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Data / Federal rules / 2024-08711

Nondiscrimination in Health Programs and Activities

The Centers for Medicare & Medicaid Services published this final rule in the Federal Register on May 6, 2024. It took effect on July 5, 2024.

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What the agency says

The Department of Health and Human Services (HHS or the Department) is issuing this final rule regarding section 1557 of the Affordable Care Act (ACA) (section 1557). Section 1557 prohibits discrimination on the basis of race, color, national origin, sex, age, or disability in certain health programs and activities. Section 1557(c) of the ACA authorizes the Secretary of the Department to promulgate regulations to implement the nondiscrimination requirements of section 1557. The Department is also revising its interpretation regarding whether Medicare Part B constitutes Federal financial assistance for purposes of civil rights enforcement. Additionally, the Department is revising provisions prohibiting discrimination on the basis of sex in regulations issued by the Centers for Medicare & Medicaid Services (CMS) governing Medicaid and the Children's Health Insurance Program (CHIP); Programs of All-Inclusive Care for the Elderly (PACE); health insurance issuers and their officials, employees, agents, and representatives; States and the Exchanges carrying out Exchange requirements; agents, brokers, or web-brokers that assist with or facilitate enrollment of qualified individuals, qualified employers, or qualified employees; issuers providing essential health benefits (EHB); and qualified health plan issuers.

Key facts

Document number
2024-08711
Type
Final rule
Action
Final rule and interpretation
Agency
Health and Human Services Department; Centers for Medicare & Medicaid Services
Published
May 6, 2024
Takes effect
July 5, 2024
Dates
Effective date: July 5, 2024.
Regulation ID (RIN)
0945-AA17
Code of Federal Regulations
42 CFR 438; 42 CFR 440; 42 CFR 457; 42 CFR 460; 45 CFR 80; 45 CFR 84; 45 CFR 92; 45 CFR 147; 45 CFR 155; 45 CFR 156
Topics
Administrative practice and procedure; Advertising; Advisory committees; Aged; Brokers; Citizenship and naturalization; Civil rights; Communications equipment; Consumer protection; Equal educational opportunity; Equal employment opportunity; Grant programs-health; Health; Health care; Health facilities; Health insurance; Health maintenance organizations (HMO); Health records; Hospitals; Indians; Individuals with disabilities; Infants and children; Intergovernmental relations; Loan programs-health; Medicaid; Medicare; Organization and functions (Government agencies); Public assistance programs; Religious discrimination; Reporting and recordkeeping requirements; Sex discrimination; State and local governments; Sunshine Act; Taxes; Technical assistance; Vocational education; Women; Youth
Pages
182

The document on federalregister.gov PDF

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Everything from the Centers for Medicare & Medicaid Services · Rules on administrative practice and procedure · Rules on advertising · Rules on advisory committees · Published in May 2024

Read from the Federal Register API, last updated 2026-10-23. The document on federalregister.gov is the official record; dates and dockets can change through later corrections. Free to reuse with credit to SpecStream under CC BY 4.0.