CMS Halts Premium Tax Credit Reconciliation Enforcement After Court Injunction
CMS issued implementation guidance July 22 following a federal district court injunction that blocked eight provisions of its 2027 notice of benefit and payment parameters final rule. The injunction, issued July 16, prevents enforcement of provisions set to take effect July 20. CMS directed exchanges to immediately stop removing or denying advance premium tax credits for applicants who failed to file and reconcile prior years' credits, effective for plan years 2026 and 2027. The agency also reinstated the automatic 60-day extension for resolving household income data inconsistencies.
The injunction and revised implementation timeline affect marketplace operations and eligibility determinations for plan years 2026-2027, requiring immediate system changes by state and federal exchanges.
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