APTA's summary on the rules governing the establishment of health insurance exchanges and qualified health plans (QHP) highlights provisions pertinent to physical therapists, such as the QHP network adequacy standards that require issuers to maintain sufficient amounts and types of providers to ensure that all services will be accessible without unreasonable delay. The summary covers provisions related to initial and annual open enrollment periods, the eligibility determination process for the Small Business Health Options Program, consumer assistance tools and programs, privacy and security of information, and more.
Several provisions in this final rule were published as interim final and are open for public comment until May 11.
Association members can access the summary on APTA's Summaries of Health Care Reform Rules & Regulations Web page under the heading "Additional Summaries."
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