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B-331720 1 (2020-01-10)

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GAOU.S. GOVERNMENT ACCOUNTABILITY OFFICE
441 G St. N.W.
Washington,  DC  20548


B-331720


January 10, 2020

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

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

Subject: Department of Health and Human Services: Patient Protection and Affordable Care Act;
       Exchange  Program Integrity

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; Exchange Program Integrity (RIN: 0938-AT53). We received the rule on
December  20, 2019. It was published in the Federal Register as a final rule on December 27, 2019.
84 Fed. Reg. 71674. The effective date of the rule is February 25, 2020.

The final rule revises standards relating to oversight of exchanges established by state and periodic data
matching frequency. The final rule also includes new requirements for certain issuers related to the
collection of separate payment for the portion of a plan's premium attributable to coverage for certain
abortion services.

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. If you have any questions about this report or
wish to contact GAO officials responsible for the evaluation work relating to the subject matter of the rule,
please contact Janet Temko-Blinder, Assistant General Counsel, at (202) 512-7104.



       signed

Shirley A. Jones
Managing Associate General Counsel

Enclosure

cc: Calvin E. Dukes II
    Regulations Coordinator
    Department of Health and Human Services

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