Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability

Status: No effective date given. The document does not state one. Read the source before relying on timing.

From the published effective date. Nothing here records a court changing it.

• Document number: 2025-04083
• Type: Proposed Rule
• Published: March 19, 2025
• Comments close: April 11, 2025
• Agency: Health and Human Services Department

Official abstract

This proposed rule would revise standards relating to past-due premium payments; exclude Deferred Action for Childhood Arrivals recipients from the definition of "lawfully present"; the evidentiary standard HHS uses to assess an agent's, broker's, or web-broker's potential noncompliance; failure to file and reconcile; income eligibility verifications for premium tax credits and cost-sharing reductions; annual eligibility redetermination; the automatic reenrollment hierarchy; the annual open enrollment period; special enrollment periods; de minimis thresholds for the actuarial value for plans subject to essential health benefits (EHB) requirements and for income-based cost-sharing reduction plan variations; and the premium adjustment percentage methodology; and prohibit issuers of coverage subject to EHB requirements from providing coverage for sex-trait modification as an EHB.

Primary source

Read the full text on the Federal Register

This page is a structured index entry, not a substitute for reading the rule. This is not legal advice.

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Data updated October 2, 2026