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HHS/CMS RIN: 0938-AP73 Publication ID: Spring 2009 
Title: ●Premiums and Cost Sharing--Delay of Effective Date (CMS-2244-IFC) 
Abstract: This rule makes changes to the final rule published on November 25, 2008 that provided 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 the Social Security Act to implement premiums and cost sharing. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: First time 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: PL 109-171, sec 6041 and 6042    PL 109-432, sec 6043    PL 111-5   
Legal Deadline:
Action Source Description Date
Final  Statutory    01/01/2007 
Final  Statutory    03/31/2006 
Action Date FR Cite
Interim Final Rule  12/00/2009    
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 
Related RINs: Related to 0938-AO47 
Agency Contact:
Chris Gerhardt
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Mailstop S2-01-16, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-0693