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HHS/CMS RIN: 0938-AQ46 Publication ID: Spring 2011 
Title: Changes to the Demonstration Review and Approval Process (CMS-2325-F) 
Abstract: This rule implements provisions of the Affordable Care Act of 2010 and address concerns about transparency in the demonstration review and approval process. This rule establishes requirements for submitting new proposals and the requirements to amend or extend an approved demonstration project. This rule also provides guidance regarding public notice, monitoring, compliance, the evaluation of demonstration projects and the submission of reports to the Secretary for approved demonstrations. 
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: 42 CFR 431   
Legal Authority: PL 111-148, sec 10201   
Legal Deadline:
Action Source Description Date
Final  Statutory    09/19/2010 
Timetable:
Action Date FR Cite
NPRM  09/17/2010  75 FR 56946   
NPRM Comment Period End  11/16/2010    
Final Action  07/00/2011    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: State 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Steven Rubio
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Mail Stop S2-01-16, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-1782
Email: steven.rubio@cms.hhs.gov