True to predictions that HHS regulatory activities to implement the ACA would accelerate after last week’s national elections, CMS has sent several ACA implementation rules to the Office of Management and Budget for final regulatory clearance. Among other things, the Administration is seeking clearance for the highly-anticipated proposed rule establishing the essential health benefits standards and related health insurance issuer and Affordable Insurance Exchanges responsibilities, along with proposed rules establishing additional ACA health insurance market rules and wellness program standards, and a notice on ACA health care quality provisions. The rules are not available until they reach the Federal Register. We will report on the regulations when they are released.