2019-02200: Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability and Patient Access for Medicare Advantage Organization and Medicaid Managed Care Plans, State Medicaid Agencies, CHIP Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans in the Federally-Facilitated Exchanges and Health Care Providers

Summary

This proposed rule is intended to move the health care ecosystem in the direction of interoperability, and to signal our commitment to the vision set out in the 21st Century Cures Act and Executive Order 13813 to improve access to, and the quality of, information that Americans need to make informed health care decisions, including data about health care prices and outcomes, while minimizing reporting burdens on affected plans, health care providers, or payers.

The agency’s own summary, as published.

What this changes

Amends 10 parts of the Code of Federal Regulations — the standing rules this notice rewrites.

• 42 CFR 406 Hospital Insurance Eligibility and Entitlement
• 42 CFR 407 Supplementary Medical Insurance (SMI) Enrollment and Entitlement
• 42 CFR 422 Medicare Advantage Program
• 42 CFR 423 Voluntary Medicare Prescription Drug Benefit
• 42 CFR 431 State Organization and General Administration
• 42 CFR 438 Managed Care
• 42 CFR 457 Allotments and Grants to States
• 42 CFR 482 Conditions of Participation for Hospitals
• 42 CFR 485 Conditions of Participation: Specialized Providers
• 45 CFR 156 Health Insurance Issuer Standards Under the Affordable Care Act, Including Standards Related to Exchanges