The Centers for Medicare and Medicaid Services has put an ACA framework review project in a new federal government to-do list.
The U.S. Department of Health and Human Services included the ACA framework review project in its new semiannual regulatory agenda. HHS is preparing to publish the agenda in the Federal Register on Thursday, alongside similar documents from other federal departments.
HHS has listed the ACA framework project as agenda item 117.
Item 117 calls for CMS to conduct a “Section 610 review” of the Calendar Year 2019 Notice of Benefit and Payment Parameters sometime in September 2017.
CMS officials could use the review to start efforts to change the ACA rules governing small health insurance agencies, small physician practices, small employers and other small companies and small nonprofit organizations.
The ACA exchange system opened for business in October 2013, and most of the ACA rules that affect commercial health insurance underwriting and benefits, such as the preventive services coverage mandate, took effect in January 2014.
CMS explains how the commercial health insurance rules and programs will really work in a given year in the parameters notices. The agency began developing the first parameters notice, for 2014, in 2012.
Section 603 of the Regulatory Flexibility Act requires an agency to analyze how a proposed regulation might affect small entities in the future.
Section 610 of the act requires an agency to analyze the impact of a regulation within 10 years after the regulation being completed.