Regulations

Covered California periodically submits comments to the federal government on emerging federal policy and rulemaking activities that impact Covered California. This page provides links to Covered California federal comment letters submitted since 2010.

• 2024
• Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program – Proposed Rule (RIN#0938-AV41) – Centers for Medicare & Medicaid Services (CMS) – November 12, 2024  
• Medicare and Medicaid Programs; 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments – Proposed Rule (RIN 0938-AV33) Joint Comments with CalPERS – Centers for Medicare & Medicaid Services – September 9, 2024 
• Pay PCPs Act of 2024 Joint Comments with CalPERS – Request for Information – Senators Cassidy and Whitehouse – July 15, 2024 
• 2024 Measure Set Review Measures for Public Comment – Partnership for Quality Measurement – May 31, 2024 
• Centers for Medicare & Medicaid Services Draft 2024 Call Letter for the Quality Rating System (QRS) and Qualified Health Plan (QHP) Enrollee Experience Survey – Centers for Medicare & Medicaid Services – March 26 2024 
• Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2025; Updating Section 1332 Waiver Public Notice Procedures; Medicaid; Consumer Operated and Oriented Plan (CO-OP) Program; and Basic Health Program – Proposed Rule (RIN#0938-AV22) – Centers for Medicare & Medicaid Services (CMS) – January 8 2024 
• 2023
• Short-Term, Limited-Duration Insurance; Independent, Noncoordinated Excepted Benefits Coverage; Level-Funded Plan Arrangements; and Tax Treatment of Certain Accident and Health Insurance – Proposed Rule (RIN#0938-AU67; 1210-AC12; 1545-BQ28) – Centers for Medicare & Medicaid Services (CMS), Employee Benefits Security Administration (EBSA), Internal Revenue Service (IRS) – September 11, 2023 
• Clarifying Eligibility for a Qualified Health Plan Through an Exchange, Advance Payments of the Premium Tax Credit, Cost-Sharing Reductions, a Basic Health Program, and for Some Medicaid and Children's Health Insurance - Proposed Rule (RIN#0938-AV23) – Centers for Medicare & Medicaid Services (CMS) – June 23, 2023
• Initial Proposals for Updating OMB’s Race and Ethnicity Statistical Standards – Request for Comments – Office of Management and Budget (OMB) – April 11, 2023
• Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2024 – Proposed Rule (RIN#0938-AU97) – Centers for Medicare & Medicaid Services (CMS) – January 30, 2023
• 2022
• Covered California Responses to the Centers for Medicare and Medicaid Services Request for Information on Health Equity and COVID-19 - November 4, 2022
• Covered California Comments on the the Department of Health and Human Services Proposed Section 1557 Nondiscrimination Regulation - Comments on the proposed rule (RIN 0945-AA17)) - Department of Health and Human Services (HHS) - September 27, 2022
• Revisions to Payment Policies under the Medicare Physician Fee Schedule, Quality Payment Program and Other Revisions to Part B for CY 2023 (CMS-1770-P) - Comments on the proposed rule (RIN #0938-AU81) - Centers for Medicare and Medicaid Services (CMS) - September 2, 2022 
• Covered California Comments on the Notice of Request for Information on the Health and Human Services Initiative to Strengthen Primary Health Care - Comments on the notice of request for information (RFI) - Department of Health and Human Services (HHS) - August 1, 2022
• FY 2023 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) Rule - Comments on the proposed rule (RIN # 0938-AU84) - Centers for Medicare and Medicaid Services (CMS) - June 17, 2022.
