Final 2027 Notice of Benefit and Payment Parameters Notice: What States and Issuers Need to Know
June 8, 2026
What are the changes in the payment notice for 2027? On May 15, 2026, the Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) released the final Notice of Benefit and Payment Parameters (NBPP) for 2027, setting key rules for the individual and small group health insurance markets. This report explains the most important 2027 Payment Notice changes for health care payers, issuers, state regulators, and state-based exchanges—including what CMS finalized, what changed from the proposed rule, what takes effect in 2026, 2027, and 2028, and what the rule signals for future marketplace policy. Topics include ACA marketplace operations, eligibility and enrollment, marketing oversight, plan design flexibility, cost-sharing, Essential Health Benefits, QHP certification, and state authority. According to HHS, the final rule could reduce marketplace enrollment by 1.2 million to 2.0 million people, making it essential for decision makers to understand the operational, financial, and compliance implications now.
Need to understand how the final 2027 NBPP affects your organization? Connect with the report authors to discuss implications for pricing, product strategy, exchange operations, compliance, and state marketplace oversight. Whether you are evaluating operational changes, preparing for upcoming requirements, or assessing market impact, our experts can help you turn the final payment notice into a clear action plan. Click this link to set up a free 15-minute consultation with one of the report authors.
