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Patient Protection and Affordable Care Act, Exchange Pre-Eligibility Verification

Proposed rule · Federal Register document 2026-21891

Published
10/27/2026
Comments due
11/27/2026
29 days left
Pages
62

Summary

Proposed rule.

This proposed rule would implement new requirements specified under the Working Families Tax Cut (WFTC) legislation related to Exchange eligibility and verification. This proposed rule contains related updates to provisions affecting inconsistency periods, inconsistency verification procedures, annual eligibility redeterminations and eligibility redeterminations during the plan year, as well as expanding enrollment methods during the verification process and establishing new coverage effective dates.

Read the official textPDF on GovInfoHow to comment

Details

Type
Proposed rule
Docket
CMS-9873-P
Regulation ID (RIN)
0938-AW03
CFR parts
45 CFR 155
Topics
Administrative practice and procedure, Advertising, Aged, Brokers, Citizenship and naturalization, Civil rights, Consumer protection, Grant programs-health, Health care, Health insurance, Health maintenance organizations (HMO), Health records, Hospitals, Indians, Individuals with disabilities, Intergovernmental relations, Loan programs-health, Medicaid, Organization and functions (Government agencies), Public assistance programs, Reporting and recordkeeping requirements, Sex discrimination, State and local governments, Taxes, Technical assistance, Women, Youth

This page summarizes a Federal Register document. Only the official Federal Register text has legal effect. Comment deadlines can be extended or reopened by a later notice.

Source: Office of the Federal Register, via the Federal Register API · Last updated 10/27/2026