Program Integrity Proposed Rules
On June 14, 2013, HHS released a Notice of Proposed Rulemaking (NPRM) that proposes a number of policies related to the implementation of the Affordable Care Act, including provisions regarding Affordable Insurance Exchanges, also known as Health Insurance Marketplaces. Much of the proposed rule focuses on program integrity regarding State Marketplaces, issuers offering coverage in the Federally-facilitated Marketplace, advance payments of the premium tax credit and cost-sharing reductions, and premium stabilization programs. The overarching goal of the proposed provisions is to safeguard federal funds and to protect consumers by ensuring that issuers, Marketplaces, and other entities comply with federal standards meant to ensure consumers have access to quality, affordable health insurance.
http://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/pi-nprm-6-14-2013.html
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