The Centers for Medicare & Medicaid Services yesterday released a final rule that implements some of the standards governing health insurance issuers and the Health Insurance Marketplaces (or “exchanges”) for 2022. CMS notes that it did not address many of the proposed policies in the final rule and to instead expect future rulemaking addressing those proposals.

In this rule, CMS finalized proposals to allow states to cease use of centralized exchange websites (federal or state-based websites) and instead use direct enrollment pathways, such as agents and brokers for enrollment. The rule also codified into regulation many of the policies outlined in its 2018 guidance on 1332 waivers, which allow states to test a broader array of approaches to coverage. In comments to the agency in December, AHA expressed concern with both of these policies.  

Watch for a Special Bulletin with more details.

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