45 CFR 156.1250
§ 156.1250 Acceptance of certain third party payments.
United States · 45 CFR — Public Welfare · Status: effective
Cite this
- Citation
- 45 CFR 156.1250, § 156.1250 Acceptance of certain third party payments, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/217833
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Full text
Issuers offering individual market QHPs, including stand-alone dental plans, and their downstream entities, must accept premium and cost-sharing payments for the QHPs from the following third-party entities from plan enrollees (in the case of a downstream entity, to the extent the entity routinely collects premiums or cost sharing):
(a) A Ryan White HIV/AIDS Program under title XXVI of the Public Health Service Act;
(b) An Indian tribe, tribal organization, or urban Indian organization; and
(c) A local, State, or Federal government program, including a grantee directed by a government program to make payments on its behalf.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.