ACA Regulatory Materials
ACA Regulatory Materials
EXECUTIVE ORDERS
“Minimizing the Economic Burden of the Patient Protection and Affordable Care Act Pending Repeal,” January 20, 2017
Executive Order January 20 2017.docx
“Potential Administrative Marketplace Reforms,” discussed at a meeting, March 23, 2017
SecretPlan.pdf
Democrats’ letter to Price and Verma, August 18, 2017
HHS letter.pdf
PROPOSED REGULATIONS
“Patient Protection and Affordable Care Act; Market Stabilization,” 82 Fed. Reg. 10980 (Feb. 17, 2017)
2017-03027.pdf
Leaked contraception draft, 7/1/2017
Read-the-Draft-Rule-That-Could-Limit-Access-to.pdf
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REVISED REGULATIONS
“Patient Protection and Affordable Care Act; Market Stabilization,” 82 Fed. Reg. 18346 (April 18, 2017)
AV/CSR Bulletin, 2/24/12
AV bulletin.docx
Proposed regulations, 77 Fed. Reg. 70644 (Nov. 26, 2012)
77 fed reg 70644.pdf
Final rule, 78 Fed. Reg. 12834 (Feb. 25, 2013)
2013-04084.pdf
Final rule, 81 Fed. Reg. 94058 (Dec. 22, 2016)
2016-30433.pdf
ESSENTIAL HEALTH BENEFITS MATERIALS
National Academy of Sciences/Institute of Medicine, “Essential Health Benefits: Balancing Coverage and Costs” (2011)
iom ehb report 2012.pdf
CMS, Essential Health Benefits Bulletin, Dec. 26, 2011
essential_health_benefits_bulletin.pdf
Proposed rule, 77 Fed. Reg. 70644 (Nov. 26, 2012)
2012-28362.pdf
NHeLP comments, 12/26/12
National_Health_Law_Program_Comments_Standards_Related_to_EHB_CMS_9980_P.pdf
Disability Law Center of Alaska comments, 12/26/12
dlc ak ehb comments.pdf
Final rule, 78 Fed. Reg. 12834 (Feb. 25, 2013)
2013-04084.pdf
CMS, “Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2019,” [] Fed. Reg. [] (Oct. 27, 2017)
2017-23599.pdf
82 Fed. Reg. 51052 (Nov. 2, 2017)
2017-23599.pdf
Slavitt comments, Nov. 27, 2017
Patient_Protection_and_Affordable_Care_Act_Notice_of_Benefit_and_Payment_Parameters_CMS-9930-P_Comment_Letter_11-27-17.pdf
CMS, “Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2019” (first version)
2018-07355.pdf
83 Fed. Reg. 16930 (April 17, 2018)
CMS-2017-0141-0427.pdf
Correction, 83 Fed. Reg. 21925 (May 11, 2018)
CMS-2017-0141-0428.pdf
CMS FACT SHEET, April 9, 2018
CMS Fact Sheet 4 9 18
2018 HARDSHIP EXEMPTION
CMS Guidance, April 9, 2018
2018-Hardship-Exemption-Guidance.pdf
TRANSITIONAL POLICY
CMS Guidance, April 9, 2018
Extension-Transitional-Policy-Through-CY2019.pdf
LETTER TO ISSUERS
CMS Letter to Issuers, April 9, 2018
2019-Letter-to-Issuers.pdf
1332 MATERIALS
Section 1332, 42 U.S.C. sec. 18052
Section 1332, 42 U.S.C. 18052.pdf
John McDonough, “Wyden’s Waiver: State Innovation on Steroids,” 39 Journal of Health Politics, Policy & Law (May 2014)
Journal of Health Politics, Policy and Law-2014-McDonough-03616878-2744824.pdf
CMS, “Waivers for State Innovation” guidance, 80 Fed. Reg. 78131 (Dec. 16, 2015)
2015-31563-1.pdf
HHS 1332 letter, March 13, 2017
HHS 1332 letter 3.13.17.pdf
HHS 1332 checklist, May 11, 2017
Checklist-for-Section-1332-State-Innovation-Waiver-Applications-5517-c.pdf
ALASKA
Alaska 1332 waiver application, December 29, 2016
Alaska-1332-Waiver-Application-with-Attachments-Appendices.pdf
Expanded version
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Appendix VI
Appendix VI.pdf
More public comment
Public-Comment-Waive-Comment-Period.pdf
CMS Alaska approval letter, July 7, 2017
Approval-Letter.pdf
CMS Alaska fact sheet, July 11, 2017
Alaska 1332 Waiver Fact Sheet FINAL 7.11.17.pdf
CMS Alaska press release, July 11, 2017
07-11-2017 Final Press Release Alaska 1332 Waiver Application.pdf
IDAHO
Idaho draft 1332 application, November 2017
Idaho 1332.pdf
1115 application?
