On March 23, 2010, the President signed into law the Patient Protection and Affordable Care Act. On March 30, 2010, the Health Care and Education Reconciliation Act of 2010 was also signed into law. The two laws collectively are referred to as the Affordable Care Act .
The Affordable Care Act created State-based health insurance Exchanges (Marketplaces), competitive marketplaces where consumers and small businesses can purchase private health insurance. Consumers who access health insurance coverage through a Marketplace can receive direct assistance from Navigators authorized to help consumers through the registration, eligibility determination, and plan selection process as they enroll in coverage.
Section 1311(i) requires that a Marketplace establish a Navigator program under which it awards grants to individuals or entities who satisfy the requirements to be Exchange Navigators. Navigators will assist consumers by providing education about and facilitating selection of qualified health plans (QHPs) within Exchanges, as well as other required duties. For Federally-facilitated Marketplaces (FFMs) and State Partnership Marketplaces (SPMs), CMS will be awarding these grants.
The total burden hour estimate was reduced from 29,254 to 22,471, a total reduction of 6,738 hours. For the last two years of this 3-year reporting cycle, CMS has made some adjustments that may impact the burden levels. The weekly reporting requirements have been reduced significantly to a single metric containing multiple data elements. This consolidation of the weekly metrics decreases the hourly and cost estimated burden as well as clarifies the intended measures. CMS has also changed the outreach/enrollment, education, and marketing tool to simplify the event type and only captures events and marketing/promotion activities. The events and marketing/promotion tool now includes data elements for collecting viewership, listenership, social media impressions, etc., removes the number of Marketplace application started, and eliminates the data element on the number of consumers targeted. The monthly data collection has also been reduced, resulting in minimal burden adjustments. The burden adjustments have been modified to accommodate more time for data collection for the monthly reporting requirements. Furthermore, the quarterly report requirement contains a minor editorial change. The final reporting requirements will remain the same and will have no impact on the burden estimates. CMS also requires Navigator and EAP organizations to provide organizational information for the public facing website. Updates, additions, or deletions can be submitted electronically by the Navigator and EAP organization to ensure that accurate and current information is available to the public. As a result of this change, there is a marginal increase in the number of hours and costs. Since CMS now has awarded a three-year grant beginning in 2015, the outside panel was only required for the initial grant application process, thereby reducing the burden.
$29,642
No
No
Yes
No
No
Uncollected
Jamaa Hill 301 492-4190
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:
(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;
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.
CMS-10463 - CLEAN Navigator FOA Supporting Statement 0816 F.docx
CMS-10463 - Appendix A comments-responses.pdf
Information Submissions