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HHS/CMS RIN: 0938-AP73 Publication ID: Fall 2009 
Title: Premiums and Cost Sharing (CMS-2244-FC) 
Abstract: This final rule revises the November 25, 2008 final rule entitled, “Medicaid Programs; Premiums and Cost Sharing (73 FR 71828),” that implemented and interpreted provisions of the Deficit Reduction Act of 2005 (DRA) and the Tax Relief and Health Care Act of 2006 (TRHCA). In addition, this final rule responds to public comments on the November 25, 2008 final rule which were received after a notice was published on January 27, 2009 to reopen the comment period and temporarily delay for 60 days the effective date of the final rule and after a notice was published on March 27, 2009 to reopen the comment period and delay the final rule’s effective date until December 31, 2009. This final rule also solicits public comments on revisions proposed to the final rule in response to the American Recovery and Reinvestment Act of 2009 (the Recovery Act), which was enacted during the temporary delay of the November 25, 2008 final rule. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Long-Term Actions 
Major: No  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    sec 5008 (a) of the Recovery Act   
Legal Deadline:
Action Source Description Date
Final  Statutory    01/01/2007 
Final  Statutory    03/31/2006 
Action Date FR Cite
Interim Final Rule  To Be Determined    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: State, Tribal 
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