Consumers Union, the policy and advocacy division of Consumer Reports, submits these comments regarding the proposed rule implementing provisions of the Affordable Care Act (ACA), Medicaid, and the Children’s Health Insurance Program Reauthorization Act of 2009. We commend HHS and its agency partners in crafting draft provisions implementing the ACA that strive to maximize enrollment and minimize disruption in coverage. To that end, we see a number of laudable principles incorporated throughout the proposed regulations, and we have comments in detail on a number of provisions.