November 29, 2017 HHS's recently released Notice of Benefit and Payment Parameters proposes a number of significant "updates" to rules that regulate the ACA marketplaces, as well as changes in who is responsible for the actual monitoring and enforcement of those rules. DREDF's response highlights our opposition to proposals to change how essential health benefit standards are established in each state, the way that provider network adequacy is enforced for plans participating in the exchanges, and the requirement that requires plans to limit their use of premiums for expenses other than medical benefits. DREDF also criticizes greatly reduced federal support for Navigators and increases on individual and family cost-sharing limits.