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.