Today, the U.S. Department of Health and Human Services (HHS)
announced a proposed rule implementing Section 1557 of the Affordable Care
Act (ACA) which prohibits discrimination on the basis of race, color,
national origin, sex, age, and disability in certain health programs and
activities. This proposed rule restores and strengthens civil rights
protections for patients and consumers in federally funded health programs
and HHS programs, after the 2020 version of the rule limited its scope and
power to cover fewer programs and services. This proposed rule affirms
protections against discrimination on the basis of sex, including sexual
orientation and gender identity, consistent with the U.S. Supreme Court’s
holding in Bostock v. Clayton County, and reiterates protections
from discrimination for seeking reproductive health care services.
Strengthening this rule is part of the Biden-Harris Administration’s
commitment to advancing gender and health equity and civil rights as laid
out in President Biden’s executive orders on Preventing and Combatting Discrimination on the Basis
of Gender Identity or Sexual Orientation, Protecting Access to Reproductive Healthcare Services,
and Advancing Racial Equity and Support for Underserved
Communities.
The proposed rule includes language
in the preamble that discusses how non-discriminatory benefit design could
impact the provision and reimbursement of Medicaid and CHIP services,
including but not limited to home and community-based services. CMS
encourages states to review the proposed rule and submit public comment.
Public comments on the NPRM are due 60 days after publication
of the NPRM in the Federal Register. The Department will also be
conducting a Tribal consultation meeting on August 10, 2022, from 2:00 p.m.
to 4:00 p.m. Eastern Daylight Time. To participate, you must register in
advance at https://www.zoomgov.com/meeting/register/vJIsfu-rqzksEl2T8gUp_lDrWBqkU0223CY .
View HHS’s press release: https://www.hhs.gov/about/news/2022/07/25/hhs-announces-proposed-rule-to-strengthen-nondiscrimination-in-health-care.html
The NPRM may be viewed or downloaded at: https://www.hhs.gov/sites/default/files/section-1557-nprm.pdf
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