As signaled in the 2022 #NBPP #PaymentNotice Part 2, the Biden Administration has issued a 2022 NBPP Part 3 on #ACA #Exchanges. Proposals include:
-Increase in enrollment opportunities
-Repealing Trump admin option allowing states to leave Exchanges
public-inspection.federalregister.gov/2021-13993.pdf
The Biden Admin is proposing extending open enrollment by 30 days and creating a monthly special enrollment period (SEP) for low-income people with incomes up to 150% of poverty.
The rule contemplates risk of adverse selection with a monthly SEP for low-income people in ACA Marketplaces. Low-income people are more price sensitive but this group is eligible for free-premium plans, which may dampen the adverse selection risk.
As expected, the Biden Admin is repealing the direct enrollment Exchanges option, which would have allowed states to dismantle Exchanges and required consumers to shop on insurers’ websites.

HHS explains the direct enrollment pathway would have fractured enrollment experience:
The #NBPP Part 3 signals the Biden Admin intends to propose standardized plans with preferential display for Federal Exchanges in 2023 NBPP.

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30 Jun
The Biden Administration is expected to publish the first implementing rule of the No Surprises Act by tomorrow July 1. In this thread, I’ll list 10 key questions to look out for in the interim final rules.🧵1/12
Question 1 on No Surprises Act: How will patients be notified of surprise medical bill protections? Will patients know how to dispute unexpected bills? Patients will need to be informed of what to expect and how to dispute unexpected bills. (2/12)
Q2 on No Surprises Act: How will a federal consumer complaints system work? The federal government is required to establish a national consumer complaints system, something that does not currently exist within the agency. What actions will CMS take for complaints? (3/12)
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