Previous civil rights laws enforced by the HHS Office for Civil Rights (OCR) prohibited health care related discrimination based on race, color, national origin, disability, or age. Section 1557 of the ACA added sex to that list. Although Sec. 1557 has been in effect since the enactment of the ACA, the Final rule implements the statutory section and clariﬁes the outlines of the nondiscrimination policy. Danielle Capilla, Chief Compliance Offcer at United Beneﬁt Advisors, explained that the rule "further clariﬁes a grey area, and provides teeth and speciﬁcity to poorly understood or enforced rules."