population. These programs, in combination with the medical loss ratio program and market reforms extending guaranteed availability (also known as guaranteed issue) protections and prohibiting the use of factors such as health status, medical history, gender, and industry of employment to set premium rates, will help to ensure that every American has access to high-quality, affordable health insurance.