Join the HHS Notice of Benefit and Payment Parameters for 2027 Final Rule Webinar on Monday, June 1, from 1:00–2:00 p.m. ET for an overview of the major policies within the final rule (CMS-9883-F).
The rule includes the finalized requirements for qualified health plans and updates market-wide policies, such as risk adjustment calculations, special enrollment periods, and user fees. Please note: CMS may not be able to address questions concerning other topics or complex consumer cases during the webinar.
You are encouraged to direct these questions to the Agent/Broker Email Help Desk at FFMProducer-AssisterHelpDesk@cms.hhs.gov. To learn more about getting help with your consumer case-specific questions, see this FAQ.
To attend the webinar, visit https://regtap.cms.gov/reg_events_view.php?class=736 and follow these steps.
- Select ‘Training Events’ from ‘My Dashboard’
- Select the ‘View’ icon next to the event title: 2026 Centers for Medicare & Medicaid Services Rulemaking Series
- Select ‘Register Me’
For additional information, view the rule text, press release, and fact sheet:
- Final rule: https://www.cms.gov/files/document/cms-9883-f-patient-protection.pdf*
- CMS Press release: https://www.cms.gov/newsroom/press-releases/cms-final-rule-lowers-costs-cracks-down-fraud-expands-state-control
- CMS Fact Sheet: https://www.cms.gov/newsroom/fact-sheets/hhs-notice-benefit-payment-parameters-2027-final-rule
Registration will close at 10:00 a.m. ET on the day of the session. If you need registration assistance, contact the REGTAP Registrar at registrar@regtap.cms.gov or 800-257-9520.
The Agility Difference
Agility will continue to provide ACA and all insurance agents with updates like this, so you know what is happening and can best prepare for 2027. As the insurance market continues to evolve, Agility helps you deliver the best client experience by drawing on our team’s decades of expertise, setting you up for growth.
With Agility, you receive the latest information like this about what’s happening in the insurance industry and what you can do about it for your immediate use. If you have any questions about this material, please contact our Dedicated Producer Support at (866) 590-9771 or support@enrollinsurance.com to answer your insurance questions and connect you with our Medicare, ACA, and ancillary experts.
They can also add you to our weekly email list for tips and updates.
Let Agility help you grow your skills and take advantage of client experience opportunities in 2026.
Agility is providing a brief summary of the CMS 2027 Notice of Benefit and Payment Parameters Final Rule fact sheet below:
The rule updates the 2027 Affordable Care Act Marketplace policy, focusing on program integrity, consumer protections, insurer flexibility, and state flexibility. The key changes include:
- Stronger oversight of brokers and marketing – it bans misleading tactics like false “$0 premium” claims and requires standardized consumer consent/documentation forms starting in 2028.
- More income and eligibility verification – CMS tightens checks on subsidy eligibility, including stricter verification for low-income applicants and failure-to-file/reconcile tax cases.
- Marketplace plan flexibility:
- Removes the requirement for standardized ACA plans.
- Removes limits on non-standardized plans.
- Allows new types of non-network Qualified Health Plans beginning in 2028.
- Expanded catastrophic coverage access:
- More hardship exemptions.
- Multi-year catastrophic plans (up to 10 years).
- More flexibility in cost-sharing design.
- Lower Marketplace user fees for insurers in federally facilitated exchanges in 2027.
- States gain more control over provider networks and Essential Community Provider reviews for exchange plans.
- CMS kept the existing rule requiring insurers to contract with at least 35% of Essential Community Providers, rejecting a proposed reduction to 20%.
- The rule also implements parts of the new Working Families Tax Cut legislation, including changes that limit premium tax credit eligibility for certain lawfully present immigrants with incomes below 100% of the federal poverty level.
- CMS will no longer allow NPN adding or changing NPN on the healthcare.gov system
- CMS will no longer assist with three-way call enrollments if there is no SSN or immigration documentation.
- NOTE: In a call with CMS last week, they said additional crackdowns on enrollments without socials are coming in the near future.
- Reminder: AGENTS/PRODUCERS are not assisters, and agent info should not be provided in the assister fields. This information is not shared with plan sponsors, and agents will not receive credit for the enrollment.
Overall, according to CMS, the rule intends to reduce fraud, improve oversight, expand plan innovation, increase state flexibility, and lower administrative costs in the 2027 ACA program.
The Agility Difference
Agility will continue to provide ACA and all insurance agents with updates like this, so you know what is happening and can best prepare for 2027. As the insurance market continues to evolve, Agility helps you deliver the best client experience by drawing on our team’s decades of expertise, setting you up for growth.
With Agility, you receive the latest information like this about what’s happening in the insurance industry and what you can do about it for your immediate use. If you have any questions about this material, please contact our Dedicated Producer Support at (866) 590-9771 or support@enrollinsurance.com to answer your insurance questions and connect you with our Medicare, ACA, and ancillary experts. They can also add you to our weekly email list for tips and updates.
Let Agility help you grow your skills and take advantage of client experience opportunities in 2026.
