HHSProposed Rule

Patient Protection and Affordable Care Act, Benefit and Payment Parameters for 2027 and Basic Health Program

HealthcareFinance & Banking

Summary

This regulation updates how health insurance plans will work and how much they'll cost for people in 2027 under the Affordable Care Act. It sets new rules for insurance benefits, premiums, and deductibles, and also adjusts a program that helps lower-income people afford coverage.

Key Points

  • 1The rule updates insurance payment amounts and benefit coverage levels that will take effect in 2027
  • 2It affects millions of Americans who buy health insurance through the ACA marketplace or qualify for the Basic Health Program
  • 3The regulation includes changes to how much people have to pay out-of-pocket for medical care and what services insurance must cover
  • 4This is a proposed rule, meaning HHS is seeking public feedback before the final version is released
  • 5The Basic Health Program adjustment helps states provide affordable coverage to people who don't qualify for regular government assistance

Key Dates

Published

February 11, 2026

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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