CMSFinal Rule
Patient Protection and Affordable Care Act: Marketplace Integrity and Affordability
HealthcareFinance & Banking
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Summary
This regulation updates rules for how health insurance companies operate in the federal marketplace to protect consumers and keep premiums affordable. It sets new standards for plan integrity and affordability to ensure people can actually use and pay for the insurance they buy.
Key Points
- 1Establishes new requirements for health insurance companies selling plans on the federal marketplace to prevent misleading practices and ensure plans actually work for patients
- 2Focuses on keeping premiums and out-of-pocket costs reasonable so families don't have to choose between health insurance and paying other bills
- 3Applies to insurance companies and marketplace administrators who must follow stricter rules about how they price plans and describe coverage
- 4The comment period ended very quickly (one day), giving the public minimal time to provide feedback before the rule takes effect
- 5Affects millions of Americans who get insurance through Healthcare.gov or similar federal marketplace platforms
Key Dates
Published
June 25, 2025
This summary is for informational purposes only. It may not capture all nuances of the regulation. Always refer to the official text for authoritative information.
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