ACA Regulatory Materials



EXECUTIVE ORDERS

"Minimizing the Economic Burden of the Patient Protection and Affordable Care Act Pending Repeal," January 20, 2017


"Potential Administrative Marketplace Reforms," discussed at a meeting, March 23, 2017


Democrats' letter to Price and Verma, August 18, 2017



PROPOSED REGULATIONS

"Patient Protection and Affordable Care Act; Market Stabilization," 82 Fed. Reg. 10980 (Feb. 17, 2017)


Leaked contraception draft, 7/1/2017


[]


REVISED REGULATIONS

"Patient Protection and Affordable Care Act; Market Stabilization," 82 Fed. Reg. 18346 (April 18, 2017)




AV/CSR Bulletin, 2/24/12


Proposed regulations, 77 Fed. Reg. 70644 (Nov. 26, 2012)


Final rule, 78 Fed. Reg. 12834 (Feb. 25, 2013)


Final rule, 81 Fed. Reg. 94058 (Dec. 22, 2016)




ESSENTIAL HEALTH BENEFITS MATERIALS

National Academy of Sciences/Institute of Medicine, "Essential Health Benefits: Balancing Coverage and Costs" (2011)


CMS, Essential Health Benefits Bulletin, Dec. 26, 2011


Proposed rule, 77 Fed. Reg. 70644 (Nov. 26, 2012)


NHeLP comments, 12/26/12


Disability Law Center of Alaska comments, 12/26/12


Final rule, 78 Fed. Reg. 12834 (Feb. 25, 2013)


CMS, "Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2019," [] Fed. Reg. [] (Oct. 27, 2017)

82 Fed. Reg. 51052 (Nov. 2, 2017)


Slavitt comments, Nov. 27, 2017


CMS, "Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2019" (first version)

83 Fed. Reg. 16930 (April 17, 2018)

Correction, 83 Fed. Reg. 21925 (May 11, 2018)



CMS FACT SHEET, April 9, 2018
CMS Fact Sheet 4 9 18

2018 HARDSHIP EXEMPTION
CMS Guidance, April 9, 2018


TRANSITIONAL POLICY
CMS Guidance, April 9, 2018


LETTER TO ISSUERS
CMS Letter to Issuers, April 9, 2018





1332 MATERIALS

Section 1332, 42 U.S.C. sec. 18052


John McDonough, "Wyden's Waiver: State Innovation on Steroids," 39 Journal of Health Politics, Policy & Law (May 2014)


CMS, "Waivers for State Innovation" guidance, 80 Fed. Reg. 78131 (Dec. 16, 2015)


HHS 1332 letter, March 13, 2017


HHS 1332 checklist, May 11, 2017


ALASKA

Alaska 1332 waiver application, December 29, 2016

Expanded version
[]
Appendix VI

More public comment


CMS Alaska approval letter, July 7, 2017

CMS Alaska fact sheet, July 11, 2017

CMS Alaska press release, July 11, 2017


IDAHO

Idaho draft 1332 application, November 2017

1115 application?

1115 application for public comment, November 7, 2017

Public comments (email)

Public comments (Boise)

Public comments (Pocatello)

Public comments (Coeur d'Alene)


IOWA

Iowa "Stopgap" proposal, June 2017


"Stopgap" as submitted 7/13/2017

Iowa 1332 proposal, 8/21/2017

Supplement

Iowa 1332 federal completeness letter, September 19, 2017

Second supplement, October 6, 2017

Withdrawal letter, October 23, 2017


MASSACHUSETTS

Massachusetts fast track 1332 public comment draft, July 24, 2017

Incompleteness letter, October 23, 2017


MINNESOTA

Minnesota

Minnesota

Minnesota

Dayton letter, Sept. 19

Minnesota approval letter, Sept. 22, 2017

Dayton letter, Oct. 3


OHIO

Application, March 30, 2018

Preliminary determination of incompleteness, May 17, 2018


OKLAHOMA

Oklahoma 1332 Waiver Concept Paper, March 2017

Oklahoma 1332 Waiver Public Comment Draft, July 14, 2017

Oklahoma 1332 waiver preliminary completeness determination, August 24, 2017

Oklahoma 1332 waiver withdrawal letter, September 29, 2017


OREGON

Oregon draft, July 25, 2017

Oregon 1332 waiver, August 31, 2017

CMS completeness letter to Oregon, September 11, 2017

Oregon approval letter, October 18, 2017


WISCONSIN

Application, April 18, 2018

Preliminary determination of completeness, May 9, 2018



Association health plans and short term limited duration insurance


CMS, Application of Individual and Group Market Requirements under Title XXVII of the Public Health Service Act when Insurance Coverage Is Sold to, or through, Associations (September 1, 2011)

CMS, 'Rate Increase Disclosure and Review:Definitions of ‘‘Individual Market’’ and‘‘Small Group Market,’’' Fed. Reg. (September 6, 2011)

Timothy Stoltzfus Jost, "LOOPHOLES IN THE AFFORDABLE CARE ACT: REGULATORY GAPS AND BORDER CROSSING TECHNIQUES AND HOW TO ADDRESS THEM," 5 St. Louis U. Journal of Health Law & Policy 27 (2011).



DOL/HHS, "Excepted Benefits; Lifetime and Annual Limits; and Short-Term, Limited-Duration Insurance," 81 Fed. Reg. 75316 (October 31, 2016)

Republican letter to Secretary Price, 6/8/2017


[Executive order], 10/12/2017

Executive order [talking points], 10/12/2017

Executive order Q&A, 10/12/2017

Executive order graphic, 10/12/2017


Association health plans proposed regulations (first version), 1/4/2018

Federal Register version, 83 Fed. Reg. 614 (Jan. 5, 2018)


Short term, limited-duration proposed regulations (first version), 2/20/2018

Federal Register version, 83 Fed. Reg. 7437 (Feb. 21, 2018)


Excerpts from President Trump's New York Times interview, 12/28/2017


Indictment in U.S. v. Thomas, No. 3:14-cr-182 (M.D. Tenn., Oct. 29, 2014)



PHS ACT/HIPAA ENFORCEMENT MATERIALS

42 U.S.C. sec. 300gg-22


45 C.F.R. secs. 150.201-.221


Federal Enforcement in Group and Individual Health Insurance Markets, 64 Fed.Reg. 45786 (Aug. 20, 1999)


O'Donnell v. Blue Cross Blue Shield of Wyoming, 173 F.Supp.2d 1176 (D. Wyo. 2001)


CCIIO, Compliance and Enforcement
cciio
CCIIO, Table A

Federal Examination of Blue Cross Blue Shield of Alabama, 2015



PRIVATE IDAHO

Otter order

Otter press release

Insurance bulletin

Patient group letter, 2/13 or 14/18

Blue Cross of Idaho comparison

Democrats’ letter to Cameron, 2/22

BC Idaho memo to Azar, 2/22

BC Idaho actuarial memo, effective 1/1/18

Families USA memo, 3/8/18Iowa House Bill 2356

Verma to Otter letter, 3/8/18



IOWA, Birthplace of Dear Abby and Ann Landers

House Bill 2356
Iowa House Bill 2356

AHIP letter, 3/12/2018



Other state level rates problems


Letter from Charlottesville for Reasonable Health Insurance to Virginia Insurance Commissioner Cunningham, Jan. 4, 2018