CMS releases final Market Stabilization Rule

On April 13, 2017, the Centers for Medicare and Medicaid Services (CMS) released the final Patient Protection and Affordable Care Act; Market Stabilization Rule. The final rule is aimed at stabilizing the individual and small group markets by tightening enrollment standards and providing increased flexibility related to standards for Qualified Health Plans (QHPs), as outlined in detail below. The final rule also seeks to provide greater deference to state regulation of health insurance.

Upon issuing the final regulations, CMS also released:

PCG subject matter experts have created a comprehensive summary to assist regulators as they seek to understand what the rule changes and updated timelines mean for the coverage and markets in their states. The team also hosted a webinar on Thursday, April 20th to review the final rule. For a copy of the webinar recording or the presentation slides, please email

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