Click here for emergency preparedness and hurricane response information

Comment Opportunity: ACA Notice of Benefit and Payment Parameters for 2019

November 2, 2017

The Centers for Medicare & Medicaid Services is seeking comments on the proposed Patient Protection and Affordable Care Act Notice of Benefit and Payment Parameters for 2019. Comments can be submitted online via Regulations.gov thru Monday, November 27.

Provisions of particular interest to ACL stakeholders include proposed changes that would:

  • enhance the role of states as related to essential health benefits (EHB) and qualified health plan (QHP) certification
  • provide states with additional flexibility in the operation and establishment of Exchanges, including the Small Business Health Options Program (SHOP) Exchanges

The proposed rule sets forth payment parameters and provisions related to the risk adjustment programs; cost-sharing parameters and cost sharing reductions; and user fees for federally-facilitated Exchanges and state-based Exchanges on the federal platform.

It also includes proposed changes to standards related to Exchanges; the required functions of the SHOPs; actuarial value for standalone dental plans; the rate review program; the medical loss ratio program; eligibility and enrollment; exemptions; and other related topics.

View the federal register notice for the full text of the proposed rule, additional ways to submit comments, and a list of contacts who can provide more information on the proposed rule.



By clicking “save,” I acknowledge that all fields marked with an asterisk are required. We ask for your email address so we can contact you for additional information if necessary. It will not be published, and it will be deleted after six months. Your name and your comment may remain published on this site indefinitely. We will delete any comments that include vulgar language, hate speech or personal attacks, or which do not pertain to the topic at hand. We also may delete comments that include personal information about another person. If a comment is received that contains non-publishable material, we reserve the right to either edit the comment to remove these elements or to delete the comment.

Last modified on 11/03/2017


Back to Top