Public Comment

The Maryland Health Benefit Exchange (MHBE) welcomes the input of stakeholders on a variety of issues. Occasionally, we’ll ask for Public Comment on specific issues, so please check this page often for information about public comment periods.

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Update (9/19/18)

The Maryland Health Benefit Exchange (MHBE) has drafted regulations that pertain to eligibility and enrollment in a qualified plan through the Exchange, certification to participate on the Exchange as a carrier, and certification to offer a qualified plan for sale on the Exchange. MHBE has authority to regulate these areas under Parts 155 and 156 of Title 45 of the Code of Federal Regulations and Title 31 of the Maryland Insurance Article, Annotated Code of Maryland. The Maryland Health Benefit hosted a public comment period to engage with stakeholders to discuss the scope, design and goals of these regulations. Exchange staff considered all comments and feedback and incorporated input that was deemed appropriate. The updated regulations can be viewed below, as well as stakeholder comments and MHBE responses.

Update (9/13/18)

MHBE is seeking comments on the Proposed 2020 Plan Certification Standards, which will be released on September 13, 2018. MHBE will incorporate comments on the Proposed 2020 Plan Certification Standards until October 1, 2018. Additional information concerning the comment period timeline can be viewed in the released memo to the Standing Advisory Committee, here.

Interested parties may send written comments concerning these draft Plan Certification Standards to mhbe.publiccomments@maryland.gov.

Update (4/16/18)

Under section 1332 of the Affordable Care Act, states may apply for State Innovation Waivers to waive certain federal requirements with the goal of improving their health insurance markets. During the 2018 legislative session, the Maryland General Assembly passed House Bill 1795 – Establishment of a State Reinsurance Program. Governor Hogan signed House Bill 1795 on April 5, 2018. States are required to post State Innovation Waiver Applications for public comment for a minimum of 30 days.
All comments should be submitted to the Maryland Health Benefit Exchange at mhbe.publiccomments@maryland.gov. Learn more.

Update (12/20/17)

MHBE is accepting applications for the 2018 Plan Management Stakeholder Committee (PMSC). The application period will remain open until January 12, 2018. Applicants will be notified of their application decision by January 17, 2019. The first meeting date will be on March 1, 2018. Meetings will recur on the first Thursday of the month. The PMSC governing charter is also available with this application posting.
MHBE Plan Management Stakeholder Committee Charter – 2018
Plan Management Stakeholder Committee Member Application

Update (12/15/17)

MHBE releases this 2019 DRAFT Letter to Issuers Seeking to Participate in Maryland Health Connection. MHBE will accept comments on this Letter until January 4, 2018. Please forward all comments to mhbe.publiccomments@maryland.gov.

Update (11/27/17)

MHBE is seeking comment on the Proposed 2019 Plan Certification Standards. MHBE will incorporate comments on the Proposed 2019 Plan Certification Standards until January 4, 2018. Submitters are encouraged to provide commentary in advance of the close date. MHBE will host three public sessions for comment on the proposed standards:

Dec. 7, 2017 | 2-4 p.m. | Plan Management Stakeholder Committee | Maryland Health Benefit Exchange
Dec. 14, 2017 | 2-4 p.m. | Standing Advisory Committee | Department of Transportation
Jan. 4, 2018 | 2-4 p.m. | Plan Management Stakeholder Committee | Maryland Health Benefit Exchange
MHBE will release the Draft 2019 Letter to Issuers Seeking to Participate on Maryland Health Connection on Dec. 15, 2017.
The [DRAFT] 2017 Standardized Benefit Design Work Group Report – Incorporated Commentary is published for public view. MHBE will post a FINAL 2017 Standardized Benefit Design Work Group Report on Dec. 8, 2017.

Update (7/11/17)

MHBE is seeking to add two members to the Standardized Benefit Design Work Group (SBDWG). In the 2018 Final Letter to Issuers Participating on Maryland Health Connection, MHBE was tasked to create a workgroup to help determine the scope of possible standardized benefit design standards, whether it be mandatory or optional, develop draft plans, and provide additional insight. The workgroup will provide recommendations to the MHBE Board of Trustees for 2019 QHP Certification Standards.

