The federal government continues to struggle with implementation of a national health plan identifier, first mandated under HIPAA in 1996 and again in the Affordable Care Act in 2010.

A final rule in 2012 adopted a standard for a unique health plan identifier, also called HPID. Most health plans were required to have an HPID by Nov. 5, 2014, with small plans having another year to comply. The rule also distinguished between “controlling health plans” that needed an HPID and “subhealth plans” that did not.

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