CMS published a proposed rule on April 5, 2013 detailing regulations that aim to prevent biases and conflicts of interest for Navigators and non-Navigator Assistance Personnel in connection with the soon-to-be implemented health insurance Exchanges (the “Proposed Rule”). The Navigators will assist consumers in a fair, informative and impartial manner to select a health insurance plan through the Exchanges. Comments on the proposed regulation are due May 6, 2013. Last year, CMS published a final rule implementing a program that awards grants to Navigators who carry out a list of required duties for assisting customers in choosing the correct health plan.
The Proposed Rule amends the final regulations in last year’s rule and adds additional regulations on: (i) conflict-of-interest and training standards for Navigators and non-Navigator Assistance Personnel carrying out consumer assistance functions; and (ii) ensuring that the information delivered to consumers is culturally and linguistically appropriate and accessible by people with disabilities. Below are six key points regarding the Proposed Rule.
If you have any questions with regards to the Proposed Rule or the Navigator program, please contact one of the authors.