{"data":{"id":"us/45-cfr-155.1055","jurisdiction":"us","citation":"45 CFR 155.1055","heading":"Service area of a QHP.","body":"The Exchange must have a process to establish or evaluate the service areas of QHPs to ensure such service areas meet the following minimum criteria:\n(a) The service area of a QHP covers a minimum geographical area that is at least the entire geographic area of a county, or a group of counties defined by the Exchange, unless the Exchange determines that serving a smaller geographic area is necessary, nondiscriminatory, and in the best interest of the qualified individuals and employers.\n(b) The service area of a QHP has been established without regard to racial, ethnic, language, health status-related factors specified under section 2705(a) of the PHS Act, or other factors that exclude specific high utilizing, high cost or medically-underserved populations.","path":["Title 45—Public Welfare","SUBTITLE A—Department of Health and Human Services","SUBCHAPTER B—REQUIREMENTS RELATING TO HEALTH CARE ACCESS","PART 155—EXCHANGE ESTABLISHMENT STANDARDS AND OTHER RELATED STANDARDS UNDER THE AFFORDABLE CARE ACT","Subpart K—Exchange Functions: Certification of Qualified Health Plans"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-45.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:21Z","sha256":"82255602968437819637be6fbe8cbb57b30f1e77e3c55ac9475a1f625d7df7ee","source_id":"us-cfr","stale":true,"prev":"us/45-cfr-155.1051","next":"us/45-cfr-155.1065"},"notice":"GroundRules: Original legal text. Not legal advice."}