In accordance with 5 CFR 1320, the information collection is not approved at this time. Prior to publication of the final rule, the agency should provide to OMB a summary of all comments received on the proposed information collection and identify any changes made in response to these comments.
Inventory as of this Action
Requested
Previously Approved
36 Months From Approved
08/31/2014
0
0
442
0
0
442
0
0
0
Section 2718 of the Public Health Service Act (PHS Act) and its implementing regulation at 45 CFR Part 158 requires health insurance issuers (issuers) offering group or individual health insurance coverage to provide rebates to enrollees in any State where an issuer does not meet the medical loss ratio (MLR) standard specified by section 2718 for the applicable market (individual, small group, or large group). Section 2718(d) of the PHS Act provides that the Secretary may adjust the MLR standard in the individual market. Title 45 CFR Part 158 sets forth the framework for a State to request such an adjustment and the process and criteria for the Secretary to determine whether to grant a Stateâs request. Subpart C of 45 CFR Part 158 specifies the information that the State must provide to support its request, and the criteria that HHS may consider in making a determination. HHS must obtain such information in order to ascertain whether an adjustment to the MLR standard would have a reasonable likelihood of helping stabilize the individual market in the requesting State.
In the HHS Notice of Benefit and Payment Parameters for 2019 proposed rule, HHS is proposing to reduce the burden on respondents by eliminating collection of some data elements that were included in the previously approved ICR and streamlining the requirements for other data elements, which would lead to a reduction in total burden. HHS also estimates that as a result of the proposed revisions to Subpart C of 45 CFR Part 158 that would make it easier for States to request adjustments to the individual market MLR standard, two more States would request an adjustment and submit the required information than included in the previously approved ICR. It is estimated that there will be a net reduction in total burden from 3,700 to 3,080.
$38,544
No
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-10361 - Supporting Statementf 2017.docx
Record Retention Requirement