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HHS/OCIIO RIN: 0950-AA10 Publication ID: Spring 2011 
Title: Affordable Care Act Waiver for State Innovation; Review and Approval Process 
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: Completed Actions 
Major: No  Unfunded Mandates: No 
CFR Citation: 45 CFR 158   
Legal Authority: PL 111-148   
Legal Deadline:  None
Timetable:
Action Date FR Cite
Merged With 0938-AQ75  02/11/2011    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: State 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Ben Walker
Program Analyst
Department of Health and Human Services
Office of Consumer Information and Insurance Oversight
200 Independence Avenue SW.,
Washington, DC 20202
Phone:301 492-4148
Email: ben.walker@hhs.gov