By Sabrina Corlette, Jason Levitis, and Tara Straw
On February 9, 2026, the Centers for Medicare & Medicaid Services released its annual proposed rule governing the Affordable Care Act Marketplaces and insurance reforms. The proposed “Notice of Benefit & Payment Parameters,” includes a broad set of policy and operational changes for 2027 that implement elements of H.R.1, roll back several Biden-era policies, revisit provisions of the Marketplace Integrity final rule, and introduce several new policies. In a new issue brief for the Robert Wood Johnson Foundation’s State Health & Value Strategies program, Sabrina Corlette, Jason Levitis, and Tara Straw review provisions of the proposed rule with particular import for State-Based Marketplaces and state insurance departments.
Download the issue brief here.
