Federal Guidance
Local Guidance
Other Resources
- Potential Impact of Short Term Duration Health Plans in the District of Columbia
- Potential Impact of Association Health Plans on ACA Premium Rates in the District of Columbia, July 24, 2018
- Potential Impact of Association Health Plans in the District of Columbia, February 21, 2017
HBX Federal Regulation Comment Letters
- Health Benefit Exchange Authority, February 20, 2024 Comments – Definition of “Employer” - Association Health Plans – RIN 1210-AC16 [PDF]
- Health Benefit Exchange Authority December 5, 2023 Comments – Draft 2025 Actuarial Value Calculator Methodology [PDF]
- Health Benefit Exchange Authority, December 5, 2023 Comments – Comments on HHS Notice of Benefit and Payment Parameters for 2025 – CMS-9895-P [PDF]
- Health Benefit Exchange Authority September 11, 2023 Comments – Short-Term, Limited-Duration Insurance; Independent, Non-coordinated Excepted Benefits Coverage; Level-Funded Plan Arrangements; and Tax Treatment of Certain Accident and Health Insurance – Notice of Proposed Rule-making - CMS-9904-P [PDF]
- Health Benefit Exchange Authority, January 30, 2023 Comments- Essential Health Benefits Request for Information – CMS-9898-NC [PDF]
- Health Benefit Exchange Authority, January 27, 2023 Comments – Comments on HHS Notice of Benefit and Payment Parameters for 2024 – CMS-9899-P [PDF]
- Health Benefit Exchange Authority January 9, 2023 Comments – Draft 2024 Actuarial Value Calculator Methodology [PDF]
- Health Benefit Exchange Authority September 30, 2022 Comments – Nondiscrimination in Health Programs and Activities – RIN 0945-AA17 [PDF]Health Benefit Exchange Authority September 30, 2022 Comments – Nondiscrimination in Health Programs and Activities – RIN 0945-AA17 [PDF]
- Health Benefit Exchange Authority, June 3, 2022 Comments – Comments on Affordability of Employer Coverage for Family Members of Employees (a.k.a. “Family Glitch” fix) – Notice of Proposed Rulemaking, REG–114339–21 [PDF]
- Health Benefit Exchange Authority, April 23, 2022 Comments – Comments on Public Charge Ground of Inadmissibility –Notice of Proposed Rulemaking, Docket No. USCIS–2021–0013 [PDF]
- Health Benefit Exchange Authority, January 28, 2022 Comments – Comments on Draft 2023 Actuarial Value Calculator [PDF]
- Health Benefit Exchange Authority, January 27, 2022 Comments – Comments on HHS Notice of Benefit and Payment Parameters for 2023 – CMS-9911-P [PDF]
- Health Benefit Exchange Authority, January 18, 2022 Comments – Visas: Ineligibility Based on Public Charge Grounds Interim Final Rule; reopening of public comment period, Docket No. DOS-2021-0034 [PDF]
- Health Benefit Exchange Authority, October 22, 2021 Comments – Comments on Public Charge Ground of Inadmissibility – Advance Notice of Proposed Rulemaking, Docket No. USCIS–2021–0013 [PDF]
- Health Benefit Exchange Authority, July 28, 2021 Comments – Comments on HHS Notice of Benefit and Payment Parameters for 2022 (Part 3) – CMS-9906-P [PDF]
- Health Benefit Exchange Authority, December 29, 2020 Comments - Comments on HHS Notice of Benefit and Payment Parameters for 2022- CMS-9914-P [PDF]
- Health Benefit Exchange Authority, December 4, 2020 Comments - Comments on Securing Updated and Necessary Statutory Evaluations Timely (SUNSET) Notice of Proposed Rulemaking – HHS-OS-2020-0012 [PDF]
- Health Benefit Exchange Authority, March 2, 2020 Comments, Comments on HHS Notice of Benefit and Payment Parameters for 2021; Notice Requirement for Non-Federal Governmental Plans – CMS-9916-P [PDF]
- Health Benefit Exchange Authority December 20, 2019 Comments – Proposed Information Collection: Public Charge Questionnaire (DS-5540) – DOS–2019 0037 [PDF]
- Health Benefit Exchange Authority November 26, 2019 Comments, Comments on Agency Information Collection Activities; Proposals, Submissions, and Approvals – CMS-2019-0113-0002 [Billing Code 4120-01-P] [PDF]
- Health Benefit Exchange Authority November 26, 2019 Comments, Attachment 1 (CMS-9922-P Comments) Comments on Agency Information Collection Activities; Proposals, Submissions, and Approvals – CMS-2019-0113-0002 [Billing Code 4120-01-P] [PDF]
- Health Benefit Exchange Authority November 12, 2019 Comments, Comments on Inadmissibility of Public Charge Grounds-DOS-2019-0035 [PDF]
- Health Benefit Exchange Authority October 31, 2019 Comments – Comments on Immigrant Health Insurance Coverage- DOS-2019-0039-0001 [PDF]
- Health Benefit Exchange Authority August 13, 2019 Comments – Comments on Nondiscrimination in Health and Health Education Programs and Activities- HHS-OCR-2019-0007 [PDF]
- Health Benefit Exchange Authority July 22, 2019 Comments – Comments on Individual Coverage HRA Model Notice – CMS-9918-F/CMS-10740/OMB-0938-1361 [PDF]