The application period extends from July 12 to July 19. Approved applicants will begin membership at the July 27 meeting.

Update (2/6/17)

The application/nominations period will close on Feb. 17, 2017. If you have any questions or concerns on the application please email MHBE.publiccomments@maryland.gov

Update (12/13/16)

The closing date for public comments is Jan. 2, 2017, and the email address for comments is mhbe.publiccomments@maryland.gov.

Update (12/09/16)

The closing date for public comments is 1/2/17 and the email address for comments is mhbe.publiccomments@maryland.gov.

Update (7/14/16)

Chapter 14: MHBE will ask the Board of Trustees to consider proposed Chapter 14 at a Board meeting in the fall instead of the July Board meeting.

Chapters 15 and 16: Interested parties may submit written comments to MHBE by July 29, 2016 instead of the original due date of July 15, 2016. Please send comments to mhbe.policy@maryland.gov.

Update (6/20/16)

The MHBE Board of Trustees requested in the Resolution of Board of Trustees Approving Submission of Proposed Amendments to COMAR 14.35.01 and 14.35.07 that MHBE submit the proposed amendments to COMAR 14.35.01.01, COMAR 14.35.01.02 and COMAR 14.35.07 to the Maryland Senate Finance Committee, the House Health, Government and Operations Committee and the Joint Committee on Administrative, Executive and Legislative Review for the Committees’ consideration and for publication in the Maryland Register for a formal public notice and comment period.

Update (6/16/16)

MHBE has revised the schedule for the MHBE Board of Trustees’ consideration of Chapter 14 and the schedule for written comment and Board consideration of Chapters 15 and 16. The Board will be asked to consider proposed Chapter 14 at the July 18, 2016 Board meeting. Stakeholders may continue to submit written comments on Chapters 15 and 16 until July 15, 2016. Interested parties may send written comments to mhbe.policy@maryland.gov. The Board will be asked to consider proposed Chapters 15 and 16 at the September 19, 2016 Board meeting.

Update (5/31/2016) – REVISED CHAPTER 16

MHBE has reviewed all comments received regarding proposed COMAR 14.35.16 and is providing a revised and redlined version of this chapter and a chart that summarizes the comments received. MHBE is also providing version 5 of COMAR 14.35.01.02 that incorporates all comments received pertaining to the definitions in general and the specific definitions within Chapters 7, 14-16.

Stakeholders may submit written comments by June 7, 2016 in advance of the June 14, 2016 public meeting. In addition, written comments will be accepted after the meeting until June 24, 2016 that will be considered for inclusion in the version of the proposed regulations presented to the MHBE Board of Trustees on July 18, 2016. Interested parties may send written comments to mhbe.policy@maryland.gov.

Update (5/24/2016) – GENERAL NOTICE of PUBLIC MEETINGS

MHBE will be hosting two additional public meetings to discuss proposed Chapters 15 (Individual Exchange Carrier Certification Standards) and 16 (Individual Exchange QHP Certification Standards).

Meeting 1:
Date – June 13, 2016
Location – Maryland Health Benefit Exchange, 750 East Pratt Street, 16th Floor, Baltimore MD 21202
Draft Chapter To Be Covered – Chapter 15

Meeting 2:
Date – June 14, 2016
Location – Maryland Health Benefit Exchange, 750 East Pratt Street, 16th Floor, Baltimore MD 21202
Draft Chapter To Be Covered – Chapter 16

Those not able to attend in person are welcome to participate remotely, via teleconference. For both meetings, dial-in details are as follows:

Dial In Phone Number: 877-620-6892
Conference Code: 106 126 3325

Update (5/24/2016) – REVISED CHAPTER 15

MHBE has reviewed all comments received regarding proposed COMAR 14.35.15 and is providing a revised and redlined version of this chapter and a chart that summarizes the comments received. MHBE is also providing version 4 of COMAR 14.35.01.02 that incorporates all comments received pertaining to the definitions in general and the specific definitions within Chapters 7, 14-15.

