Implementation of the Affordable Care Act

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TOPIC OF REGULATION

Preexisting Conditions Exclusions Lifetime & Annual Limits Rescission Patient Protections Preventive Services

ACA SECTION(S) IMPLEMENTED (PHS ACT SECTION AMENDED) OR OTHER RELATED STATUTE § 1001 ACA (PHS Act 2704) § 1001 ACA (PHS Act 2711) § 1001 ACA (PHS Act 2712) § 1001 ACA (PHS Act 2719A) § 1001 ACA (PHS Act 2713)

REGULATION TYPE OR ACTION

FED. REG. PUBLICATION DATE, VOLUME, PAGE June 28, 2010 75 Fed. Reg. 123, 37188

COMMENT DUE DATE

EFFECTIVE DATE OF REGULATION

AGENCY

Interim Final Rule & Request for Comments

Aug. 27, 2010

Aug. 27, 2010

IRS EBSA HHS

Interim Final Rule & Request for Comments

July 19, 2010 75 Fed. Reg. 137, 41726

Sept. 17, 2010

Sept. 17, 2010

IRS EBSA HHS

Dependent Coverage of Children to Age 26

§ 1001 ACA (PHS Act 2714)

Interim Final Rule & Request for Comments

May 13, 2010 75 Fed. Reg. 92, 27122

Aug. 11, 2010

July 12, 2010

IRS EBSA HHS

Medical Loss Ratio

§ 1001 ACA (PHS Act 2718)

Final Rule

May 16, 2012 77 Fed. Reg. 28790

June 15, 2012

HHS

Internal Claims & Appeals & External Review

§ 1001 ACA (PHS Act 2719)

Interim Final Rules & Request for Comment

July 23, 2010 75 Fed. Reg. 141, 43330

Sept. 23, 2010

Sept. 23, 2010

IRS EBSA HHS

1

November 19, 2012

Group Health Plans and Health Insurance Issuers: Internal Claims and Appeals and External Review Processes Pre-Existing Condition Insurance Plan Program

§ 1001 ACA (PHS Act 2719)

Amendment To Interim Final Rules With Request For Comments Final Rule

June 24, 2011 76 Fed. Reg. 122, 37208 Aug. 30, 2012 77 Fed. Reg. 52614 Mar. 21, 2012 77 Fed. Reg. 16551

July 25, 2011

July 22, 2011

HHS IRS

§ 1101 ACA

Aug. 30, 2012

HHS

Early Retiree Reinsurance Program

§ 1102 ACA

Notice

A sponsor will use funds not later than December 31, 2014 June 4, 2010 May 10, 2010

CMS

Health Care Reform Insurance Web Portal Requirements Grandfathered Plans - Group Health Plans and Health Insurance Coverage Rules Relating to Status as a Grandfathered Health Plan Under the Patient Protection and Affordable Care Act Essential Health Benefits Bulletin

§ 1103 ACA

Interim Final Rule with Comment Period Notice of Proposed Rulemaking

May 5, 2010 75 Fed. Reg. 86, 24470

HHS

§ 1251 ACA

Nov. 17, 2010 75 Fed. Reg. 221, 70159

Dec. 17, 2010

IRS

§ 1302(b) ACA

Bulletin

Dec. 16, 2011

January 31, 2012

CCIIO

Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers Regulations Pertaining to the Disclosure of Return Information To Carry Out Eligibility Requirements for Health Insurance Affordability Programs

§ 1311 ACA

Final Rule, Interim Final Rule

March 27, 2012 77 Fed. Reg. 18310

May 11, 2012

May 29, 2012

HHS

§ 1311 ACA

NPRM and Notice of Public Hearing

April 30, 2012 77 Fed. Reg. 25378

July 30, 2012

IRS

2

November 19, 2012

Bulletin on the Transitional Reinsurance Program: Proposed Payment Operations by the Department of Health and Human Services Patient Protection and Affordable Care Act; Standards Related to Reinsurance, Risk Corridors and Risk Adjustment Minimum Value of an EmployerSponsored Health Plan

§ 1341 ACA

Guidance

May 31, 2012

CCIIO

§ 1341 ACA

Final Rule

March 23, 2012 77 Fed. Reg. 17220

May 22, 2012

HHS

§ 1401 ACA

IRS Notice 2012-31

April 26, 2012

June 11, 2012

IRS

Health Insurance Premium Tax Credit

§ 1412 ACA

Rule

May 23, 2012 77 Fed. Reg. 30377

August 21, 2012

May 23, 2012

IRS

Determining Full-Time Employees for Purposes of Shared Responsibility for Employers Regarding Health Coverage Request for Comments on Reporting by Applicable Large Employers on Health Insurance Coverage Under EmployerSponsored Plans Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations Eligibility for a Medicare Prescription Drug Subsidy Amendments to Regulations Regulations Regarding IncomeRelated Monthly Adjustment Amounts to Medicare Beneficiaries’ Prescription Drug Coverage Premiums

§ 1513 (4980H IRC)

IRS Notice 2012-58

August 31, 2012

September 30, 2012

IRS, HHS, DOL

§ 1514 ACA

IRS Notice 2012-33

April 26, 2012

June 11, 2012

IRS

§ 3022 ACA

Final Rule

Nov. 2, 2011 76 Fed. Reg. 212, 67802

Jan. 1, 2011

CMS

§ 3304 ACA

Interim Final Rules with Request for Comments Interim Final Rule with Request for Comments

Dec. 29, 2010 75 Fed. Reg. 249, 81843 Dec. 7, 2010 75 Fed. Reg. 234, 75884

Feb. 28, 2011

Jan. 1. 2011

SSA

§ 3308 ACA

Feb. 7, 2011

Dec. 7, 2010

SSA

3

November 19, 2012

Rate Increase Disclosure and Review Grandfathered Plans - Group Health Plans and Health Insurance Coverage Rules Relating to Status as a Grandfathered Health Plan Under the Patient Protection and Affordable Care Act Fees on Health Insurance Policies and Self-Insured Plans for the Patient-Centered Outcomes Research Trust Fund; Hearing Cancellation

§ 1003 ACA

Notice of Proposed Rulemaking Notice of Proposed Rulemaking

Dec. 23, 2010 75 Fed. Reg. 246, 81004

CCIIO

§ 1251 ACA

Nov. 17, 2010 75 Fed. Reg. 221, 70159

Dec. 17, 2010

IRS

§ 6301 ACA

Proposed Rule

77 Fed. Reg. 47573

Aug. 9, 2012

Aug. 8, 2012

IRS

*Please note: This document is current only as of the date listed below.*

4

November 19, 2012

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