HHS: Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2026; and Basic Health Program

Federal Register

Jan 15, 2025

Notice of final rule from the U.S. Department of Health and Human Services (HHS) setting parameters for risk adjustment and user fees for state and federal-based exchanges for 2026. This rule also addresses requirements related to modifications to the calculation of the Basic Health Program (BHP) payment; changes to the approach for conducting Essential Community Provider (ECP) certification reviews; a policy to publicly share aggregated, summary-level Quality Improvement Strategy (QIS) information on an annual basis; revisions to the medical loss ratio (MLR) reporting and rebate requirements; and more.

Health insurance · Legislation and regulations