[Federal Register Volume 89, Number 50 (Wednesday, March 13, 2024)]
[Notices]
[Page 18413]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-05332]



[[Page 18413]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10454]


Agency Information Collection Activities: Proposed Collection; 
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 60 days for public comment on 
the proposed action. Interested persons are invited to send comments 
regarding our burden estimates 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.

DATES: Comments must be received by May 13, 2024.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number. To be assured consideration, comments and 
recommendations must be submitted in any one of the following ways:
    1. Electronically. You may send your comments electronically to 
http://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) that are accepting comments.
    2. By regular mail. You may mail written comments to the following 
address: CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development, Attention: Document Identifier/OMB 
Control Number: ___, Room C4-26-05, 7500 Security Boulevard, Baltimore, 
Maryland 21244-1850.
    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: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.

FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION:

Contents

    This notice sets out a summary of the use and burden associated 
with the following information collections. More detailed information 
can be found in each collection's supporting statement and associated 
materials (see ADDRESSES).

CMS-10454 Disclosure of State Rating Requirements

    Under the 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 requires federal agencies 
to publish a 60-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.

Information Collection

    1. Type of Information Collection Request: Extension; Title of 
Information Collection: Disclosure of State Rating Requirements; Use: 
The final rule ``Patient Protection and Affordable Care Act; Health 
Insurance Market Rules; Rate Review'' implements sections 2701, 2702, 
and 2703 of the Public Health Service Act (PHS Act), as added and 
amended by the Affordable Care Act, and sections 1302(e) and 1312(c) of 
the Affordable Care Act. The rule directs that states submit to CMS 
certain information about state rating and risk pooling requirements 
for their individual, small group, and large group markets, as 
applicable. Specifically, states will inform CMS of age rating ratios 
that are narrower than 3:1 for adults; tobacco use rating ratios that 
are narrower than 1.5:1; a state-established uniform age curve; 
geographic rating areas; whether premiums in the small and large group 
market are required to be based on average enrollee amounts (also known 
as composite premiums); and, in states that do not permit any rating 
variation based on age or tobacco use, uniform family tier structures 
and corresponding multipliers. In addition, states that elect to merge 
their individual and small group market risk pools into a combined pool 
will notify CMS of such election. This information will allow CMS to 
determine whether state-specific rules apply or Federal default rules 
apply. It will also support the accuracy of the federal risk adjustment 
methodology. Form Number: CMS-10454 (OMB control number 0938-1258); 
Frequency: Occasionally; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 3; Total Annual Responses: 3; Total 
Annual Hours: 7.3. For policy questions regarding this collection 
contact Russell Tipps at 301-869-3502.

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-05332 Filed 3-12-24; 8:45 am]
BILLING CODE 4120-01-P