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HHS/CMS RIN: 0938-AW06 Publication ID: 2026 
Title: ●Strengthening the Integrity of Section 1115 Demonstrations (CMS-2412) 
Abstract:

This rule would propose new requirements related to section 1115 demonstration budget neutrality codified in statute under section 71118 of the Working Families Tax Cut (WTFC) Legislation (Pub. L. 119-21), which added subsection (g) under section 1115 of the Social Security Act.

 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Yes  Unfunded Mandates: No 
EO 14192 Designation: Other 
CFR Citation: 42 CFR 431   
Legal Authority: Pub. L. 119-21, Sec. 71118   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  01/00/2027 
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Federal, State 
Federalism: Undetermined 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Sarah Aker
Acting Director, State Demonstrations Group
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicaid & CHIP Services, 7500 Security Blvd,
Baltimore, MD 21244
Phone:303 844-0487
Email: sarah.aker@cms.hhs.gov