CMS Issues Proposed Rule on HHS Notice of Benefit and Payment Parameters for 2027; Comments Due March 13

The Centers for Medicare & Medicaid Services (CMS) has released the annual proposed Notice of Benefit and Payment Parameters for the 2027 benefit year. The notice applies to health plan issuers offering qualified health plans through the Affordable Care Act (ACA) state and federal marketplaces, and includes requirements for agents, brokers, and assisters that help consumers enroll in marketplace coverage. The notice affects individual market qualified health plans, stand-alone dental plans, and all Small Business Health Option Program (SHOP) plans.

The proposal aims to lower premiums, improve access, and give consumers greater control over their health coverage decisions. CMS proposes stronger eligibility and income verification, along with enhanced enforcement policies. The proposed rule would encourage new, consumer-focused plan designs that expand choice and support affordability.

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