With the enactment of the Patient Protection and Affordable Care Act (PPACA) and the Health Care and Education Reconciliation Act, which made a number of adjustments to PPACA, attention now shifts to the implementation phase of health care reform.

The Academy's Health Practice Council has established a number of work groups charged with providing input on implementation of a variety of provisions in the new law. Actuaries bring a unique perspective that is crucial to the development of workable health care reform regulation. On this page, you will find links to HPC comment letters related to the various provisions included in PPACA, as well as other resources related to the new law and its implementation.

Please bookmark this page and check back with us frequently. As implementation proceeds, we'll be updating and adding information regularly.

The Academy's Critical Issues in Health Reform series and other documents related to the health care reform dialogue can still be found on the Health Reform Now page.

Accountable Care Organizations (ACOs)
Actuarial Value
Consumer Operated and Oriented Plan Programs (CO-OPs)
Early Retiree Reinsurance Program
Grandfathering Provisions
Medical Loss Ratio Reporting and Rebates
Near-term Benefit and Eligibility Changes
Premium Review
Risk Adjustment, Reinsurance and Risk Corridors

Newly Released Documents

Life and Health Valuation Law Manual Task Force comment letter to Life Actuarial (A) Task Force on recommendations to changes for the 2019 Life and Health Valuation Law Manual.  (August 16, 2018)
C-2 Work Group presentation to NAIC Life Risk-Based Capital (E) Working Group on its projects.  (August 4, 2018)
PBR Governance Work Group update to Life Actuarial (A) Task Force on PBR adoption and Academy involvement.  (August 3, 2018)
Reinsurance WAork Group presentation to Life Actuarial (A) Task Force on reinsurance allocation.  (August 2, 2018)
SVL Interest Rate Modernization Work Group update to Life Actuarial (A) Task Force.  (August 2, 2018)
Annuity Reserves Work Group presentation to NAIC on Annuity Exclusion Test Efforts.  (August 2, 2018)
Macroprudential Task Force comment letter on scope considerations for liquidity stress test and design elements. (July 16, 2018)
AG43/C3 Phase II Work Group comment letter to NAIC on May 31 expossure of Variable Annuities Issues Working Group Framework.  (July 13, 2018)