• Affordability of Employer Coverage for Family Members of Employees - "Family Glitch" Proposed Rule - Comments on the proposed rule ((RIN 1545–BQ16) - Internal Revenue Service (IRS) - June 6, 2022
• Covered California Joint Letter to DHS Secretary Alejandro Mayorkas and USCIS Director Ur M. Jaddou - Comments on the Notice of Proposed Rulemaking for Public Charge Ground of Inadmissibility - Department of Homeland Security (DHS), U.S. Citizenship and Immigration Services (USCIS) - April 25, 2022
• Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2023 – Proposed Rule (RIN# 0938-AU65) – Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS) – January 5, 2022
• Covered California Comments on the CMS Medicaid and Children’s Health Insurance Program (CHIP) Request for Information (RFI) – Request for information (RFI) – Centers for Medicare & Medicaid Services (CMS) – April 18, 2022
• Covered California Letter to HHS Secretary Xavier Becerra and CMS Administrator Chiquita Brooks-LaSure Voicing Support for DOH Measures – Letter of support – Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS) – April 19, 2022
• Covered California Joint Letter to DHS Secretary Alejandro Mayorkas and USCIS Director Ur M. Jaddou – Comments on the Notice of Proposed Rulemaking: Public Charge Ground of Inadmissibility (RIN # 1615-AC74) – Department of Homeland Security (DHS), U.S. Citizenship and Immigration Services (USCIS) - April 25, 2022
• Covered California Submitted Comment on the CMS Medicaid and CHIP RFI*
• Covered California EQT Letter of Support on DOH Measures*
• 2021
• Public Consultation on the Draft HHS Strategic Plan FY 2022 – 2026 – Request for Comments – U.S. Department of Health and Human Services (HHS) – November 5, 2021
• Patient Protection and Affordable Care Act; Updating Payment Parameters, Section 1332 Waiver Implementing Regulations, and Improving Health Insurance Markets for 2022 and Beyond Proposed Rule (CMS-9906-P) – Proposed Rule (RIN# 0938-AU18 1505-AC72) – Centers for Medicare & Medicaid Services (CMS), Internal Revenue Service (IRS) – July 28, 2021  
• Public Charge Ground of Inadmissibility – Advance Notice of Proposed Rulemaking (RIN# 1615-AC74) – U.S. Citizenship and Immigration Services (USCIS) – October 22, 2021  
• 2020
• Draft 2021 Actuarial Value Calculator Methodology– Guidance – Centers for Medicare & Medicaid Services (CMS) – January 21, 2020
• Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2021; Notice Requirement for Non-Federal Governmental Plans (CMS-9916-P)– Proposed Rule (RIN# 0938-AT98) – Centers for Medicare & Medicaid Services (CMS) – March 1, 2020
• Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2021; Notice Requirement for Non-Federal Governmental Plans (CMS-9916-P)– Proposed Rule (RIN# 0938-AT98) – Centers for Medicare & Medicaid Services (CMS) – March 1, 2020
• Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2022 and Pharmacy Benefit Manager Standards; Updates to State Innovation Waiver (Section 1332 Waiver) Implementing Regulations; (CMS-9914-P)– Proposed Rule (RIN# 0938-AU18) – Centers for Medicare & Medicaid Services (CMS), Internal Revenue Service (IRS) – December 30, 2020

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• 2019
• Patient Protection and Affordable Care Act; Exchange Program Integrity (CMS-9922-P)– Proposed Rule (RIN# 0938-AT53) – Centers for Medicare & Medicaid Services (CMS) – January 8, 2019
• Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2020 (CMS-9926-P)– Proposed Rule (RIN# 0938-AT37) – Centers for Medicare & Medicaid Services (CMS) – February 19, 2019
• Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2020 (CMS-9926-P)– Proposed Rule (RIN# 0938-AT37) – Centers for Medicare & Medicaid Services (CMS) – February 19, 2019
