The Centers for Medicare and Medicaid Services has sent to the Office of Management and Budget a final rule setting financial integrity and oversight standards for qualified health plans operating in state health insurance exchanges under the Affordable Care Act.

OMB review is one of the final steps before publication of a rule in the Federal Register. The rule is on a fast track, with federal officials continuing to insist that exchanges will be operational on Oct. 1, 2013, for open enrollment for health coverage in 2014. CMS published a proposed rule on June 19 with a quick 30-day public comment period.

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