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B-329030 1 (2017-04-28)

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G     A     O       U.S. GOVERNMENT ACCOUNTABILITY OFFICE
441 G St. N.W.
Washington, DC 20548


B-329030


April 28, 2017

The Honorable Lamar Alexander
Chairman
The Honorable Patty Murray
Ranking Member
Committee on Health, Education, Labor, and Pensions
United States Senate

The Honorable Greg Walden
Chairman
The Honorable Frank Pallone, Jr.
Ranking Member
Committee on Energy and Commerce
House of Representatives

Subject: Department of Health and Human Services: Patient Protection and Affordable
        Care Act; Market Stabilization

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; Market Stabilization (RIN: 0938-
AT1 4). We received the rule on April 19, 2017. It was published in the Federal Register
as a final rule on April 18, 2017. 82 Fed. Reg. 18,346. The rule is effective on June 19,
2017.

The final rule makes changes that HHS expects will help stabilize the individual and
small group markets and affirm a state regulator role. This final rule amends standards
relating to special enrollment periods, guaranteed availability, and the timing of the
annual open enrollment period in the individual market for the 2018 plan year; standards
related to network adequacy and essential community providers for qualified health
plans; and the rules around actuarial value requirements.

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 the
procedural steps taken indicates that HHS complied with the applicable requirements.

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