HHS Proposes Rule Restricting Marketplace Enrollment, Eligibility, and Benefits – HCIM

On March 10, the Department of Health and Human Services (HHS) released its first major healthcare regulation of the Trump Administration. The proposed rule makes several changes to marketplace coverage, including to enrollment processes, benefits, and income verification for premium tax credits (PTCs) and cost sharing reductions (CSRs). If finalized, many of the proposed changes will go into effect starting in January 2026, but some of the changes, including to special enrollment periods, would go into effect this year. A full summary of the proposed rule is available here. Read on for the highlights of the rule and to learn about how certain provisions could impact access to care for people with chronic and complex conditions.

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