CHA News Article

HHS Finalizes Rules on Health Insurance Exchanges

Last week the U.S. Department of Health and Human Services (HHS) released its long-awaited final rule related to affordable insurance exchanges, also called health insurance marketplaces. The final rule implements specific exchange functions, including determining eligibility for and granting certificates of exemption from the individual shared responsibility payment (IRS code section 5000A).The final rule’s intent is to implement the relevant provisions of the Affordable Care Act (ACA) while continuing to allow states substantial discretion in the design and operation of an exchange, with standardization provided according to statute or where there are compelling practical reasons, such as efficiency or consumer protection. 

The final rule also implements the responsibilities of the HHS Secretary, in coordination with the Secretary of the Treasury, to designate other health benefits coverage as minimum essential coverage and provides a process by which other types of coverage could be recognized as minimum essential coverage. The complete final rule is attached.