Exchanges would no longer have to redetermine whether an enrollee is eligible for financial subsidies when it processes a voluntary termination of exchange coverage for someone dually enrolled in other qualifying coverage.

In its quest to keep ineligible people from receiving subsidies to purchase health care insurance under the Affordable Care Act, the Centers for Medicare and Medicaid is proposing to change the rules on standards that govern ACA-compliant plans.

According to Modern Healthcare, CMS is looking for feedback on whether it should terminate automatic reenrollment for low-income exchange enrollees who receive $0 premium plans with tax credits. The agency is asking whether it should require those enrollees to actively update their application during open enrollment in order to avoid having their advanced premium tax credits for the next year terminated or cut.

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Marlene Satter

Marlene Y. Satter has worked in and written about the financial industry for decades.

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