Health Plans and Insurance

Last Updated: 12/28/11

ROPES & GRAY ANALYSIS 

• Proposed Health Insurance Exchange Rules Released: HHS Opts for State Flexibility (Analysis)
  (July 13, 2011)
   
• Compliance Date Postponed for Insured Group Health Plan Discrimination Rules
  (December 23, 2010)
   
• Initial Guidance to States on Exchanges
  (November 18, 2010)
   
• Amendment to Interim Final Rules on Grandfathered Plans
  (November 17, 2010)
   
• Request for Comment on External Review of Denials
  (November 17, 2010)
   
• Comprehensive Health Reform Expands Health Care Fraud and Abuse Law
  (March 29, 2010)
   
• Health Care Legislation Yields Significant Tax Consequences
  (March 26, 2010)
   

• Essential Health Benefits Bulletin
  (December 16, 2011) 
     
• Rate Increase Disclosure and Review: Definitions of “Individual Market” and “Small Group Market
  (September 6, 2011) – This rule modifies the final rule released on May 23, 2011.
      
• Proposed Rule: Patient Protection and Affordable Care Act; Exchange Functions in the Individual Market: Eligibility Determinations; Exchange Standards for Employers 
  (August 12, 2011)
   
• Group Health Plans and Health Insurance Issuers Relating to Coverage of Preventive Services under the Patient Protection and Affordable Care Act
  (August 3, 2011) 
   
• IOM Report: Clinical Preventive Services for Women: Closing the Gap 
  (July 2011)
   
• Proposed Rule: Patient Protection and Affordable Care Act; Establishment of Consumer Operated and Oriented Plans
  (July 19, 2011) - The NPRM has been superseded by the final rule.
   
• Establishment of Exchanges and Qualified Health Plans
  (July 15, 2011) 
   
• Administrative Simplification - Interim Final Rule on the Adoption of Operating Rules for Eligibility for a Health Plan and Health Care Claim Status Transactions
  (July 8, 2011)
   
• Correction to the Final Rule on Medicare Hospital Inpatient Value-Based Purchasing
  (July 5, 2011)
   
• Proposed Rule: Patient Protection and Affordable Care Act; Standards Related to Reinsurance, Risk Corridors and Risk Adjustment
  (July 2011)
   
• Rate Increase Disclosure and Review
  (May 23, 2011) – This rule modifies the notice of proposed rule making released on December 23, 2010.
   
• Labor Department Survey of Employer-Sponsored Health Plan Coverage
  (April 15, 2011)
   
• Request for Comments on Creation of Nonprofit Health Insurance Plans
  (January 26, 2011)
   
• HHS Announcement on Resources to Help States Implement Health Insurance Exchanges
  (January 20, 2011)
   
• Notice with Comment Period for Initial Cores Set of Health Quality Measures for Medicaid-Eligible Adults
  (December 30, 2010)
   
• Request for Information Regarding Value-Based Insurance Design in Connection with Preventive Care Benefits
  (December 28, 2010)
   
• Notice 2011-15:  Guidance on Use of FSA Debit Cards for Over-the-Counter Drugs
  (December 27, 2010)
   

• Notice of Proposed Rulemaking on Insurance Rate Increase Disclosure and Review
  (December 23, 2010)

• Notice 2011-1: Timing of Affordable Care Act Nondiscrimination Provisions Applicable to Insured Group Health Plans
  (December 22, 2010) 

• Notice 2011-02:  Guidance on the Application of Section 162(m)(6)
  (December 22, 2010) 

• DOL FAQS About Affordable Care Act Implementation Part V and Mental Health Parity Implementation 
   
• State Guidance on Development HIT Systems for Health Insurance Exchanges
  (November 3, 2010)
   
• CMS Voluntary Self-Referral Disclosure Protocol
  (September 20, 2010)
   
• Issue Interim Procedures for Federal External Review
  (August 23, 2010)
   
• Technical Release 2010-01 Interim Procedures for Federal External Review
  (August 23, 2010)
   
• Pre-Existing Condition Insurance Plan Program
  (July 30, 2010)
   
• Request for Comments Regarding Exchange-related Provisions of the Patient Protection and Affordable Care Act
  (July 29, 2010)
   
• State Planning and Establishment Grants for the Affordable Care Act’s Exchanges
  (July 29, 2010)
   
• Questions and Answers on Enrollment of Children Under 19 Under the New Policy That Prohibits Pre-Existing Condition Exclusions
  (July 27, 2010)
   
• Interim Final Rules for Group Health Plans and Health Insurance Issuers Relating to Internal Claims and Appeals and External Review Processes
  (July 22, 2010)
   
• Fact Sheet: Internal Claims and Appeals and External Review Processes
  (July 22, 2010)
   
• Interim Final Rules for Group Health Plans and Health Insurance Issuers Relating to Coverage of Preventive Services under the Patient Protection and Affordable Care Act
  (July 19, 2010)
    
• Recommendations: Guidance for Insurance and Medical Professionals
  (July 14, 2010)
   
• HHS Q&A:  Grandfathered Health Plans
  (June 14, 2010)
    
• HHS Fact Sheet: Grandfathered Health Plans
  (June 14, 2010)
   
• IRS: Interim Final Rule on Grandfathered Health Plans
  (June 11, 2010)
   
• HHS News Release: State Grants for Insurance Rate Review
  (June 7, 2010)
   
• IRS, DOL, HHS: Interim Final Rules for Insurance Coverage for Dependents to Age 26
  (May 10, 2010)
   
• White House Fact Sheet: Young Adults and the Affordable Care Act
  (May 10, 2010)
   
• HHS Interim Final Rule: Establishment of Website of Insurance Information for Individuals and Small Businesses
  (May 1, 2010)
   
• Office of Consumer Information and Insurance Oversight
   
• Secretary Kathleen Sebelius: Request to Insurers for Early Extension of Health Benefits to Dependents under Age 26
  (April 19, 2010)
   
• HHS Statement: Creation of Office of Consumer Information and Insurance Oversight
  (April 19, 2010) 
   
• HHS Request for Comments: Premium Review Process
  (April 14, 2010)
   
• HHS and DOL Request for Comments: Medical Loss Ratios
  (April 14, 2010)

ANALYSIS PRIOR TO PASSAGE

• Finding a Way to Pay for Health Reform
  (December 2009)
   
• Current Stakeholder Perspectives on Health Reform
  (December 2009)