• Patient Protection and Affordable Care Act: Increasing Consumer Choice through the Sale of Individual Health Insurance Coverage Across State Lines Through Health Care Choice Compacts (CMS-9921-NC)– Request for Information (RIN# 0938-ZB45) – Centers for Medicare & Medicaid Services (CMS) – May 6, 2019
• Consumer Inflation Measures Produced by Federal Statistical Agencies– Request for Comments – Office of Management and Budget (OMB). – June 21, 2019
• Nondiscrimination in Health and Health Education Programs or Activities– Proposed Rule (RIN# 0945-AA11) – Centers for Medicare and Medicaid; Office for Civil Rights (OCR) – August 13, 2019
• Agency Information Collection Activities; Proposals, Submissions, and Approvals: Immigrant Health Insurance Coverage– Request for Comments – U.S. Department of State – October 30, 2019
• Brief of Amici Curiae signed by California Attorney General re Doe v. Trump– Litigation – United States District Court – November 12, 2019
• 2018
• Short-Term, Limited-Duration Insurance (CMS-9924-P)– Proposed Rule (RIN#s 0938-AT48; 1210-AB86; 1545-BO41) – Centers for Medicare & Medicaid Services (CMS), Employee Benefits Security Administration (EBSA), Internal Revenue Service (IRS) – April 23, 2018
• Health Reimbursement Arrangements and Other Account-Based Group Health Plans (CMS-9918-P)– Proposed Rule (RIN#s 0938-AT90; 1210-AB87; 1545-BO46) – Centers for Medicare & Medicaid Services (CMS), Employee Benefits Security Administration (EBSA), Internal Revenue Service (IRS) – December 28, 2018
• 2017
• Patient Protection and Affordable Care Act; Market Stabilization (CMS-9929-P)– Proposed Rule (RIN# 0938-AT14) – Centers for Medicare & Medicaid Services (CMS) – March 6, 2017
• Patient Protection and Affordable Care Act; Market Stabilization (CMS-9929-P)– Proposed Rule (RIN# 0938-AT14) – Centers for Medicare & Medicaid Services (CMS) – March 6, 2017
• Patient Protection and Affordable Care Act: Reducing Regulatory Burdens & Improving Health Care Choices to Empower Patients (CMS-9928-NC)– Request for Information (RIN# 0938-ZB39) – Centers for Medicare & Medicaid Services (CMS) – July 12, 2017
• Request for Information on Centers for Medicare & Medicaid Services: Innovation Center New Direction– Request for Information – Centers for Medicare & Medicaid Services (CMS) – November 20, 2017
• Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2019 (CMS-9930-P)– Proposed Rule (RIN# 0938-AT12) – Centers for Medicare & Medicaid Services (CMS) – November 27, 2017
• 2016
• Draft 2017 Letter to Issuers in the Federally-facilitated Marketplaces– Guidance – Centers for Medicare & Medicaid Services (CMS) – January 15, 2016
• Patient Protection and Affordable Care Act: Benefit and Payment Parameters for 2018 (CMS-9934-P)– Proposed Rule (RIN# 0938-AS95) – Centers for Medicare & Medicaid Services (CMS) – October 6, 2016
• 2015
• Patient Protection and Affordable Care Act: Benefit and Payment Parameters for 2017 (CMS-9937-P)– Proposed Rule (RIN# 0938-AS57) – Centers for Medicare & Medicaid Services (CMS) – December 21, 2015
• 2014
• Patient Protection and Affordable Care Act: Exchange and Insurance Market Standards for 2015 and Beyond (CMS-9949-P)– Proposed Rule (RIN# 0938-AS02) – Centers for Medicare & Medicaid Services (CMS) – April 21, 2014
• DRAFT CMS Quality Rating System Scoring Specifications– Guidance – Centers for Medicare & Medicaid Services (CMS) – April 28, 2014
• 2013
• Patient Protection and Affordable Care Act: Establishment of Multi-State Plan Program for Affordable Insurance Exchanges– Proposed Rule (RIN# 3206-AM47) – Office of Personnel Management – January 3, 2013
• Incentives for Nondiscriminatory Wellness Programs in Group Health Plans (CMS-9979-P)– Proposed Rule (RIN#s 0938-AR48; 1210-AB55; 1545-BL07) – Centers for Medicare & Medicaid Services (CMS), Employee Benefits Security Administration (EBSA), Internal Revenue Service (IRS) – January 24, 2013
