Health: Insurance Market Reforms: Annual/Lifetime Limits, Recissions, Patient Protections & Adult Child/Age-26 Coverage
Legislative — proposals, bills and analysis from the 109th and 110th Congresses (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.)
Official Source Documents
March 23, 2010 — Patient Protection and Affordable Care Act (PPACA) as enacted and amended by the Health Care and Education Affordability Reconciliation Act
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
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
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 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 — 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)
Condition Critical: Ten Prescriptions for Reforming Health Care Quality, Cost and Coverage
Health
Health Care Reform (PPACA), General & Misc. Items
- Employer Shared Responsibility
- Market Reforms & Adult Child/Age-26 Coverage
- Preventive Care & Value-Based Design
- Quality Improvement & Delivery Reform
- Essential Benefits
- Tax & Revenue Issues
- Grandfathered Plans
- Claims and Appeals
- Summary of Benefits & Coverage
- Informational Reporting/W2
- Health Insurance Exchanges
- State Innovation
- Medical Loss Ratio & Mini-Med Plans
- Automatic Enrollment
- Wellness Programs
- Accountable Care Organizations
- Non-Discrimination
Consumer-Directed Plans (HSAs/FSAs/HRAs)
Health Information Technology & HIPAA Privacy
Retirement
Defined Contribution/ 401(k) Plan Reform
- Automatic Enrollment
- Investments
- Plan fees
- Taxation of Retirement Plans/Limits
- Funding Reform
- PBGC Deficit & Premiums
- Business Conduct Standards
Retirement Plan Administration
Other Issues
Tax Reform, Deficit Reduction & Federal Budget
- FACTA Issues
- FBAR Issues
- Puerto Rico Plans
- Non-Qualified Deferred Compensation
- Code Section 409(A), 457(A), 162(m) issues
- Say-on-Pay
