Agency Information Collection Activities: Submission for OMB Review; Comment Request
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Issuing agencies
Abstract
The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection of information, and to allow a second opportunity for public comment on the notice. Interested persons are invited to send comments regarding the burden estimate or any other aspect of this collection of information, including the necessity and utility of the proposed information collection for the proper performance of the agency's functions, the accuracy of the estimated burden, ways to enhance the quality, utility, and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden.
Full Text
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<title>Federal Register, Volume 89 Issue 166 (Tuesday, August 27, 2024)</title>
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[Federal Register Volume 89, Number 166 (Tuesday, August 27, 2024)]
[Notices]
[Pages 68618-68619]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-19184]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10379]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
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SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction
Act of 1995 (PRA), federal agencies are required to publish notice in
the Federal Register concerning each proposed collection of
information, including each proposed extension or reinstatement of an
existing collection of information, and to allow a second opportunity
for public comment on the notice. Interested persons are invited to
send comments regarding the burden estimate or any other aspect of this
collection of
[[Page 68619]]
information, including the necessity and utility of the proposed
information collection for the proper performance of the agency's
functions, the accuracy of the estimated burden, ways to enhance the
quality, utility, and clarity of the information to be collected, and
the use of automated collection techniques or other forms of
information technology to minimize the information collection burden.
DATES: Comments on the collection(s) of information must be received by
the OMB desk officer by September 26, 2024.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, please access
the CMS PRA website by copying and pasting the following web address
into your web browser: <a href="https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing">https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing</a>
FOR FURTHER INFORMATION CONTACT: William Parham at (410) 786-4669.
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from
the Office of Management and Budget (OMB) for each collection of
information they conduct or sponsor. The term ``collection of
information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and
includes agency requests or requirements that members of the public
submit reports, keep records, or provide information to a third party.
Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires
federal agencies to publish a 30-day notice in the Federal Register
concerning each proposed collection of information, including each
proposed extension or reinstatement of an existing collection of
information, before submitting the collection to OMB for approval. To
comply with this requirement, CMS is publishing this notice that
summarizes the following proposed collection(s) of information for
public comment:
1. Type of Information Collection Request: Reinstatement with
change of a previously approved collection; Title of Information
Collection: Rate Increase Disclosure and Review Requirements (45 CFR
part 154); Use: 45 CFR part 154 implements the annual review of
proposed increases in premiums for health insurance coverage called for
by section 2794 of the Public Health Service Act (PHS Act). The
regulation established a rate review program to ensure that all rate
increases that meet or exceed an established threshold are reviewed by
a state or the Centers for Medicare & Medicaid Services (CMS) to
determine whether the proposed rate increases are unreasonable. Each
state or CMS also reviews all proposed rate changes from issuers
offering non-grandfathered health insurance coverage in the individual
and/or small group markets for compliance with the Federal rating rules
at sections 2701, 2705, 2717(c)(4), and 2753 of the PHS Act, section
1312(c) of the Affordable Care Act, and 45 CFR 147.102, 147.110,
148.180, and 156.80. Accordingly, issuers offering non-grandfathered
health insurance coverage in the individual and/or small group markets
are required to submit Rate Filing Justifications to CMS. 45 CFR
154.103 exempts grandfathered health plan coverage as defined in 45 CFR
147.140, excepted benefits as described in section 2791(c) of the PHS
Act and student health insurance coverage, as defined in Sec. 147.145,
from Federal rate review requirements.
The Rate Filing Justification consists of three parts. All issuers
must continue to submit a Uniform Rate Review Template (URRT) (Part I
of the Rate Filing Justification) for all single risk pool plans. 45
CFR 154.200(a)(1) establishes a 15 percent federal default threshold
for reasonableness review. Issuers that submit a rate filing that
includes a plan with a proposed rate increase that meets or exceeds the
threshold must include a written description justifying the rate
increase, also known as the consumer justification narrative (Part II
of the Rate Filing Justification). We note that the threshold set by
CMS constitutes a minimum standard, and most states currently employ
stricter rate review standards and may continue to do so. Issuers
offering a QHP or any single risk pool submission containing a rate
increase of any size must continue to submit an actuarial memorandum
(Part III of the Rate Filing Justification). The actuarial memorandum
is required whenever a state with an Effective Rate Review Program, as
determined in accordance with 45 CFR 154.301, requires it to be
submitted, and for all plans in states that do not have an Effective
Rate Review Program. Form Number: CMS-10379 (OMB control number: 0938-
1141); Frequency: Annually; Affected Public: Private Sector; Businesses
or other for-profits, Not-for-profit institutions, State, Local, or
Tribal Governments; Number of Respondents: 620; Number of Responses:
2,551; Total Annual Hours: 46,102. (For policy questions regarding this
collection, contact Keith McNamara at 410-786-7010.)
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-19184 Filed 8-26-24; 8:45 am]
BILLING CODE 4120-01-P
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