• Medicaid, Children’s Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals and Other Provisions Related to Eli– Proposed Rule (RIN# 0938-AR04) – Centers for Medicare & Medicaid Services (CMS) – February 21, 2013
• Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions; Miscellaneous Minimum Essential Coverage Provisions (CMS-9958-P)– Proposed Rule (RIN# 0938-AR68) – Centers for Medicare & Medicaid Services (CMS) – March 18, 2013
• Patient Protection and Affordable Care Act; Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel (CMS-9955-P)– Proposed Rule (RIN# 0938-AR75) – Centers for Medicare & Medicaid Services (CMS) – May 5, 2013
• Patient Protection and Affordable Care Act; Program Integrity: Exchange, SHOP, Premium Stabilization Programs, and Market Standards (CMS-9957-P)– Proposed Rule (RIN# 0938-AR82) – Centers for Medicare & Medicaid Services (CMS) – July 18, 2013
• Agency Information Collection Activities: Submission for OMB Review; Comment Request (CMS-10466)– Request for Comments – Centers for Medicare & Medicaid Services (CMS) – November 15, 2013
• 2012
• Patient Protection and Affordable Care Act: Health Insurance Market Rules; Rate Review (CMS-9972-P)– Proposed Rule (RIN# 0938-AR40) – Centers for Medicare & Medicaid Services (CMS) – December 25, 2012
• Patient Protection and Affordable Care Act: Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation (CMS-9980-P)– Proposed Rule (RIN# 0938-AR03) – Centers for Medicare & Medicaid Services (CMS) – December 25, 2012
• Request for Information Regarding Qualified Health Plan Quality Management (CMS-9962-NC)– Request for Information – Centers for Medicare & Medicaid Services (CMS) – January 10, 2013
• Patient Protection and Affordable Care Act: Benefit and Payment Parameters for 2014 (CMS-9964-P)– Proposed Rule (RIN# 0938-AR51) – Centers for Medicare & Medicaid Services (CMS) – December 30, 2012
• 2011
• Patient Protection and Affordable Care Act; Establishment of Consumer Operated and Oriented Plan (CO-OP) Program (CMS-9983-P)– Proposed Rule (RIN# 0938-AQ98) – Centers for Medicare & Medicaid Services (CMS) – September 15, 2011
• Patient Protection and Affordable Care Act: Standards Related to Reinsurance, Risk Corridors and Risk Adjustment (CMS-9975-P)– Proposed Rule (RIN# 0938-AR07) – Centers for Medicare & Medicaid Services (CMS) – October 31, 2011
• Patient Protection and Affordable Care Act: Establishment of Exchanges and Qualified Health Plans (CMS-9989-P)– Proposed Rule (RIN# 0938-AQ67) – Centers for Medicare & Medicaid Services (CMS) – October 31, 2011
• Summary of Benefits and Coverage and Uniform Glossary: Templates, Instructions, and Related Materials under Public Health Service Act (CMS-9982-NC)– Request for Comments (RIN# 1210-AB52) – Centers for Medicare & Medicaid Services (CMS), Employee Benefits Security Administration (EBSA), Internal Revenue Service (IRS) – October 21, 2011
• Medicaid Program; Eligibility Changes Under the Affordable Care Act of 2010 (CMS-2349-P)– Proposed Rule (RIN# CMS-2349-P) – Centers for Medicare & Medicaid Services (CMS) – October 31, 2011
• Request for Information Regarding State Flexibility to Establish a Basic Health Program Under the Affordable Care Act– Request for Information – Centers for Medicare & Medicaid Services (CMS) – October 30, 2011
• Health Insurance Premium Tax Credit (IRS REG-131491-10)– Proposed Rule (RIN# 1545-BJ82) – Internal Revenue Service (IRS) – October 31, 2011
• 2010
• Planning and Establishment of State-Level Exchanges: Request for Comments Regarding Exchange-Related Provisions in Title I of Patient Protection and Affordable Care Act– Request for Comments – Centers for Medicare & Medicaid Services (CMS) – October 4, 2010