Establishment of an Exchange
by a State and Qualified Health Plans (CMS-10593)
Reinstatement without change of a previously approved
collection
No
Regular
10/13/2020
Requested
Previously Approved
36 Months From Approved
132
0
51,485
0
0
0
As directed by the rule Establishment
of Exchanges and Qualified Health Plans; Exchange Standards for
Employers (77 FR 18310) (Exchange rule), each Exchange will assume
responsibilities related to the certification and offering of
Qualified Health Plans (QHPs). To offer insurance through an
Exchange, a health insurance issuer must have its health plans
certified as QHPs by the Exchange. A QHP must meet certain minimum
certification standards, such as network adequacy, inclusion of
Essential Community Providers (ECPs), and non-discrimination. The
Exchange is responsible for ensuring that QHPs meet these minimum
certification standards as described in the Exchange rule under 45
CFR 155 and 156, based on the Affordable Care Act, as well as other
standards determined by the Exchange. The reporting requirements
and data collection in the Exchange rule address Federal
requirements that various entities must meet with respect to the
establishment and operation of an Exchange; minimum requirements
that health insurance issuers must meet with respect to
participation in a State based or Federally-facilitated Exchange;
and requirements that employers must meet with respect to
participation in the SHOP and compliance with other provisions of
the Affordable Care Act.
US Code:
45 USC 156.285(d)(1) Name of Law: HEALTH INSURANCE ISSUER
STANDARDS UNDER THE AFFORDABLE CARE ACT, INCLUDING STANDARDS
RELATED TO EXCH
OMB previously approved this
information collection in August 2016, with a total of 56,457
burden hours. This revision removes burden estimates for activities
that are now The Quality Rating System requirement for SBEs to
display QRS data on the SBE website were added to this collection,
for which all SBEs are responsible. We estimate that 20 SBEs will
take approximately 33 hours annually for the time and effort to
display the QRS data they will already be collecting, for a total
of 660 hours. Additionally, this revision removes burden estimates
for activities that are now covered by other ICRs and certain SHOP
provisions that are no longer requirements of Exchanges. As a
result, the total burden hours have been reduced to from 56,457 to
51,485.
$358,973
No
No
No
Yes
No
No
No
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-10593 - FInal Supporting Statement A.docx
Quality Reporting Standards for Exchanges (§155.1400 through §155.1405)