Stakeholders may submit written comments by June 6, 2016 in advance of the June 13, 2016 public meeting. In addition, written comments will be accepted after the meeting until June 24, 2016 that will be considered for inclusion in the version of the proposed regulations presented to the MHBE Board of Trustees on July 18, 2016. Interested parties may send written comments to mhbe.policy@maryland.gov.

Update (5/9/2016)

MHBE has reviewed all comments received regarding proposed COMAR 14.35.14 and is providing a revised and redlined version of this chapter and a chart that summarizes the comments received. MHBE is also providing a further revised and redlined version of COMAR 14.35.01.02 that incorporates all general comments received pertaining to definitions and a chart that summarizes these comments received.

 

Update (5/3/2016)

MHBE has reviewed all comments received by April 27, 2016 regarding proposed COMAR 14.35.07. In advance of the May 12, 2016 public meeting that will address proposed COMAR 14.35.07, MHBE is providing a revised, redlined version of the chapter and a chart that summarizes comments received on this chapter and MHBE’s response now. Revisions to COMAR 14.35.01.02 (Definitions) are also being shared at this time and will be updated and re-posted as MHBE’s shares revised and redline versions of proposed COMAR 14.35.14-.17 prior to the May 12 and May 17 or 18 meetings.

Additional written comments may be submitted to MHBE regarding proposed COMAR 14.35.07 version 2 by May 23, 2016 at mhbe.policy@maryland.gov.

Additionally, MHBE’s response to comments specifically about MHBE’s approach to implementing federal requirements in state regulations may be found here.

General Notice

The Maryland Health Benefit Exchange (MHBE) has drafted regulations that pertain to eligibility and enrollment in a qualified plan through the Exchange, certification to participate on the Exchange as a carrier and certification to offer a qualified plan for sale on the Exchange. MHBE has authority to regulate these areas under Parts 155 and 156 of Title 45 of the Code of Federal Regulations and Title 31 of the Maryland Insurance Article, Annotated Code of Maryland. MHBE seeks informal public comment on the draft regulations through written comments and two meetings in which both members of the MHBE Standing Advisory Committee (SAC) and non-SAC members may be heard.

MHBE will accept written comments on the following draft regulations until April 27, 2016:

  • 14.35.07 – Eligibility and Enrollment in QHP/APTC/CSR
  • 14.35.14 – Termination, Cancellation and Rescission of QHP
  • 14.35.15 – Carrier Certification Standards
  • 14.35.16 – Plan Certification Standards
  • 14.35.17 – Carrier Appeals
  • 14.35.01.02 – Definitions

Interested parties may send written comments concerning these draft regulations to mhbe.policy@maryland.gov.

The draft chapters are provided with this notice for public review. Any language that MHBE proposes to strike in COMAR 14.35.01.02 and Chapters 7 and 14, which are being repurposed, is indicated with [brackets] and any language that MHBE proposes to adopt is indicated with italics. All language in Chapters 15-17 is new.

In addition, the following meetings of the SAC will be held to solicit public comment regarding the draft regulations from SAC members and non-SAC members:


Meeting 1:
Date – May 12, 2016; 2-4pm
Location – Fred L. Wineland Building, 16 Francis Street, Annapolis, MD 21401
Draft Regulations To Be Covered – 14.35.07, 14.35.14 and 14.35.01.02 (applicable to Ch. 7 and 14)

Meeting 2:
Date – May 17, 2016; 1-4pm
Location – Fred L. Wineland Building, 16 Francis Street, Annapolis, MD 21401
Draft Regulations To Be Covered – 14.35.15, 14.35.16, 14.35.17 and 14.35.01.02 (applicable to Ch 15-17)

Teleconferencing information will be shared prior to the meetings.

MHBE will provide revised drafts of the regulations to be covered at the meeting at least 48 hours prior to the meeting. The revised drafts will address comments received from stakeholders by the April 27 written comment due date. MHBE will review the revised drafts at the meeting with stakeholders.

Stakeholders may submit additional written comments to MHBE until May 23, 2016 that will be considered for inclusion in the version of the proposed regulations presented to the MHBE Board of Trustees on June 20, 2016. Interested parties may send written comments to mhbe.policy@maryland.gov.

 

Outline of Draft Regulations – Chapters 7, 14-17