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HHS/CMS RIN: 0938-AQ72 Publication ID: Spring 2011 
Title: ●Transparency Reporting (CMS-9985-P) 
Abstract: The Affordable Care Act requires group health plans and health insurance issuers to submit specific information to the Secretary, the State insurance commissioner, and to make the information available to the public. This includes information on claims payment policies, the number of claims denied, data on rating practices and other information as determined by the Secretary. The provision also requires plans and issuers to provide to individuals upon request the amount of cost sharing that the individual would be responsible for paying for a specific item or service provided by a participating provider. This interim final rule would implement information disclosure provisions in section 2715A of the Public Health Service Act, as added by the Affordable Care Act. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Undetermined  Unfunded Mandates: Undetermined 
EO 13771 Designation: uncollected 
CFR Citation: 45 CFR 153, Insurance Rules (sec 2715A)     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: PL 111-148, title I, subtitle A, sec 1001 PHS Act, sec 2715A   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  09/00/2011    
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Undetermined 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Kaye Pestaina
Department of Health and Human Services
Department of Health and Human Services
Centers for Medicare & Medicaid Services
7500 Security Boulevard,
Baltimore, MD 21244
Phone:301 492-4227
Email: kaye.pestaina@hhs.gov