The correct answer to this open question is the following.
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The statement that would be considered permissible under section 1557 and the 2020 final rule is "Health insurers under the 2020 Final Rule are not considered to be principally engaged in delivering health care, and thus lines of business that do not receive federal funding or administered under Title I of the ACA, such as life insurance, do not fall under the scope of 1557."
With this adjustment, the Affordable Care Act maintains active the enforcement of legislation about civil rights color, race, gender, Section 1557 does not allow health programs any kind of discrimination. Under this regulation, the Department of Health and Human Services is committed to protecting the rights and dignity of American citizens, as was expressed by the Director of the Office of Civil Rights of the Department of Health and Human Services, Robert Severino.
This measure benefits the American people and maintains an emphasis on the importance of respecting the quality of life and honor of citizens.
Genetic factors and rate of maturity I believe