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Back to the Future: 2023 Payment Rule Would Revert Nondiscrimination and Guaranteed Availability Provisions to Pre-Trump Forms, Returns Standardized Plan Options

Sheppard Health Law

Second, issuers only may count expenditures directly related to activities that improve healthcare quality. HHS would apply time and distance standards at the county level and vary by county designation—similar to Medicare Advantage, the designation method would take into account population size and density.