Data / Federal rules / 2024-07274
Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2025; Updating Section 1332 Waiver Public Notice Procedures; Medicaid; Consumer Operated and Oriented Plan (CO-OP) Program; and Basic Health Program
The Centers for Medicare & Medicaid Services published this final rule in the Federal Register on April 15, 2024. It took effect on June 4, 2024.
SpecStream is the live web data engine for teams and agents. It reads every rule and proposed rule in the Federal Register each morning, and this page is that reading. Name your industry once and new rules, comment deadlines and effective dates arrive in your sheet, CRM, Slack or agent as they are published.
What the agency says
This final rule includes payment parameters and provisions related to the HHS-operated risk adjustment program, as well as 2025 user fee rates for issuers offering qualified health plans (QHPs) through federally facilitated Exchanges (FFEs) and State-based Exchanges on the Federal platform (SBE-FPs). This final rule also includes requirements related to the auto re-enrollment hierarchy; essential health benefits; failure to file Federal income taxes to reconcile advance payments of the premium tax credit (APTC); non- standardized plan option limits in the FFEs and SBE-FPs and a related exceptions process; standardized plan options in the FFEs and SBE-FPs; special enrollment periods (SEPs); direct enrollment (DE) entities supporting Exchange applications and enrollments; the Insurance Affordability Program enrollment eligibility verification process; requirements for agents, brokers, web-brokers, and DE entities assisting Exchange consumers; network adequacy; public notice procedures for section 1332 waivers; prescription drug benefits; updates to the Consumer Operated and Oriented Plan (CO-OP) Program; and State flexibility on the effective date of coverage in the Basic Health Program (BHP).
Key facts
- Document number
- 2024-07274
- Type
- Final rule
- Action
- Final rule
- Agency
- Treasury Department; Health and Human Services Department; Centers for Medicare & Medicaid Services
- Published
- April 15, 2024
- Takes effect
- June 4, 2024
- Dates
- These regulations are effective on June 4, 2024.
- Docket
- CMS-9895-F
- Regulation ID (RIN)
- 0938-AV22
- Code of Federal Regulations
- 31 CFR 33; 42 CFR 600; 45 CFR 153; 45 CFR 155; 45 CFR 156
- Topics
- Administrative practice and procedure; Advertising; Advisory committees; Brokers; Consumer protection; Grant programs-health; Health care; Health insurance; Health maintenance organizations (HMO); Health records; Hospitals; Indians; Individuals with disabilities; Intergovernmental relations; Loan programs-health; Medicaid; Organization and functions (Government agencies); Penalties; Public assistance programs; Reporting and recordkeeping requirements; State and local governments; Sunshine Act; Technical assistance; Women; Youth
- Pages
- 209
Other documents from the Centers for Medicare & Medicaid Services
Everything from the Centers for Medicare & Medicaid Services · Rules on administrative practice and procedure · Rules on advertising · Rules on advisory committees · Published in April 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.