# Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2022; Updates to State Innovation Waiver (Section 1332 Waiver) Implementing Regulations
> **Treasury** · Final rule. · Published 2021-01-19 · Effective 2021-03-15 · 86 FR 6138
## Document
- **Document number:** 2021-01175
- **Category:** other
- **Sub-agency:** Treasury
- **Federal Register citation:** 86 FR 6138
- **CFR reference:** 31 CFR 33
- **Publication date:** 2021-01-19
- **Effective date:** 2021-03-15
- **Treasury docket:** CMS-9914-F
## Abstract

This final rule sets forth provisions related to user fees for federally-facilitated Exchanges and State-based Exchanges on the Federal Platform. It includes changes related to acceptance of payments by issuers of individual market Qualified Health Plans and clarifies the regulation imposing network adequacy standards with regard to Qualified Health Plans that do not use provider networks. It also adds a new direct enrollment option for federally-facilitated Exchanges and State Exchanges and implements changes related to section 1332 State Innovation Waivers.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2021/01/19/2021-01175/patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2022)
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