---
kind: "section"
citation: "45 C.F.R. § 155.10"
title: "45"
number: "155.10"
heading: "Basis and scope."
url: "https://uscodex.org/cfr/45/155.10"
---

# §155.10. Basis and scope.

- (a) **Basis.** This part is based on the following sections of title I of the Affordable Care Act:
  - (1) 1301. Qualified health plan defined
  - (2) 1302. Essential health benefits requirements
  - (3) 1303. Special rules
  - (4) 1304. Related definitions
  - (5) 1311. Affordable choices of health benefit plans.
  - (6) 1312. Consumer choice
  - (7) 1313. Financial integrity.
  - (8) 1321. State flexibility in operation and enforcement of Exchanges and related requirements.
  - (9) 1322. Federal program to assist establishment and operation of nonprofit, member-run health insurance issuers.
  - (10) 1331. State flexibility to establish Basic Health Programs for low-income individuals not eligible for Medicaid.
  - (11) 1334. Multi-State plans.
  - (12) 1402. Reduced cost-sharing for individuals enrolling in QHPs.
  - (13) 1411. Procedures for determining eligibility for Exchange participation, advance premium tax credits and reduced cost sharing, and individual responsibility exemptions.
  - (14) 1412. Advance determination and payment of premium tax credits and cost-sharing reductions.
  - (15) 1413. Streamlining of procedures for enrollment through an exchange and State Medicaid, CHIP, and health subsidy programs.
- (b) **Scope.** This part establishes minimum standards for the establishment of an Exchange, minimum Exchange functions, eligibility determinations, enrollment periods, minimum SHOP functions, certification of QHPs, and health plan quality improvement.

## Notes

### Source

Source: 77 FR 18444, Mar. 27, 2012, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 18021-18024, 18031-18033, 18041-18042, 18051, 18054, 18071, and 18081-18083.

### Source

Source: 77 FR 11718, Feb. 27, 2012, unless otherwise noted.