Draft1115WaiverApplication.pdf
1115 application for public comment, November 7, 2017
Draft1115WaiverApplication idaho 11 7 17.pdf
Public comments (email)
EmailComments.pdf
Public comments (Boise)
WrittenCommentsBoisePublicHearing.pdf
Public comments (Pocatello)
WrittenCommentsPocatelloPublicHearing.pdf
Public comments (Coeur d’Alene)
WrittenCommentsCoeurdAlenePublicHearing.pdf
IOWA
Iowa “Stopgap” proposal, June 2017
state_of_iowa_proposed_stopgap_measure_6.12.2017.pdf
Iowa Seeks Federal Approval of Health Insurance Stopgap Measure _ Iowa Insurance Division.htm
“Stopgap” as submitted 7/13/2017
iowa_stopgap_measure_7.13.2017_-_public_draft.pdf
Iowa 1332 proposal, 8/21/2017
state_of_iowa_1332_waiver_submission.pdf
Supplement
Iowa-Stopgap.pdf
Iowa 1332 federal completeness letter, September 19, 2017
1332-IA-Completeness-Letter.pdf
Second supplement, October 6, 2017
iowa_stopgap_measure_supplement_94_and_83_av_10.05.17.pdf
Withdrawal letter, October 23, 2017
Stopgap Measure letter.pdf
MAINE
Maine 1332 waiver application and exhibits, May 9, 2018
Complete Maine 1332 Waiver Application and Exhibits.pdf
Maine 1332 federal completeness preliminary determination, June 8, 2018
Maine-1332-Notice-Preliminary-Determination-of-Completeness.pdf
Approval letter, July 30, 2018
Maine-1332-Letter-final-and-signed.pdf
MARYLAND
Application, May 18, 2018
Final_Maryland 1332 State Innovation Waiver to Establish a State Reinsurance Program – May 31 2018.pdf
Preliminary completeness determination, July 5, 2018
Maryland-1332-Waiver-Completeness-7-5-18.pdf
Approval, August 22, 2018
MD-Approval-STCs.pdf
MASSACHUSETTS
Massachusetts fast track 1332 public comment draft, July 24, 2017
SIW-Mass-Requests-for-Federal-Flexibility-to-Support-Commercial-Market-Reforms-draft-for-comment-072417.pdf
Incompleteness letter, October 23, 2017
Preliminary-Determination-Incompleteness-MA.pdf
MINNESOTA
Minnesota
Minnesota-Section-1332-Waiver.pdf
Minnesota
MN-Public-Comments_508-Compliantpdf.pdf
Minnesota
Notice-Determination-Completeness.pdf
Dayton letter, Sept. 19
2017-09-19-Governor-Dayton-Letter-to-Secretary.pdf
Minnesota approval letter, Sept. 22, 2017
Approval-Letter-MN.pdf
Dayton letter, Oct. 3
2017_10_03_GMD_1322_Waiver_Letter_to_Sec_Wright_Verma.pdf
NEW JERSEY
Application, July 2, 2018
180702finalwaiverapplication.pdf
Preliminary completeness determination, July 13, 2018
New-Jersey-prelim.pdf
Approval letter, August 16, 2018
NJ-Approval-STC.pdf
OHIO
Application, March 30, 2018
Ohio 1332 State Innovation Waiver Application.pdf
Preliminary determination of incompleteness, May 17, 2018
Ohio-Notice-Preliminary-Determination-Incomplete.pdf
OKLAHOMA
Oklahoma 1332 Waiver Concept Paper, March 2017
1332 Waiver Concept Paper.pdf
Oklahoma 1332 Waiver Public Comment Draft, July 14, 2017
OK_1332 Waiver_DraftForPublicComment_7.14.17.pdf
Oklahoma 1332 waiver preliminary completeness determination, August 24, 2017
OK-1332-Completeness.pdf
Oklahoma 1332 waiver withdrawal letter, September 29, 2017
Oklahoma 1332 Waiver Withdrawal 9.29.17.pdf
OREGON
Oregon draft, July 25, 2017
draft-OR1332-waiver-app.pdf
Oregon 1332 waiver, August 31, 2017
1332-application.pdf
CMS completeness letter to Oregon, September 11, 2017
OR-1332-Completenesspdf.pdf
Oregon approval letter, October 18, 2017
Approval-Letter-OR.pdf
WISCONSIN
Application, April 18, 2018
1332 Waiver WI Application.pdf
Preliminary determination of completeness, May 9, 2018
WI-1332-Completeness.pdf
Approval, July 29, 2018
Wisconsin-1332-Letter-final-and-signed.pdf
Association health plans and short term limited duration insurance
CMS, Application of Individual and Group Market Requirements under Title XXVII of the Public Health Service Act when Insurance Coverage Is Sold to, or through, Associations (September 1, 2011)
association_coverage_9_1_2011.pdf
CMS, ‘Rate Increase Disclosure and Review:Definitions of ‘‘Individual Market’’ and‘‘Small Group Market,’’’ Fed. Reg. (September 6, 2011)2011-22663.pdf
Timothy Stoltzfus Jost, “LOOPHOLES IN THE AFFORDABLE CARE ACT: REGULATORY GAPS AND BORDER CROSSING TECHNIQUES AND HOW TO ADDRESS THEM,” 5 St. Louis U. Journal of Health Law & Policy 27 (2011).
