Comments Requested: Proposed Changes to 2021 Health Insurance Marketplace – March 2. Last week, CMS posted its proposed changes to the Notice of Benefits and Payment Parameters and its draft Annual Letter to Issuers, which provide guidance to states and insurers for the administration of the American Health Benefit Exchanges (aka “the Marketplace”) in 2021. Proposals address the cost of prescription drugs, determining eligibility for other public programs, the user fee rate, and the display of quality rating information on State-based Exchanges. Application submission dates and requirements for Essential Community Providers (e.g., Rural Health Clinics, Critical Access Hospitals) are unchanged from 2020. CMS has also extended for one year the policy allowing issuers to continue offering plans that do not meet all Marketplace reforms, if approved by the State.