On December 28, 2021, the Centers for Medicare & Medicaid Services (CMS) released its proposed Notice of Benefit & Payment Parameters for plan year 2023. This annual regulation governs core provisions of the Affordable Care Act (ACA), including operation of the health insurance marketplaces, standards for insurers, and the risk adjustment program. In her latest Expert Perspective for the State Health & Value Strategies program, CHIR’s Sabrina Corlette focuses on provisions of the proposed rule that are of particular import to the state-based marketplaces and state insurance regulators. These include potential new prohibitions on discrimination in marketing and benefit design, new standards for provider networks, essential health benefits, insurance brokers, as well as changes to how consumers shop for and compare marketplace health plans.

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