Positive Thoughts

There's lots of people in this world who spend so much time watching their health that they haven't the time to enjoy it.

— Josh Billings

Preventive Services: Regulations and Recommendations

Patient’s Bill of Rights (Issued by the Office of Consumer Information and Insurance Oversight)

Regulation on “Grandfathered” Health Plans under the Affordable Care Act (Issued by the Office of Consumer Information and Insurance Oversight)

Dependent Coverage of Children Who Have Not Attained Age 26 (Issued by the Office of Consumer Information and Insurance Oversight)

Early Retiree Reinsurance Program (Issued by the Office of Consumer Information and Insurance Oversight)

Health Care Reform Insurance Web Portal Requirements (Issued by the Office of Consumer Information and Insurance Oversight)

COBRA Continuation of Coverage (Issued by the Centers for Medicare & Medicaid Services)

Health Insurance Reform for Consumers (Issued by the Centers for Medicare & Medicaid Services)

Health Insurance Reform for Employers (Issued by the Centers for Medicare & Medicaid Services)

Self-Funded Nonfederal Governmental Plans (Issued by the Centers for Medicare & Medicaid Services)

Temporary High Risk Pool Fact Sheet provides information about the temporary high risk pool program included in the Affordable Care Act and chart outlining potential allocations of high risk pool funds to states.

Beneficiary Information about the $250 Part D Rebate Brochure describes details about the tax-free, one-time check for $250 for people who enter the Part D donut hole and are not eligible for Medicare Extra Help.

Health Insurance Portal Bulletin provides guidance to state Medicaid Directors about the health insurance portal.

Medicare and the New Health Law – What it Means for You.  This mailing from CMS outlines key provisions of the Affordable Care Act for people with Medicare as well as members of their families.  The mailing is being sent in both English and Spanish.

Letters

Administration officials issue letters requesting information, issuing guidance, announcing progress to date, and other implementation efforts.

Letter from Departments of Health and Human Services, Labor, and Treasury to House Speaker John Boehner Regarding the Price of Repealing the Affordable Care Act (January 5, 2011)

Letter from HHS Secretary Kathleen Sebelius to Insurance Commissioners Regarding Notice of Proposed Rulemaking on Rate Review (December 21, 2010)

Letter from CalPERS to HHS Secretary Kathleen Sebelius Regarding the Affordable Care Act Implementation (December 10, 2010)

Letter from HHS Secretary Kathleen Sebelius to Consumer Groups Regarding Supplemental Guidance on Consumer Notices and Sale of New Business (December 9, 2010)

Cover memo to States from HHS Secretary Kathleen Sebelius on Exchange Guidance (November 18, 2010)

Cover Memo to States from OCIIO and CMS on IT for Exchanges and Medicaid (November 3, 2010)

 

The mind has great influence over the body and maladies often have their origin there.

— John Doe Molicere

Regulations and guidance

Regulations and guidance are used to implement many of the Affordable Care Act provisions that address both private and public health insurance.

 

Affordable Care Act Implementation FAQs Fifth Set (Issued by the Office of Consumer Information and Insurance Oversight)

 

Initial Core Set of Adult Health Quality Measures (Issued by the Centers for Medicare & Medicaid Services)

 

Health Insurance Rate Review NPRM (Issued by the Office of Consumer Information and Insurance Oversight)

 

Supplemental Guidance on Consumer Notices on Waivers of the Annual Limits Requirements(Issued by the Office of Consumer Information and Insurance Oversight)

 

State Demonstrations to Integrate Care for Dual Eligible Individuals (Issued by the Centers for Medicare & Medicaid Services)

 

OCIIO Sub-Regulatory Guidance: Process for a State to Submit a Request for Adjustment to the Medical Loss Ratio Standard of PHS Act Section 2718 (Issued by the Office of Consumer Information and Insurance Oversight)

 

Supplemental Guidance on Sale of New Business by Issuers Receiving Waivers (Issued by the Office of Consumer Information and Insurance Oversight)

 

Medical Loss Ratio Regulation (Issued by the Office of Consumer Information and Insurance Oversight)

 

Initial Guidance to States on Exchanges (Issued by the Office of Consumer Information and Insurance Oversight)

 

Amendment to Regulation on “Grandfathered” Health Plans under the Affordable Care Act (Issued by the Office of Consumer Information and Insurance Oversight)

 

Medicaid IT NPRM – Notice of Proposed Rulemaking on Federal Funding for Medicaid Eligibility Determination and Enrollment Activities (Issued by the Centers for Medicare & Medicaid Services)

 

Medicaid RAC – Notice of Proposed Rulemaking on the Medicaid Recovery Audit Contractor (RAC) Program (Issued by the Centers for Medicare & Medicaid Services)

 

Questions and Answers on Enrollment of Children Under 19 Under the New Policy That Prohibits Pre-Existing Condition Exclusions- Updated: October 13, 2010

 

http://www.hhs.gov/ociio/regulations/children19/factsheet.html

 

Affordable Care Act Implementation FAQs- Third Set of FAQs –– Issued October 12, 2010

 

http://www.hhs.gov/ociio/regulations/implementation_faq.html

 

Regulation on Pre-Existing Condition Insurance Plan (Issued by the Office of Consumer Information and Insurance Oversight)

 

Request for Comment on Health Insurance Exchanges (Issued by the Office of Consumer Information and Insurance Oversight)

 

Regulation on Consumers’ Right to Appeal Health Plan Decisions (Issued by the Office of Consumer Information and Insurance Oversight)