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Self-Funded State and Local Government Health Plans Submit Optional Opt-Out Election to CMS

December 31, 2025
  • Only applies to self-funded governmental (state and local) health plans.
  • Opt-out available for Mental Health Parity Act, Newborns and Mothers Health Protection Act,
    Women’s Health and Cancer Rights Act, and Michelle’s Law. The plan must provide notice of
    the opt-out to participants at the time of enrollment and on an annual basis, prior to the
    beginning of each plan year. A model notice can be found at:
    https://www.cms.gov/CCIIO/Resources/Files/hipaa_exemption_election_instructions_04072011
    .html

Details

  • Date: December 31, 2025

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