Compliance with Individual
and Group Market Reforms under Title XXVII of the Public Health
Service Act (CMS-10430)
Extension without change of a currently approved collection
No
Regular
10/17/2022
Requested
Previously Approved
36 Months From Approved
12/31/2022
51,385
42,120
1,786
1,721
0
0
Sections 2723 and 2761 of the Public
Health Service Act (PHS Act) direct the Centers for Medicare and
Medicaid Services (CMS) to enforce a provision (or provisions) of
title XXVII of the PHS Act (including the implementing regulations
in parts 144, 146, 147, and 148 of title 45 of the Code of Federal
Regulations) with respect to health insurance issuers when a state
has notified CMS that it has not enacted legislation to enforce or
that it is not otherwise enforcing a provision (or provisions) of
the group and individual market reforms with respect to health
insurance issuers, or when CMS has determined that a state is not
substantially enforcing one or more of those provisions. This
collection of information includes requirements that are necessary
for CMS to conduct compliance review activities.
PL:
Pub.L. 111 - 148 Title I Name of Law: Affordable Care Act
US Code: 42
USC 300gg-23 Name of Law: Individual and Group Market
Reforms
US Code: 42
USC 241 Name of Law: Research and investigations generally
PL:
Pub.L. 105 - 277 Title IX Name of Law: The Women's Health and
Cancer Rights Act of 1998
PL:
Pub.L. 104 - 204 Title VI Name of Law: Newborns' and Mothers'
Health Protection Act of 1996
PL:
Pub.L. 104 - 191 Title I Name of Law: Health Insurance
Portability and Accountability Act of 1996 (HIPAA)
PL:
Pub.L. 110 - 343 Title V Name of Law: Paul Wellstone and Pete
Domenici Mental Health Parity and Addiction Equity Act of 2008
PL:
Pub.L. 110 - 223 Title I Name of Law: Genetic Information
Nondiscrimination Act of 2008
US Code: 42
USC 300gg-61 Name of Law: Individual Market Rules
The estimated burden related to
form filing submissions has decreased by 35 hours (from 364 to 329)
due to the reduction in the estimated number of issuers (from 52 to
47) that submit forms for CMS’ review. The estimated burden related
to full disclosure by issuers to all small employers of materials
on all products and other information has decreased by 92 hours
(from 774 to 682) due to a reduction in the estimated number of
issuers affected by this requirement (from 387 to 341). The
estimated burden related to opt-out notices has increased by 30
hours (from 145 hours to 175 hours) due to an increase in the
estimated number of plans opting out (from 290 to 350). The burden
related to state engagement coordination has increased by 162.5
hours (from 437.5 to 600) due to an increase in the burden per
response (from 2.5 to 3) and an increase in the estimated number of
responses (from 175 to 200). Therefore, total burden hours have
increased by 65.5 hours (from 1720.5 to 1786).
$1,930,245
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.
Form CMS-10430 Information Collection Requirements for Compliance with Individual and Group Market Reforms under Title XXVII of the Public Health Service Act
CMS-10430 Supporting Statement 30d.docx
Information Collection Requirements for Compliance with Individual and Group Market Reforms under Title XXVII of the Public Health Service Act