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Colorado Division of Insurance · August 19, 2026 · Primary source

Request for Comment on DRAFT Proposed Amended Regulation 4-2-78 Concerning Health Insurance Affordability Enterprise On-Exchange Subsidies

Score 41PRIMARYregulatoryState insurance deptCO

Summary

The Colorado Division of Insurance is seeking public comment on a draft proposed amendment to Regulation 4-2-78, which governs the Health Insurance Affordability Enterprise (HIAE) on-exchange subsidy program. The regulation provides standards for payments to health insurance carriers under C.R.S. § 10-16-1205(1)(b)(II) and relates to Colorado's state-based subsidy structure layered on top of ACA exchange plans. The comment period opened June 12, 2026; no effective date for the amended regulation is stated in the excerpt.

What this may mean

The proposed amendment would modify the standards governing subsidy payments to carriers participating in Colorado's state exchange, directly affecting health plan and payor financial arrangements under the HIAE framework. Colorado-licensed health plans and carriers offering on-exchange products would be subject to revised payment standards if the regulation is finalized. No federal regulatory change, enforcement action, or provider-side obligation is created by this draft rulemaking.

Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.

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