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State Marketplace Comments, Rules, and Guidance

The Affordable Care Act establishes state-based and regional health insurance exchanges. All health plans participating on such exchanges must ensure a wide choice of providers, including essential community providers that serve predominately low‐income, medically‐underserved individuals. All qualified health plans operating on an exchange must offer a base level of coverage known as the essential benefits package. America’s Essential Hospitals is working to 1) ensure that safety net health systems are included in the provider networks of qualified health plans, 2) ensure that safety net health plans are able to participate in an exchange as a qualified health plan, and 3) ensure that the essential benefits package covers services that are critical to meeting the needs of vulnerable patients.

Standards for Navigators and Non-Navigator Assistance Personnel

Proposed Rule

Published April 2013.

Essential Health Benefits, Marketplace Quality, and Benefit and Payment Parameters

Association Comments on Proposed Rule

In December 2012, the association submitted comments on the proposed rules regarding the standards related to essential health benefits, actuarial value, and accreditation, health care quality for exchanges and benefit and payment parameters.

Proposed Rule

Published November 2012.

Health Care Quality for Exchanges Request for Information Notice of Benefit and Payment Parameters Proposed Rule

Published December 2012.

HHS Guidance Regarding Approval of State-based and State Partnership Marketplaces

Final Blueprint

Published August 2012.

Draft Blueprint

Published May 2012.

HHS General Guidance on Federally-facilitated Exchanges

Published May 2012.

Establishment of Marketplaces and Qualified Health Plans

Association Comments on Draft Letter to Issuers

Submitted February 2014.

Draft 2015 Letter to Issuers in the Federally-Facilitated Marketplaces

Published February 2014.

Association Comments on Proposed Rule

Submitted October 2011.

Proposed Rule

Published July 2011.

Eligibility Changes Under the Affordable Care Act

Association Comments on Proposed Rule Proposed Rule

Published Spring 2011.

Other Marketplace-related Provisions

Association Response to the Center of Consumer Information and Insurance Oversight (CCIIO’s) Request for Comments

CCIIO Request for Comments

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