Becker's Healthcare November 16, 2023
Rylee Wilson

CMS is proposing several new regulations for the ACA marketplace in 2025, including tighter regulation of state-based marketplaces.

In a proposed rule issued Nov. 15, the agency proposed several policies aimed at improving network adequacy and standardizing enrollment across marketplaces.

Eighteen states and the District of Columbia will operate their own marketplaces in 2024, according to CMS.

Here are five proposed changes to note:

  1. Under CMS proposed rule, state exchanges would be required to implement the same network adequacy standards for plans as the federal exchange. The rule would not require states to apply appointment wait-time standards.
  2. The agency is proposing adding an exception to the limit of non-standard plans insurers can...

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Topics: ACA (Affordable Care Act), CMS, Govt Agencies, Insurance, States
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