Health Law Matters

CMS Issues Health Insurance Marketplace Final Rule

Health law matters blog

  • The Centers for Medicare and Medicaid Services ("CMS") issued a final rule for health insurance marketplaces that includes reduced user fees for both federally-facilitated and state-based exchanges, which CMS believes will help lower premiums as indicated in a related fact sheet
  • The rule also increases by approximately 3.8% the maximum annual limitation on cost sharing to $8,200 for self-only coverage and $16,400 for other than self-only coverage for 2020, compared to $7,900 for self-only coverage and $15,800 for other than self-only coverage in 2019.
  • CMS also finalized the key dates for qualified health plan certification on the federally-facilitated exchanges.  The initial deadline for plan applications is June 19, 2019, and final changes must be submitted to CMS by Aug. 21, 2019. Open enrollment will begin on Nov. 1, 2019.
  • Rule contents are not final until published in the Federal Register.  This final rule is slated to be published on April 23.

More trending Health Law topics this week:

  • Sixty Persons in Five States Charged for Illegal Prescriptions

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James (Jim) A. Dietz is a Member at FBT who provides an array of legal services to hospitals, physicians, long-term care providers, diagnostic facilities, and others across the spectrum of patient care.