ACA Individual Market Stabilization Regulation

On February 15th, CMS issued a proposed rule aimed at strengthening the financial stability and predictability of enrollee costs for insurers selling coverage through the ACA marketplaces. The proposed rule makes a number of changes that apply to all ACA-compliant individual market plans, not only to plans sold on the marketplaces.

Because New York operates its own state marketplace for eligibility and enrollment, some provisions of this proposed rule will only be implemented at state discretion. The proposed regulation does not include changes to the risk adjustment program.

Comments on the proposed rule must be received by 5:00 pm on March 7, 2017.

A summary of the draft regulation is attached. The full text can be found here.