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HHS/CMS RIN: 0938-AQ75 Publication ID: Fall 2011 
Title: Affordable Care Act Waiver for State Innovation; Review and Approval Process (CMS-9987-F) 
Abstract: The Affordable Care Act requires that the Secretary issue regulations regarding the Waiver for State Innovation. This regulation provides a process for public notice and comment at the State level, including public hearings, sufficient to ensure a meaningful level of public input; a process for the submission of an application that ensures the disclosure of the provisions of law that the state involved seeks to waive and the specific plans of the State to ensure that the waiver will be in compliance with subsection (b) of section 1332 of the Affordable Care Act; a process for providing public notice and comment after the application is received by the Secretary, that is sufficient to ensure a meaningful level of public input and that does not impose requirements that are in addition to, or duplicative of, requirements imposed under the Administrative Procedures Act, or requirements that are unreasonable or unnecessarily burdensome with respect to state compliance; a process for the submission to the Secretary of periodic reports by the state concerning the implementation of the program under the waiver; and a process for the periodic evaluation by the Secretary of the program under the waiver. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 45 CFR 155 
Legal Authority: PL 111-148 
Legal Deadline:
Action Source Description Date
Final  Statutory    01/01/2017 
Timetable:
Action Date FR Cite
NPRM  03/14/2011  76 FR 13553 
NPRM Comment Period End  05/13/2011   
Final Action  01/00/2012   
Regulatory Flexibility Analysis Required: No  Government Levels Affected: State 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Related Agencies: Joint: TREAS; 
Agency Contact:
Benjamin Walker
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Consumer Information and Insurance Oversight, Mail Stop 733H.01, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:301 492-4430
Email: benjamin.walker@ cms.hhs.gov

 
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