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HHS/CMS RIN: 0938-AR07 Publication ID: 2012 
Title: State Requirements for Exchange--Reinsurance and Risk Adjustments (CMS-9975-F) 
Abstract: This rule implements requirements for States related to reinsurance, risk corridors, and a permanent risk adjustment. The goals of these programs are to minimize negative impacts of adverse selection inside the Exchanges. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 45 CFR 155    45 CFR 156   
Legal Authority: PL 111-148, secs 1341 and 1342   
Legal Deadline:
Action Source Description Date
Final  Statutory    01/01/2014 
Action Date FR Cite
NPRM  07/15/2011  76 FR 41866   
NPRM Comment Period End  09/28/2011    
Final Action  03/23/2012  77 FR 17220   
Final Action Effective  05/22/2012 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: State 
Small Entities Affected: Governmental Jurisdictions  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Alissa Deboy
Health Insurance Specialist, Center for Consumer Information & Insurance Oversight
Department of Health and Human Services
Centers for Medicare & Medicaid Services
7500 Security Boulevard,
Baltimore, MD 21244
Phone:301 492-4428