2019-11512: Nondiscrimination in Health and Health Education Programs or Activities

Summary

The Department of Health and Human Services ("the Department") is committed to ensuring the civil rights of all individuals who access or seek to access health programs or activities of covered entities under Section 1557 of the Patient Protection and Affordable Care Act. The Department proposes to revise its Section 1557 regulation in order to better comply with the mandates of Congress, address legal concerns, relieve billions of dollars in undue regulatory burdens, further substantive compliance, reduce confusion, and clarify the scope of Section 1557 in keeping with pre-existing civil rights statutes and regulations prohibiting discrimination on the basis of race, color, national origin, sex, age, and disability.

The agency’s own summary, as published.

What this changes

Amends 8 parts of the Code of Federal Regulations — the standing rules this notice rewrites.

• 42 CFR 438 Managed Care
• 42 CFR 440 Services: General Provisions
• 42 CFR 460 Programs of All-Inclusive Care for the Elderly (PACE)
• 45 CFR 86 Nondiscrimination on the Basis of Sex in Education Programs or Activities Receiving Federal Financial Assistance
• 45 CFR 92 Nondiscrimination in Health Programs or Activities
• 45 CFR 147 Health Insurance Reform Requirements for the Group and Individual Health Insurance Markets
• 45 CFR 155 Exchange Establishment Standards and Other Related Standards Under the Affordable Care Act
• 45 CFR 156 Health Insurance Issuer Standards Under the Affordable Care Act, Including Standards Related to Exchanges