- Health Benefit Exchange Authority July 1, 2019 Comments – Request for Information Regarding State Relief and Empowerment Waivers – CMS-9936-NC2 [PDF]
- Health Benefit Exchange Authority June 18, 2019 Comments – Request for Comment on the Consumer Inflation Measures Produced by Federal Statistical Agencies, Directive No. 14 – OMB-2019-0002 [PDF]
- Health Benefit Exchange Authority May 3, 2019 Comments – Patient Protection and Affordable Care Act; Increasing Consumer Choice through the Sale of Individual Health Insurance Coverage Across State Lines Through Health Care Choice Compact – CMS-9921-NC [PDF]
- Health Benefit Exchange Authority March 21, 2019 Comments – Request for Information Regarding Grandfathered Group Health Plans and Grandfathered Group Health Insurance Coverage – CMS-9923-NC [PDF]
- Health Benefit Exchange Authority February 19, 2019 Comments – Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2020 – CMS-9926-P [PDF]
- Health Benefit Exchange Authority January 8, 2019 Comments -- Patient Protection and Affordable Care Act; Exchange Program Integrity Proposed Rule CMS‐9922‐P [PDF]
- Health Benefit Exchange Authority December 28th, 2018 Comments – Health Reimbursement Arrangements REG 136724-17 [PDF]
- Health Benefit Exchange Authority December 17, 2018 Comments – State Relief and Empowerment Waivers – CMS-9936-NC [PDF]
- Health Benefit Exchange Authority December 10, 2018 Comments – Inadmissibility on Public Charge Grounds – Docket No USCIS 2010-0012 [PDF]
- Health Benefit Exchange Authority April 19, 2018 Comments – Short-Term, Limited-Duration Insurance –CMS-9924-P [PDF]
- Health Benefit Exchange Authority March 6, 2018 Comments – Definition of “Employer” under Section 3(5) of ERISA- Association Health Plans – RIN 1210-AB85 [PDF]
- Health Benefit Exchange Authority December 5, 2017 Comments – Religious and Moral Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act – CMS-9940-IFC and CMS 9925-IFC [PDF]
- Health Benefit Exchange Authority November 27, 2017 Comments – Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2019 – CMS-9930-P [PDF]
- Health Benefit Exchange Authority July 11, 2017 Comments – Reducing Regulatory Burdens Imposed by the Patient Protection and Affordable Care Act & Improving Healthcare Choices to Empower Patients- CMS-9928-NC [PDF]
- Health Benefit Exchange Authority July 11, 2017 Comments Attachment 1 – Small Group Fact Sheet – Reducing Regulatory Burdens Imposed by the Patient Protection and Affordable Care Act & Improving Healthcare Choices to Empower Patients- CMS-9928-NC [PDF]
- Health Benefit Exchange Authority March 7, 2017 Comments – Patient Protection and Affordable Care Act; Market Stabilization – CMS-9929-P [PDF]
- Health Benefit Exchange Authority December 5, 2016 Comments – Annual Reporting and Disclosure – RIN 1210-AB63 [PDF]
- Health Benefit Exchange Authority November 4, 2016 Comments - Patient Protection and Affordable Care Act: Results of Enrollment Testing for the 2016 Special Enrollment Period – GAO-17-78 [PDF]
- Health Benefit Exchange Authority October 6, 2016 Comments – Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2018 – CMS-9934-P [PDF]
- Health Benefit Exchange Authority August 30, 2016 Comments- Premium Tax Credit NPRM VI – REG 109086-15 [PDF]
- Health Benefit Exchange Authority August 9, 2016 Comments – “Expatriate Health plans, Expatriate Health Plan Issuers, and Qualified Expatriates; Excepted Benefits; Lifetime and Annual Limits; and Short-Term, Limited-Duration Insurance – CMS-0032-P/REG-125702-15 [PDF]
- Health Benefit Exchange Authority December 21, 2015 Comments – “Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017 – CMS-9937-P [PDF]
- Health Benefit Exchange Authority November 9, 2015 Comments – Nondiscrimination in Health Programs and Activities – RIN 0945-AA02 [PDF]
- Health Benefit Exchange Authority November 9, 2015 Comments Attachment – Nondiscrimination in Health Programs and Activities – RIN 0945-AA02 [PDF]
- Health Benefit Exchange Authority March 2, 2015 Comments – Summary of Benefits and Coverage (SBC) and Uniform Glossary Proposed Rule- CMS-9938-P [PDF]
- Health Benefit Exchange Authority December 22, 2014 Comments- Patient Protection and Affordable Care Act ; HHS Notice of Benefits and Payment Parameters for 2016 – CMS 9944-P [PDF]
- Health Benefit Exchange Authority December 22, 2014 Comments – Patient Protection and Affordable Care Act; Establishment of the Multi-State Plan Program for the Affordable Insurance Exchanges – 6325-63-P [PDF]
- Health Benefit Exchange Authority April 18, 2014 Comments - Patient Protection and Affordable Care Act; Exchange and Insurance Market Standards for 2015 and Beyond – CMS-9949-P [PDF]
Research Sites