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Dec 21, 2012

On December 7, 2012, the U.S. Department of Health and Human Services (HHS) issued a proposed rule on benefit and payment parameters for 2014. This proposed rule provides further detail and parameters related to: the risk adjustment, reinsurance, and risk corridors programs; cost-sharing reductions; user fees for a Federally facilitated Exchange; advance payments of the premium tax credit; a Federally facilitated Small Business Health Option Program; and the medical loss ratio program. Comments were due by December 31, 2012.
 

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Dec 21, 2012

On November 27, 2012, the U.S. Department of Health and Human Services (HHS) issued a request for information to seek public comments regarding health plan quality management in Exchanges. Comments were due by December 27, 2012.

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Dec 21, 2012

On November 26, 2012, the U.S. Department of Health and Human Services issued a proposed rule on health insurance market rules and rate review. This proposed rule would implement the Affordable Care Act’s (ACA) policies related to fair health insurance premiums, guaranteed availability, guaranteed renewability, risk pools, and catastrophic plans. The proposed rule would clarify the approach used to enforce the applicable requirements of the ACA with respect to health insurance issuers and group health plans that are non-federal governmental plans.

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Dec 21, 2012

In the Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation Proposed Rule (“EHB Rule”) published on November 26, 2012, HHS proposed to define EHB based on state-specific benchmark plans.  The EHB Rule requests public comment on proposed state EHB-benchmark plans.  To aid commenters with their review, HHS provided additional information for each proposed EHB-benchmark plan, including a list of state-required benefits.

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Dec 21, 2012

On November 26, 2012, the U.S. Department of Health and Human Services issued a proposed rule on standards related to essential health benefits, actuarial value, and accreditation. This proposed rule outlines Exchange and issuer standards related to coverage of essential health benefits and actuarial value.

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Oct 26, 2012

On October 26, 2012, New York submitted its Blueprint application to HHS for approval to operate a state-based health benefit exchange.

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Sep 25, 2012

The NYS Health Benefit Exchange submitted a series of documents to HHS in advance of the state's in-person design review scheduled for October 9th and 10th in Bethesda, MD.  The sections covered during the design review correspond with requirements of the State's Exchange Blueprint Application for Exchange Certification due November 16, 2012. A copy of the Blueprint application can be found here.

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Jul 5, 2012

On July 5, 2012, the New York State Department of Financial Services submitted comments on the interim rules issued on June 5, 2012.

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May 7, 2012

The New York State Department of Health submitted comments on the interim rules issued as part of the March 27, 2012 final rules establishing health insurance exchanges and the March 16, 2012 final rules for Medicaid program eligibility changes under the Affordable Care Act. Comments on the Medicaid program rules were due by May 7, 2012. Comments on the Exchange rules were due by May 11, 2012.

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Apr 12, 2012

Governor Cuomo issued Executive Order #42 to establish a statewide Health Exchange on April 12, 2012.  The Executive Order established the New York Health Benefit Exchange within the Department of Health.

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