EBIA Weekly Newsletter

HHS Issues Final Notice of Benefit and Payment Parameters for 2019

   April 12, 2018

PPACA; HHS Notice of Benefit and Payment Parameters for 2019, 45 CFR Parts 147, 153, 154, 155, 156, 157, and 158, 83 Fed. Reg. __ (April 17, 2018); HHS Notice of Benefit and Payment Parameters for 2019 Fact Sheet (April 9, 2018)

HHS has issued final benefit and payment parameters for 2019—scheduled for publication in the Federal Register as final regulations on April 17. (The proposed version of these benefit and payment parameters was released in November 2017 (see our Checkpoint article).) HHS also has issued insurance bulletins and technical guidance elaborating on portions of the regulations. Although these provisions primarily affect individual and small group health insurance markets and Exchanges, certain aspects may be of interest to employers and their advisors. We will cover this development in next week’s EBIA Weekly. Meanwhile, for more information on related topics, see EBIA’s Health Care Reform manual at Sections IX (“Lifetime, Annual, and Cost-Sharing Limits”), XIV (“Insurance Mandates”), XXI.D (“Small Business Health Options Program (SHOP)”), and XXVI (“Small Business Health Care Tax Credit”); see also EBIA’s Consumer-Driven Health Care manual at Section X.I (“Effects of Health Care Reform on HDHP Design”).

Contributing Editors: EBIA Staff.