The Departments of Health and Human Services, Labor, and Treasury today finalized a rule allowing grandfathered health plans to increase enrollees’ premiums and cost-sharing amounts beyond what is currently allowed.

The rule specifically allows grandfathered high-deductible health plans to increase cost-sharing amounts in order to remain a high-deductible health plan, without losing their grandfathered plan status. It also revises the definition of “maximum percentage increase” to include an alternative method of calculating that amount, which allows higher premiums and cost-sharing amounts for grandfathered plans in the group market.

The rule takes effect 30 days after its publication in the Dec. 15 Federal Register.

AHA had urged the departments not to finalize the rule, expressing concern that these plans financially burden patients and may lead to patients avoiding necessary care.

“At a time when access to health care is more critical than ever, we urge the departments not to finalize this rule, which could decrease patients’ health care coverage” and undermine the financial stability of the hospitals and health systems that serve them, AHA wrote.

Related News Articles

Perspective
House members are back in their districts for the August recess and senators are likely to return to their states soon.While lawmakers are home, it’s important…
Headline
The Trump administration today announced steps drug manufacturers must take to lower prescription drug prices in the U.S. to "most favored nation" pricing, the…
Headline
The Department of Health and Human Services today issued a notice announcing a 340B Rebate Model Pilot Program as a voluntary mechanism for qualifying drug…
Headline
Centers for Medicare & Medicaid Services Administrator Mehmet Oz, M.D., July 19 visited AtlantiCare health system in New Jersey, making stops at its…
Headline
The Congressional Budget Office today released its estimate of the budgetary effects of the One Big Beautiful Bill Act, as enacted. CBO projects the law will…
Headline
Health Insurance Marketplace insurers will propose a median premium increase of 15% for 2026, according to an analysis of preliminary rate filings published…