On May 23, 2011, CMS published a final rule with comment period (76 FR 29964) to implement the annual review of unreasonable increases in premiums for health insurance coverage called for by section 2794. Under the regulation, if CMS determines that a state has an effective rate review program in a given market, using the criteria set forth in the rule, CMS will adopt that state's determinations regarding whether rate increases in that market are unreasonable, provided that the state reports its final determinations to CMS and explains the bases of its determinations. The final rule titled "Patient Protection and Affordable Care Act; Health Insurance Market Rules; Rate Review" (78 FR 13406, February 27, 2013) amends the standards under the rate review program. Currently, CMS relies on publicly available information and annual calls with individual States to obtain the information needed to determine whether a State has an effective rate review program. CMS is proposing to instead collect the information in writing from all States that would like to request effective status.
The reduction in burden hours is primarily due to the removal of Cycle IV application requirements. The burden hours decreased from 20,951 to 14,405 hours. The application period has ceased; however, the necessary reporting requirements remain active. The number of burden hours and annual cost were updated to reflect current Cycle II, Cycle III, and Cycle IV states, as well as eliminate the burden hours and annual cost for Cycle I, as no states are still in the Cycle I program. The decreased burden hours and cost for Rate Review Cycle II, Cycle III, and Cycle IV Grants is due to a number of state grantees that are no longer participating in various grant cycles. Respondents have engaged in grant close-outs due to completing activities set forth in their grant applications, changing grant milestones and objectives that are outside of the scope of the grant program, and exhausting grant funds.
$269,312
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.
Form CMS-10380 Transaction Data Collection
CMS-10380 Supporting Statement 30-day Final.docx
Rate Review Program Grant - Cycle IV Application