ERIC Weighs-In on Proposed Regulations to ACA’s Section 1557

Today, ERIC submitted comments to the U.S. Department of Health and Human Services regarding proposed regulations regarding Section 1557 of the Affordable Care Act (the ACA).

The letter focused on the Department making several specific clarifications, including:

  • Regulations include an explicit exception stating that ERISA group health plans (whether self-funded or fully insured) are not entities “principally engaged in the business of providing health care”
  • Regulations include an explicit exception stating that group health plans sponsored by governmental and/or church employers (whether self-funded or fully insured) are not entities “principally engaged in the business of providing health care”
  • Regulations include an explicit exception stating that ACA excepted benefit plans and programs are not entities “principally engaged in the business of providing health care”

Click here to read the comment letter.