Grants to States for Health Insurance Premium Review

Forms and Documents

Document Name	Status
Form CMS-10323 Grants to States for Health Insurance Premium Review Form and Instruction	New
CMS-10323.Supporting Statement Part A.docx Supporting Statement A	2010-06-07

IC Document Collections

IC ID	Document Title	Status
193172	Grants to States for Health Insurance Premium Review Form and Instruction	New

ICR Details

OMB Control No: 0938-1092	ICR Reference No: 201006-0938-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Grants to States for Health Insurance Premium Review
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 06/08/2010
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/07/2010
	Date Received in OIRA: 06/07/2010
Terms of Clearance: The information collection requirements associated with this Cycle I solicitation are approved. OMB notes that HHS should seek additional OMB approval for Cycle II and for any data collection associated with reporting or evaluation of Cycle I.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2010	6 Months From Approved
Responses	51	0	0
Time Burden (Hours)	26,520	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: On March 23, 2010, the President signed into law H.R. 3590, the Patient Protection and Affordable Care Act (ACA), Public Law 111-148. Section 1003 of the Affordable Care Act requires the Secretary of HHS in conjunction with States, to establish a process for the annual review of health insurance premiums to protect consumers from unreasonable, unjustified and/or excessive plan increases. This requirement takes effect beginning with the 2010 plan year. Section 1003 also establishes a program of grants to states for health insurance premium review. States receiving a grant award are to review, and if appropriate under State law, approve premium changes and provide information to the Secretary on premium increases. As the ACA requires an annual process of premium review beginning in plan year 2010, there is an urgent need to provide States with grant funding to enhance their current processes for reviewing health insurance premiums and to make immediate improvements to their current rate review reporting processes. In order to address these immediate needs, HHS will be announcing the Health Insurance Premium Review Grants on June 7, 2010 with awards to States by early August 2010.

Emergency Justfication: One of the first grant programs to be launched under the Patient Protection and Affordable Care Act (ACA) is established under Section 1003 entitled, "Ensuring That Consumers Get Value for Their Dollars". Section 1003, together with several other provisions that take effect this year, are designed to help make private health insurance more accessible and affordable and increase the transparency of the health insurance system by providing new oversight of health insurance companies. Section 1003 of the Affordable Care Act requires the Secretary of the Department of Health and Human Services (HHS), in conjunction with the States, to establish a process for the annual review of health insurance premiums to protect consumers from unreasonable, unjustified and/or excessive rate increases. This requirement takes effect beginning with the 2010 plan year. Section 1003 also establishes a program of grants to states for health insurance premium review. States receiving a grant award are to review, and if appropriate under State law, approve premium changes and provide information to the Secretary on premium increases. As the ACA requires an annual process of premium review beginning in plan year 2010, there is an urgent need to provide States with grant funding to enhance their current processes for reviewing health insurance premiums and to make immediate improvements to their current rate review reporting processes. In order to address these immediate needs, HHS will be announcing the Health Insurance Premium Review Grants on June 7, 2010 with awards to States by early August 2010. The Office of Consumer Information and Insurance Oversight (OCIIO) is requesting emergency action for this clearance by the Office of Management and Budget no later than June 4, 2010. We are requesting emergency processing procedures for this application because this information is needed immediately to assure that the program for Grants to States for Health Insurance Premium Review may provide immediate grant funding to States for implementation of the above provisions. We are requesting an emergency review and approval for the information collection request and intend to review and consider any feedback and comments from applicant States and reflect such appropriate comments into the special terms and conditions as needed.

---

Authorizing Statute(s): PL: Pub.L. 111 - 118 1003 Name of Law: Ensuring That Consumers Get Value for Their Dollars
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 148 1003 Name of Law: Ensuring That Consumers Get Value for Their Dollars

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Grants to States for Health Insurance Premium Review	CMS-10323	Grants to States for Health Insurance Premium Review

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	51	0	51	0	0	0
Annual Time Burden (Hours)	26,520	0	26,520	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection.

---

Annual Cost to Federal Government: $29,376

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/07/2010

---