# Patient Protection and Affordable Care Act; Program Integrity: Exchange, SHOP, and Eligibility Appeals
> **US Department of Health and Human Services** · Final rule. · Published 2013-08-30 · Effective 2013-09-30 · 78 FR 54070
## Document
- **Document number:** 2013-21338
- **Category:** other
- **Sub-agency:** US Department of Health and Human Services
- **Federal Register citation:** 78 FR 54070
- **CFR reference:** 45 CFR 147
- **Publication date:** 2013-08-30
- **Effective date:** 2013-09-30
- **HHS docket:** CMS-9957-F
## Abstract

This final rule implements provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act). Specifically, this final rule outlines Exchange standards with respect to eligibility appeals, agents and brokers, privacy and security, issuer direct enrollment, and the handling of consumer cases. It also sets forth standards with respect to a State's operation of the Exchange and Small Business Health Options Program (SHOP). It generally is finalizing previously proposed policies without change.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2013/08/30/2013-21338/patient-protection-and-affordable-care-act-program-integrity-exchange-shop-and-eligibility-appeals)
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