The Centers for Medicare and Medicaid Services recently delayed the employer mandate for a year and CMS in a new final rule hints that other delays could be coming.

The final rule sets several new policies for Medicaid and the Children’s Health Insurance Program, including provisions that state health insurance exchanges must implement. At the end of a summary of the lengthy rule’s provisions, CMS adds this: “Finally, this rule provides notice that we are considering, for purposes of the initial open enrollment period for enrollment in a qualified health plan through the exchange, whether various provisions of the Medicaid and CHIP regulations should be effective October 1, 2013, or whether a later effective date is appropriate.”

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