Department of Health and Human Services: Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers
GAO-12-606R, Apr 5, 2012
GAO reviewed the Department of Health and Human Services' (HHS) new rule on the Patient Protection and Affordable Care Act's establishment of exchanges and qualified health plans; and exchange standards for employers. GAO found that (1) the final rule sets forth the minimum federal standards that states must meet if they elect to establish and operate an Exchange, including the standards related to individual and employer eligibility for and enrollment in the Exchange and insurance affordability programs. The final rule also outlines minimum standards that health insurance issuers must meet to participate in an Exchange and offer qualified health plans (QHPs). Finally, the final rule provides basic standards that employers must meet to participate in the Small Business Health Options Program (SHOP); and (2) HHS complied with applicable requirements in promulgating the rule.