---
kind: "section"
citation: "45 C.F.R. § 156.10"
title: "45"
number: "156.10"
heading: "Basis and scope."
url: "https://uscodex.org/cfr/45/156.10"
---

# §156.10. Basis and scope.

- (a) **Basis.**
  - (1) **This part is based on the following sections of title I of the Affordable Care Act—**
    - (i) 1301. QHP defined.
    - (ii) 1302. Essential health benefits requirements.
    - (iii) 1303. Special rules.
    - (iv) 1304. Related definitions.
    - (v) 1311. Affordable choices of health benefit plans.
    - (vi) 1312. Consumer choice.
    - (vii) 1313. Financial integrity.
    - (viii) 1321. State flexibility in operation and enforcement of Exchanges and related requirements.
    - (ix) 1322. Federal program to assist establishment and operation of nonprofit, member-run health insurance issuers.
    - (x) 1331. State flexibility to establish Basic Health Programs for low-income individuals not eligible for Medicaid.
    - (xi) 1334. Multi-State plans.
    - (xii) 1402. Reduced cost-sharing for individuals enrolling in QHPs.
    - (xiii) 1411. Procedures for determining eligibility for Exchange participation, advance premium tax credits and reduced cost sharing, and individual responsibility exemptions.
    - (xiv) 1412. Advance determination and payment of premium tax credits and cost-sharing reductions.
    - (xv) 1413. Streamlining of procedures for enrollment through an Exchange and State, Medicaid, CHIP, and health subsidy programs.
  - (2) This part is based on [section 1150A](/cfr/45/1150A.md), Pharmacy Benefit Managers Transparency Requirements, of title I of the Act:
- (b) **Scope.** This part establishes standards for QHPs under Exchanges, and addresses other health insurance issuer requirements.

## Notes

### Source

Source: 77 FR 18468, Mar. 27, 2012, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 18021-18024, 18031-18032, 18041-18042, 18044, 18054, 18061, 18063, 18071, 18082, and 26 U.S.C. 36B.

### Source

Source: 76 FR 77411, Dec. 13, 2011, unless otherwise noted.