Grants to States for Health Insurance Premium Review

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
193933	Transaction Data Collection	New
193172	Quarterly Reports	Modified

ICR Details

OMB Control No: 0938-1092	ICR Reference No: 201007-0938-014
Status: Historical Active	Previous ICR Reference No: 201006-0938-002
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Grants to States for Health Insurance Premium Review
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 07/27/2010
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/27/2010
	Date Received in OIRA: 07/26/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2011	6 Months From Approved	12/31/2010
Responses	360	0	51
Time Burden (Hours)	8,640	0	26,520
Cost Burden (Dollars)	0	0	0

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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.

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 established a program of grants to States for health insurance rate review. States receiving a grant award are to review, and if appropriate under State law, approve rate changes and provide information to the Secretary on rate increases. Grant awardees are required to design, establish, and/or enhance the awarded State's process of rate review. Cycle 1 of this grant program requires awardees to submit quarterly reports, submit rate review information beginning at the end of the first quarter of FF"Y 2011, as well as a final report at the end of the award period, currently scheduled to end at the end of FFY" 2011. Following the competitive grant review process during July 2010, OCIIO intends to announce grant awards on August 9, 2010 and include these data collection and reporting requirements in the State's award package to provide ample time for State' to implement changes prior to the first required Quarterly report. OCIIO is requesting emergency action for this clearance by the Office of Management and Budget no later than July 26, 2010 to ensure inclusion of these critical documents in the grant awardees packages.

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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

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking
	Other Documents for OIRA Review

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Quarterly Reports	CMS-10323
Transaction Data Collection	CMS-10323

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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	360	51	309	0	0	0
Annual Time Burden (Hours)	8,640	26,520	-17,880	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: We revised the information collection request to include the reporting requirements being imposed on the awardees. The burden associated with the application process has already been satisfied and removed from our estimates. We are adding a total of 8,640 hours.

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Annual Cost to Federal Government: $1,267,680

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

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Common Form ICR:  No

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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: 07/26/2010

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