This week, the Centers for Medicare & Medicaid Services (CMS) issued the final Notice of Benefit and Payment Parameters for 2024, which specifies requirements for issuers, agents, brokers, and Assisters, to offer qualified health plans (QHPs) through the Federal Marketplace, Healthcare.gov. The final rule includes policies pertaining to plan options, health equity, risk adjustment, and consumer experience. It also expands the network adequacy requirements by adding Mental Health Facilities and Substance Use Disorder Treatment Centers as new categories of Essential Community Providers (ECPs) and rural emergency hospitals as a new provider type in the Other ECP Category. The number of QHPs offered in rural areas has been growing but still lags urban areas.