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An Irony of Ironies – The Final ACA Price Transparency Rule | Foley & Lardner LLP


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Some found it somewhat ironic when, only one week before the Acting Solicitor General appeared before the United States Supreme Court to argue that Congress effectively repealed the entire Affordable Care Act (“ACA”) in December 2017 by reducing the tax penalty for not having health coverage to zero, the Centers for Medicaid and Medicare Services (“CMS”), joined by the Employee Benefits Services Administration and the Internal Revenue Service, announced final new rules implementing an obscure provision of the ACA, namely Section 1311(e)(3)(A).
The final rules replaced proposed rules issued in 2019 in response to Executive Order 13877, “Executive Order on Improving Price and Quality Transparency in Healthcare to Put Patients First” (July 27, 2019).  The proposed rules focused on making specific plan cost information available to plan members on a pre-service basis. Over 25,000 comments were submitted ....

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