…nsion of Hardship Exemption Eligibility (§ 155.605(d)(1)) 18. Amending Exchange Network Adequacy Standards (§ 155.1050) 19. Effective Essential Community Provider Review Program (§ 155.1051) 20. General Program Integrity and Oversight Requirements (§ 155.1200) 21. State Exchange …

…ate c. 2023 Exchange DE Option User Fee Rate 2. Provision of EHB (§ 156.115) 3. Network Adequacy (§ 156.230) 4. Segregation of Funds for Abortion Services (§ 156.280) IV. Provisions of the Proposed Rule for Section 1332 Waivers—Department of Health and Human Services and Departme…

…ate c. 2023 Exchange DE Option User Fee Rate 2. Provision of EHB (§ 156.115) 3. Network Adequacy (§ 156.230) 4. Segregation of Funds for Abortion Services (§ 156.280) IV. Provisions of the Proposed Rule for Section 1332 Waivers—Department of Health and Human Services and Departme…

…rticipation Standards (§ 156.200) 10. Standardized Plan Options (§ 156.201) 11. Network Adequacy (§ 156.230) a. Background of Network Adequacy Standards b. FFE Network Adequacy Reviews c. FFE Network Adequacy Standards Beginning With PY 2023 i. Network Adequacy Standards Applicab…

…ry of Comments and Changes From the NPRM 3. Discussion of Costs and Benefits 4. Net Budget Impacts Pell Grants for Confined or Incarcerated Individuals 90/10 Rule Change in Ownership 5. Accounting Statement 6. Alternatives Considered 7. Regulatory Flexibility Act Paperwork Reduct…

…ry of Comments and Changes From the NPRM 3. Discussion of Costs and Benefits 4. Net Budget Impacts Pell Grants for Confined or Incarcerated Individuals 90/10 Rule Change in Ownership 5. Accounting Statement 6. Alternatives Considered 7. Regulatory Flexibility Act Paperwork Reduct…

…ry of Comments and Changes From the NPRM 3. Discussion of Costs and Benefits 4. Net Budget Impacts Pell Grants for Confined or Incarcerated Individuals 90/10 Rule Change in Ownership 5. Accounting Statement 6. Alternatives Considered 7. Regulatory Flexibility Act Paperwork Reduct…

…ate c. 2023 Exchange DE Option User Fee Rate 2. Provision of EHB (§ 156.115) 3. Network Adequacy (§ 156.230) 4. Segregation of Funds for Abortion Services (§ 156.280) IV. Provisions of the Proposed Rule for Section 1332 Waivers—Department of Health and Human Services and Departme…

…on of Exchange Enrollment or Coverage (§ 155.430) 19. Establishment of Exchange Network Adequacy Standards (§ 155.1050) a. Network Adequacy Standards and Reviews Across Exchanges b. Proposals Related to State Exchange and SBE-FP Network Adequacy Standards and Reviews i. Quantitat…

…men's Health and Cancer Rights Act ( Pub. L. 105-277 , October 21, 1998), the Genetic Information Nondiscrimination Act of 2008 ( Pub. L. 110-233 , May 21, 2008), the Children's Health Insurance Program Reauthorization Act of 2009 ( Pub. L. 111-3 , February 4, 2009), Michelle's L…

…ess to Covered Medicaid Services-Exemptions for States With High Managed Care Penetration Rates and Rate Reduction Threshold” proposed rule ( 83 FR 12696 ; hereinafter “2018 proposed rule”), which would have exempted States from requirements to analyze certain data or monitor acc…

…men's Health and Cancer Rights Act ( Pub. L. 105-277 , October 21, 1998), the Genetic Information Nondiscrimination Act of 2008 ( Pub. L. 110-233 , May 21, 2008), the Children's Health Insurance Program Reauthorization Act of 2009 ( Pub. L. 111-3 , February 4, 2009), Michelle's L…

…men's Health and Cancer Rights Act ( Pub. L. 105-277 , October 21, 1998), the Genetic Information Nondiscrimination Act of 2008 ( Pub. L. 110-233 , May 21, 2008), the Children's Health Insurance Program Reauthorization Act of 2009 ( Pub. L. 111-3 , February 4, 2009), Michelle's L…

…on of Exchange Enrollment or Coverage (§ 155.430) 19. Establishment of Exchange Network Adequacy Standards (§ 155.1050) a. Network Adequacy Standards and Reviews Across Exchanges b. Proposals Related to State Exchange and SBE-FP Network Adequacy Standards and Reviews i. Quantitat…

… pricing or drug product information, would also be subject to possible civil monetary penalties (CMPs) by the Department of Health and Human Services (HHS) Office of the Inspector General (OIG), and to provide specific new authority to the Secretary to issue CMPs related to know…