[Federal Register Volume 90, Number 97 (Wednesday, May 21, 2025)]
[Notices]
[Pages 21775-21776]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-09144]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-906 and CMS-10371]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Health and Human 
Services (HHS).

ACTION: Notice.

-----------------------------------------------------------------------

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 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 June 20, 2025.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. 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: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.

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: Extension of a currently 
approved collection; Title of Information Collection: Fiscal Soundness 
Reporting Requirements (FSRR); Use: Title 18, section 1857(d)(4)(A)(i) 
requires that contracting organizations such as Medicare Health Plans 
(including Medicare Advantage (MA) organizations, Medicare-Medicaid

[[Page 21776]]

Capitated Financial Alignment Demonstrations (MMPs)) and 1876 Cost 
Plans), Prescription Drug Plan sponsors (PDPs), and Programs of All-
Inclusive Care for the Elderly (PACE) organizations report financial 
information demonstrating the organization has a fiscally sound 
operation. The FSRR is designed to capture financial data of these 
contracting entities. The Division of Finance and Benefits (DFB) within 
the Medicare Advantage Contract Administration Group (MCAG) of CMS is 
assigned the responsibility of reviewing ongoing financial performance 
of the contracting entities.
    All contracting organizations must submit audited annual financial 
statements once per year. In addition to the annual submission audited, 
Health Plans with a negative net worth and/or a net loss and the amount 
of that loss is greater than one-half of the organization's total net 
worth submit quarterly financial statements for fiscal soundness 
monitoring. Part D organizations are required to submit three (3) 
quarterly financial statements. Lastly, PACE organizations are required 
to file four (4) quarterly financial statements for the first three (3) 
years in the program. After the first three (3) years, PACE 
organizations with a negative net worth and/or a net loss and the 
amount of that loss is greater than one-half of the organization's 
total net worth must submit quarterly financial statements for fiscal 
soundness monitoring. Form Number: CMS-906 (OMB control number: 0938-
0496); Frequency: Quarterly and Yearly; Affected Public: Private Sector 
(Business or other for-profits, Not-for-Profit Institutions); Number of 
Respondents: 251; Total Annual Responses: 1,004; Total Annual Hours: 
335. (For policy questions regarding this collection contact Christa M. 
Zalewski at (410) 786-1971.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: State-based 
Exchange, SBE, SBE Budget Template, SBE Enrollment Metrics, Open 
Enrollment; Use: The Patient Protection and Affordable Care Act, Public 
Law 111-148, enacted on March 23, 2010, and the Health Care and 
Education Reconciliation Act, Public Law 111-152, enacted on March 30, 
2010 collectively, ``Affordable Care Act'', expanded access to health 
insurance for individuals and employees of small businesses through the 
establishment of new Affordable Insurance Exchanges (Exchanges), 
including the Small Business Health Options Program (SHOP). Beginning 
January 1, 2014, the Exchanges became operational. The Exchanges 
enhance competition in the health insurance market, expand access to 
affordable health insurance for millions of Americans, and provide 
consumers with a place to easily compare and shop for health insurance 
coverage.
    States can choose to establish and operate a State-based Exchange 
(SBE) or a State-based Exchange on the Federal Platform (SBE-FP). 
States electing to operate as an SBE-FP rely on the Federal 
Healthcare.gov platform to carry out eligibility and enrollment 
functions. For states that do not elect to operate either an SBE or 
SBE-FP, the Secretary of the U.S. Department of Health and Human 
Services (HHS) will establish and operate a Federally-facilitated 
Exchange (FFE) in those states. Form Number: CMS-10371 (OMB control 
number: 0938-1119; Frequency: Occasionally; Affected Public: State, 
Local or Tribal Government; Number of Respondents: 23; Total Annual 
Responses: 343; Total Annual Hours: 7,317. (For policy questions 
regarding this collection contact Tiffany Y. Animashaun at 
[email protected]).

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2025-09144 Filed 5-20-25; 8:45 am]
BILLING CODE 4120-01-P