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HHS/CMS RIN: 0938-AO47 Publication ID: Fall 2008 
Title: Premiums and Cost Sharing (CMS-2244-F) 
Abstract: This rule incorporates sections 6041, 6042, and 6043 of the Deficit Reduction Act of 2005 (DRA), which provide State Medicaid agencies with increased flexibility to implement premium and cost sharing requirements for certain Medicaid recipients. This authority is in addition to the current authority States already had under section 1916 of the Social Security Act to implement premiums and cost sharing. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 447    42 CFR 457   
Legal Authority: Deficit Reduction Act of 2005    PL 109-171    secs 6041 to 6043    Tax Relief and Health Care Act of 2006    PL 109-432, sec 405(a)   
Legal Deadline:
Action Source Description Date
Final  Statutory  sec 6043.  01/01/2007 
Final  Statutory  secs 6041 and 6042.  03/31/2006 
Timetable:
Action Date FR Cite
NPRM  02/22/2008  73 FR 9727   
NPRM Comment Period End  03/24/2008    
Final Action  11/00/2008    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: State 
Small Entities Affected: No  Federalism: No 
Energy Effects: Statement of Energy Effects planned as required by Executive Order 13211.  Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Donna Schmidt
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Centers for Medicaid State Operations, Mailstop S2-01-16, 7500 Security Boulevard,
Baltimore, MD 21244-1850
Phone:410 786-5532
Email: donna.schmidt@cms.hhs.gov