Washington, D.C., government relations director Julie Scott Allen was quoted in Modern Healthcare on the Department of Health and Human Services’ (HHS) continued silence on when it will release the next wave of health care reform regulations.

Observers say health care interest groups are most worried about pending rules surrounding the health insurance exchanges-both state and federal-and that HHS could release a flurry of these and other highly anticipated regulations immediately after the Nov. 6 elections.

In May, the CMS' Center for Consumer Information and Insurance Oversight released "general guidance" on the federally facilitated exchanges, a 19-page document that outlined some functions of the federal exchange and information about state partnerships with the federal government to operate an exchange. The agency has not yet followed up with regulations or further guidance.

Julie said some past administrations have chosen to release a flood of regulations before an election so that a new administration could not undo the work of the preceding one. But because the current administration has met much resistance from the states regarding the Affordable Care Act, federal officials have tried collaborating with them-a pattern she said could continue.

"I don't see those rules coming forward this year," she said. "Even though the timing is tight, I see the administration wanting to work with the states."