In light of the public health emergency and the urgent need to help individuals and small employers experiencing economic hardship, CMS announced on August 4 that it has adopted a temporary policy to allow health plan issuers to offer premium credits for 2020 coverage. In its guidance, CMS encouraged states to adopt a similar approach. Health plan issuers wishing to provide premium credits for 2020 coverage must receive the applicable regulator’s permission to provide premium credits, or CMS’s permission in states where CMS is the primary enforcer of the applicable federal requirements.