CMS has issued a proposed rule addressing health insurance exchange and insurance market standards under the Patient Protection and Affordable Care Act for 2015 and beyond.
The rule contains various requirements for health insurers, the exchanges and navigators or assisters who help consumers get coverage through the exchanges, among other entities affected by the PPACA. The rule also proposes standards for product discontinuation and renewal, quality reporting, non-discrimination standards, the Small Business Health Options Program, and minimum certification standards and responsibilities of insurers offering qualified health plans through the exchanges.
The rule would require navigators and assisters to get authorized before accessing consumers' personal information, require that they get recertified at least annually and subject them to monetary penalties for failure to comply with federal requirements. It would also increase the administrative profit floor and cost ceiling for qualified health plans by 2 percent each, among other policy changes.
For more information, view the full proposed rule here. CMS will accept comments on the rule for 30 days following its publication in the Federal Register.
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