2026-04467Proposed RuleSignificantWallet

ACA 2027 Fixes: Table Labels Corrected for Clarity

Published Date: 3/6/2026

Proposed Rule

Summary

This correction fixes some missing labels in important tables from the 2027 health insurance rules under the Affordable Care Act. It mainly affects insurance companies and people using marketplace plans by clarifying how risk and payments are calculated. These fixes take effect right away on March 6, 2026, ensuring everyone has clear info before the 2027 plan year starts.

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Clarified Risk-Adjustment Payment Calculations

The correction clarifies how risk and payments are calculated by restoring table headings and corrected presentation of the proposed risk adjustment model factors that apply to the 2027 benefit year. Insurance companies and entities involved in HHS-operated risk adjustment and risk adjustment data validation (HHS-RADV) should use the corrected tables as of March 6, 2026 to interpret payments and risk scores.

Corrected 2027 Risk Adjustment Tables

This correction restores missing column headings in Tables 1 through 7 that show the proposed adult and child risk adjustment model factors for the 2027 benefit year. The tables list demographic and diagnosis factors by plan metal level (Platinum, Gold, Silver, Bronze, Catastrophic), clarifying how risk scores are presented for 2027. The correction is effective March 6, 2026.

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Key Dates

Published Date
3/6/2026

Department and Agencies

Department
Independent Agency
Agency
Health and Human Services Department
Centers for Medicare & Medicaid Services
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