JHLP5-1_Jost_Article.pdf
DOL/HHS, “Excepted Benefits; Lifetime and Annual Limits; and Short-Term, Limited-Duration Insurance,” 81 Fed. Reg. 75316 (October 31, 2016)
2016-26162.pdf
Republican letter to Secretary Price, 6/8/2017
170608-letter-to-secretary-price-re-stld-plans.pdf
[Executive order], 10/12/2017
PROMOTING HEALTHCARE CHOICE AND.docx
Executive order [talking points], 10/12/2017
Healthcare – Stateline and other Reforms EO V.4.pdf
Executive order Q&A, 10/12/2017
Healthcare EO Q and A.pdf
Executive order graphic, 10/12/2017
Healthcare EO Graphic.pdf
Association health plans proposed regulations (first version), 1/4/2018
2017-28103.pdf
Federal Register version, 83 Fed. Reg. 614 (Jan. 5, 2018)
2017-28103.pdf
New York, etc., comments (March 6, 2018)
multi_state_ag_comment_letter.pdf
Association health plans, final rule (June 19, 2018)
association-health-plans-final-rule.pdf
Short term, limited-duration proposed regulations (first version), 2/20/2018
2018-03208.pdf
Federal Register version, 83 Fed. Reg. 7437 (Feb. 21, 2018)
2018-03208 FR.pdf
Final rule (first version), 8/1/2018
CMS-9924-F-STLDI-Final-Rule.pdf
Federal Register version, 83 Fed. Reg. 38212 (Aug. 3, 2018)
2018-16568.pdf
Excerpts from President Trump’s New York Times interview, 12/28/2017
TRUMP, NYT, 12 28 17.pdf
Indictment in U.S. v. Thomas, No. 3:14-cr-182 (M.D. Tenn., Oct. 29, 2014)
Thomas indictment_2014.pdf
PHS ACT/HIPAA ENFORCEMENT MATERIALS
42 U.S.C. sec. 300gg-22
42 USC 300gg-22.pdf
45 C.F.R. secs. 150.201-.221
45 CFR 150.201-.221.pdf
Federal Enforcement in Group and Individual Health Insurance Markets, 64 Fed.Reg. 45786 (Aug. 20, 1999)
99-21662.pdf
O’Donnell v. Blue Cross Blue Shield of Wyoming, 173 F.Supp.2d 1176 (D. Wyo. 2001)
ODonnell v Blue Cross Blue Shield of Wyoming.pdf
CCIIO, Compliance and Enforcement
cciio
CCIIO, Table A
MCE-Checklist-FINAL-for-508.pdf
Federal Examination of Blue Cross Blue Shield of Alabama, 2015
BCBS-AL.pdf
PRIVATE IDAHO
Otter order
EO 2018-02.pdf
Otter press release
Idaho Otter press release.docx
Insurance bulletin
idahobulletin.pdf
Patient group letter, 2/13 or 14/18
021318 Letter to HHS Re Idaho EO – FINAL (002).pdf
Blue Cross of Idaho comparison
State Based Plan Comparison – Bronze.pdf
Democrats’ letter to Cameron, 2/22
180222 – Idaho Department of Insurance-2a.pdf
BC Idaho memo to Azar, 2/22
BC Idaho memo.pdf
BC Idaho actuarial memo, effective 1/1/18
1338534_BCI_UnifiedRateReview_Part3_Indiv_ver5_08212017.pdf
Families USA memo, 3/8/18Iowa House Bill 2356
Families USA Memo to HHS 3.8 ID State Based Plan Proposala (1).pdf
Verma to Otter letter, 3/8/18
letter-to-Otter.pdf
IOWA, Birthplace of Dear Abby and Ann Landers
House Bill 2356
Iowa House Bill 2356
AHIP letter, 3/12/2018
AHIP Oppose HF 2364 and SF 2329 Speaker Upmeyer (003) (1).pdf
Other state level rates problems
Letter from Charlottesville for Reasonable Health Insurance to Virginia Insurance Commissioner Cunningham, Jan. 4, 2018
2018-1-4 JA CRHI Letter w Letterhead.pdf
Affordable Care Act Litigation 