Health: Insurance Market Reforms: Annual/Lifetime Limits, Recissions, Patient Protections & Adult Child/Age-26 Coverage


Legislative — proposals, bills and analysis from 2006-present
Regulatory — administrative rules and information from U.S. offices and agencies
Judicial — current and past court cases and amicus briefs
Press Releases — Council statements and advisories to the news media
See Also — for related information



(Items in italic are available only to Council members.)

Council Materials

For legislative items — source documents and council materials — released prior to enactment of PPACA on March 23, 2010, please go to the PPACA Archive Page.

Click here for the Council's comprehensive chart highlighting
PPACA regulatory developments.

Official Source Documents

January 9, 2014 — FAQs about Affordable Care Act Implementation Part XVI: Preventive Coverage, Out-of-Pocket Limits, Expatriate Plans, Wellness Programs, Mental Health Parity

November 14, 2013 — CMS Letter to State Insurance Commissioners Regarding Market Reform Transitional Relief for Small Group and Individual Market

September 13, 2013 — DOL Technical Release 2013-03: Application of Market Reform and other Provisions of ACA to HRAs, Health FSAs, and Certain other Employer Healthcare Arrangements

September 13, 2013 — IRS Notice 2013-54: Application of Market Reform and other Provisions of ACA to HRAs, Health FSAs, and Certain other Employer Healthcare Arrangements

November 26, 2012 — HHS Proposed Regulations for Health Insurance Market Rules, Rate Review

November 20, 2012 — Proposed Regulations Addressing Health Insurance Market Reforms

November 20, 2012 — Fact Sheet on Proposed Regulations Addressing Health Insurance Market Reforms

November 17, 2011 — DOL FAQs About Affordable Care Act Implementation Part VII and Mental Health Parity Implementation

August 19, 2011 — CCIIO Supplemental Guidance Regarding Annual Limits Exemption for Health Reimbursement Arrangements

June 17, 2011 — Guidance on Revised Annual Limit Waiver Process

June 17, 2011 — HHS/CMS Fact Sheet on Revised Annual Limit Waiver Process

June 3, 2011 — CMS News Release on Availability of Medicare Data for Performance Measurement Proposed Regulations

June 3, 2011 — CMS Proposed Regulations on Availability of Medicare Data for Performance Measurement

April 1, 2011 — FAQs on PPACA Implementation Part VI

December 22, 2010 — DOL FAQs About Affordable Care Act Implementation Part V and Mental Health Parity Implementation

November 1, 2010 — FAQs about the Affordable Care Act Implementation Part IV

October 18, 2010 — FAQS about the Affordable Care Act Implementation Part III

October 8, 2010 — FAQS about the Affordable Care Act Implementation Part II

September 20, 2010 — FAQS about the Affordable Care Act Implementation Part I

September 4, 2010 — HHS Guidance on Annual Dollar Limit Waiver Process

July 7, 2010 — DOL Table on Applicability of Provisions to Grandfathered Plans Under PPACA

June 22, 2010 — Interim Final Rule on PPACA Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, and Patient Protections

June 22, 2010 — Obama Administration Fact Sheet on PPACA Patient Protections

May 10, 2010 — IRS/DOL/HHS Interim Final Regulations on Dependent Coverage under PPACA

May 10, 2010 — Fact Sheet on Dependent Coverage under PPACA

May 10, 2010 — Frequently Asked Questions on Dependent Coverage under PPACA

April 27, 2010 — IRS Notice 2010-38: Tax Treatment of Health Care Benefits Provided With Respect to Children Under Age 27

Council Materials

September 24, 2013 — BENEFITS BLUEPRINT: Agencies Issue Much-Anticipated Guidance Regarding PPACA Market Reforms and HRAs, FSAs and EAPs

April 22, 2013 — Council Letter to DOL Regarding Cost-Sharing Limitations under PPACA and ACA FAQs XII

August 8, 2011 — CPDP Comments to CMS Regarding Proposed Regulations on Availability of Medicare Data for Performance Measurement

October 22, 2010 — Council Comment Letter Regarding PPACA Adult Child Coverage Transition Issues

September 22, 2010 — Summary of September 20 Regulatory Guidance (Courtesy of Groom Law Group)

August 27, 2010 — Council/HRPA Comment Letter Regarding PPACA Regulations Regarding Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, and Patient Protections

August 26, 2010 — Group Letter to HHS Regarding PPACA Implementation

August 11, 2010 — Council/HRPA Comment Letter Regarding Interim Final Regulations on Dependent Coverage under PPACA

August 6, 2010 — PPACA Mandates Chart (Courtesy of Proskauer Rose)

June 29, 2010 — Summary of Grandfathered Health Plans and The Prohibition on Annual and Lifetime Dollar Limits on Benefits (Courtesy of Davis & Harman)

June 29, 2010 — Health Care Reform Compliance Presentation Slides: Rescissions and Preexisting Condition Exclusions (Courtesy of Davis & Harman)

June 29, 2010 — Summary of PPACA Regulations on Pre-existing Condition Exclusions, Annual & Lifetime Limits, Rescissions, Choice of Providers, Emergency Services (Courtesy of Groom Law Group)

June 29, 2010 — Health Care Reform Compliance Presentation Slides: Annual & Lifetime Limits, Choice of Providers, Emergency Care (Courtesy of Groom Law Group)

June 28, 2010 — Council Letter to Regulatory Agencies Regarding Definition of "Adult Child"

June 24, 2010 — Summary of PPACA Market Reform Interim Final Regulations (Courtesy of Davis & Harman)

May 13, 2010 — Health Care Reform Compliance Presentation Slides: Interim Final Regulations on Coverage of Adult Children (Courtesy of Davis & Harman LLP)

May 13, 2010 — Summary of the IRS/DOL/HHS Interim Final Regulations on Dependent Coverage under PPACA (Courtesy of Groom Law Group)

May 11, 2010 — Summary of the IRS/DOL/HHS Interim Final Regulations on Dependent Coverage under PPACA (Courtesy of Davis & Harman LLP)

May 6, 2010 — Health Care Reform Compliance Presentation Slides: IRS Guidance on Dependent Child Coverage (Davis & Harman LLP)

April 27, 2010 — Council Analysis of IRS Notice 2010-38 (Prepared by Davis & Harman LLP)

Official Source Documents
Council Materials

Condition Critical: Ten Prescriptions for Reforming Health Care Quality, Cost and Coverage

Health Care Reform (PPACA)