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HHS/CMS RIN: 0938-AQ85 Publication ID: Fall 2016 
Title: Administrative Simplification: Certification of Compliance for Health Plans (CMS-0037-P2) 

On January 1, 2014, we published a proposed rule that would require a controlling health plan (CHP) to submit information and documentation demonstrating that it is compliant with certain standards and operating rules adopted by the Secretary of Health and Human Services under the Health Insurance Portability and Accountability Act (HIPAA). The rule would also establish penalty fees for a CHP that fails to comply with the certification of compliance requirements.  This second proposed rule would revise the initial proposed provisions in response to public feedback received through the rulemaking process.

Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 45 CFR 160    45 CFR 162   
Legal Authority: Pub. L. 111-148, sec 1104   
Legal Deadline:
Action Source Description Date
Final  Statutory    12/31/2013 
Action Date FR Cite
NPRM  01/02/2014  79 FR 297   
NPRM Comment Period End  03/03/2014 
NPRM Comment Period Extended  03/05/2014  79 FR 12441   
NPRM Comment Period Extended End  04/03/2014 
Second NPRM  06/00/2017 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Chevell Thomas
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Office of Information Technology, MS: S2-20-17, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-1387