Health Care Reform Update

Health Care Reform Update

by Posted on: January 25, 2013Categories: HR & Compliance   
  • Latest HCR News (January 25, 2013): On January 14, 2013, the U.S. Department of Health and Human Services (HHS) released a proposed rule the would implement provisions of the Affordable Care Act (ACA) relating to the exchanges. Exchanges are central to the law and will change the delivery and financial structure to those individuals and employees who will qualify for subsidies in an Exchange. For those of you who would like to see the impact of subsidies and how they would apply to differing individual and family income levels, you can click here to go the Kaiser Family Foundation calculator.  Key provisions of the proposed rule are noted below:

-Standards for appealing determinations of individual eligibility for federal premium subsidies to purchase health insurance through the Exchanges:

-Standards for adjudicating appeals of employer and employee eligibility to participate in the Small Business Health Options Program (SHOP)

-Criteria related to the verification of enrollment in and eligibility for minimum essential coverage through an eligible employer-sponsored plan: and

-Clarifications or amendments to standards related to other eligibility and enrollment provisions.


For more details on these provisions and the HHS proposed rules click below:

Clarke & Company Benefits Legislative Brief

HHS Proposed Rules




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