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GAO-12-606R 1 (2012-04-05)

handle is hein.gao/gaobadosh0001 and id is 1 raw text is: GAO Accountability * Integrity * Reliability United States Government Accountability Office Washington, DC 20548 B-323302 April 5, 2012 The Honorable Tom Harkin Chairman The Honorable Michael B. Enzi Ranking Member Committee on Health, Education, Labor, and Pensions United States Senate The Honorable Fred Upton Chairman The Honorable Henry A. Waxman Ranking Member Committee on Energy and Commerce House of Representatives Subject: Department of Health and Human Services: Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers Pursuant to section 801 (a)(2)(A) of title 5, United States Code, this is our report on a major rule promulgated by the Department of Health and Human Services (HHS), entitled Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers (RIN: 0938-AQ67). We received the rule on March 16, 2012. It was published in the Federal Register as a final rule, interim final rule on March 27, 2012. 77 Fed. Reg. 18,310. The final rule sets forth the minimum federal standards that states must meet if they elect to establish and operate an Exchange, including the standards related to individual and employer eligibility for and enrollment in the Exchange and insurance affordability programs. The final rule also outlines minimum standards that health insurance issuers must meet to participate in an Exchange and offer qualified health plans (QHPs). Finally, the final rule provides basic standards that employers must meet to participate in the Small Business Health Options Program (SHOP). Enclosed is our assessment of HHS's compliance with the procedural steps required by section 801 (a)(1)(B)(i) through (iv) of title 5 with respect to the rule. Our review of GAO-12-606R

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