# Patient Protection and Affordable Care Act; Health Insurance Market Rules; Rate Review
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2013-02-27 · Effective 2013-04-29 · 78 FR 13406
## Document
- **Document number:** 2013-04335
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 78 FR 13406
- **CFR reference:** 45 CFR 144
- **Publication date:** 2013-02-27
- **Effective date:** 2013-04-29
- **HHS docket:** CMS-9972-F
## Abstract

This final rule implements provisions related to fair health insurance premiums, guaranteed availability, guaranteed renewability, single risk pools, and catastrophic plans, consistent with title I of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. The final rule clarifies the approach used to enforce the applicable requirements of the Affordable Care Act with respect to health insurance issuers and group health plans that are non-federal governmental plans. This final rule also amends the standards for health insurance issuers and states regarding reporting, utilization, and collection of data under the federal rate review program, and revises the timeline for states to propose state- specific thresholds for review and approval by the Centers for Medicare & Medicaid Services (CMS).

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2013/02/27/2013-04335/patient-protection-and-affordable-care-act-health-insurance-market-rules-rate-review)
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