45 CFR Part 155 - EXCHANGE ESTABLISHMENT STANDARDS AND OTHER RELATED STANDARDS UNDER THE AFFORDABLE CARE ACT | US Law

SUBPART A — General Provisions. (§§ 155.10 - 155.20)
SUBPART B — General Standards Related to the Establishment of an Exchange (§§ 155.100 - 155.170)
SUBPART C — General Functions of an Exchange (§§ 155.200 - 155.285)
SUBPART D — Exchange Functions in the Individual Market: Eligibility Determinations for Exchange Participation and Insurance Affordability Programs (§§ 155.300 - 155.355)
SUBPART E — Exchange Functions in the Individual Market: Enrollment in Qualified Health Plans (§§ 155.400 - 155.430)
SUBPART F — Appeals of Eligibility Determinations for Exchange Participation and Insurance Affordability Programs (§§ 155.500 - 155.555)
SUBPART G — Exchange Functions in the Individual Market: Eligibility Determinations for Exemptions (§§ 155.600 - 155.635)
SUBPART H — Exchange Functions: Small Business Health Options Program (SHOP) (§§ 155.700 - 155.740)
SUBPART I — J [Reserved]
SUBPART K — Exchange Functions: Certification of Qualified Health Plans (§§ 155.1000 - 155.1080)
SUBPART L — [Reserved]
SUBPART M — Oversight and Program Integrity Standards for State Exchanges (§§ 155.1200 - 155.1210)
SUBPART N — State Flexibility (§§ 155.1300 - 155.1328)
SUBPART O — Quality Reporting Standards for Exchanges (§§ 155.1400 - 155.1405)

Authority:

Title I of the Affordable Care Act, sections 1301, 1302, 1303, 1304, 1311, 1312, 1313, 1321, 1322, 1331, 1332, 1334, 1402, 1411, 1412, 1413, Pub. L. 111-148, 124 Stat. 119 (42 U.S.C. 18021-18024, 18031-18033, 18041-18042, 18051, 18054, 18071, and 18081-18083).

Source:

77 FR 11718, Feb. 27, 2012, unless otherwise noted.

Title 45 published on 2015-10-01.

No entries appear in the Federal Register after this date, for 45 CFR Part 155.

This is a list of United States Code sections, Statutes at Large, Public Laws, and Presidential Documents, which provide rulemaking authority for this CFR Part.

This list is taken from the Parallel Table of Authorities and Rules provided by GPO [Government Printing Office].

It is not guaranteed to be accurate or up-to-date, though we do refresh the database weekly. More limitations on accuracy are described at the GPO site.

United States Code

U.S. Code: Title 42 - THE PUBLIC HEALTH AND WELFARE

§ 18021 - Qualified health plan defined

§ 18022 - Essential health benefits requirements

§ 18023 - Special rules

§ 18024 - Related definitions

§ 18031 - Affordable choices of health benefit plans

§ 18032 - Consumer choice

§ 18033 - Financial integrity

§ 18051 - State flexibility to establish basic health programs for low-income individuals not eligible for medicaid

§ 18054 - Multi-State plans

§ 18071 - Reduced cost-sharing for individuals enrolling in qualified health plans

§ 18081 - Procedures for determining eligibility for Exchange participation, premium tax credits and reduced cost-sharing, and individual responsibility exemptions

§ 18082 - Advance determination and payment of premium tax credits and cost-sharing reductions

§ 18083 - Streamlining of procedures for enrollment through an Exchange and State medicaid, CHIP, and health subsidy programs

Title 45 published on 2015-10-01

The following are ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 45 CFR Part 155 after this date.

2015-12-02; vol. 80 # 231 - Wednesday, December 2, 2015

80 FR 75488 - Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017

GPO FDSys XML | Text

Additional Documents

type	regulations.gov
FR Doc.	2015-29884
RIN	0938-AS57
	CMS-9937-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 21, 2015.

45 CFR Parts 144, 146, 147, 153, 154, 155, 156, and 158

Summary

This proposed rule sets forth payment parameters and provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges. It also provides additional standards for the annual open enrollment period for the individual market for the 2017 benefit year; essential health benefits; cost-sharing requirements; qualified health plans; updated standards for Exchange consumer assistance programs; network adequacy; patient safety standards; the Small Business Health Options Program; stand-alone dental plans; acceptance of third-party payments by qualified health plans; the definitions of large employer and small employer; fair health insurance premiums; guaranteed availability; student health insurance coverage; the rate review program; the medical loss ratio program; eligibility and enrollment; exemptions and appeals; and other related topics.