Health >> Health Care Reform (PPACA) >> Other PPACA Provisions >> Market Reforms & 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

Archive — Click to access archived items for this issue

Press Releases — Council statements and advisories to the news media

See Also — for related information

Related Links — for related links



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

Official Source Documents

April 20, 2016 — FAQs about Affordable Care Act Implementation Part 31: Preventive Care, Out-of-Pocket Maximums, Recissions, Mental Health Parity

December 16, 2015 — IRS Notice 2015-87: Further Guidance on the Application of the Group Health Plan Market Reform Provisions of the Affordable Care Act to Employer-Provided Health Coverage and on Certain Other Affordable Care Act Provisions

November 13, 2015 — Tri-Agency Final Regulations on Grandfathered Plans, Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, Dependent Coverage, Appeals, and Patient Protections

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

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

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

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

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

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 Proposed Regulations on Availability of Medicare Data for Performance Measurement

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

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

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

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 — Frequently Asked Questions on Dependent Coverage under PPACA

May 10, 2010 —  Fact Sheet 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

March 10, 2016 — Benefits Briefing Presentation Slides: ACA Guidance and Implications for Employer-Sponsored Health Plans

December 18, 2015 — Highlights from the Obama Administration’s October 2015 Regulatory Agendas and IRS Priority Guidance Plan

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

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

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: Annual & Lifetime Limits, Choice of Providers, Emergency Care (Courtesy of Groom Law Group)

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

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

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

June 22, 2016 — Council statement on House GOP health reform plan