CMS Issues Proposed Rule on ACA Marketplace Integrity and Affordability; Comments Due April 11

Published March 14, 2025

The Centers for Medicare & Medicaid Services (CMS) has proposed changes to special enrollment, open enrollment, and automatic reenrollment in ACA Marketplace plans.

The proposed rule would: 

  • Change income eligibility verifications for premium tax credits and cost-sharing reductions 
  • Prohibit insurance policies from providing coverage of sex-trait modifications as an essential health benefit (EHB). 

Comments are due April 11, 2025.

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