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HHS/CMS RIN: 0938-AU61 Publication ID: Fall 2021 
Title: Requirements Related to Air Ambulance Services, Agent and Broker Disclosures and Provider Enforcement (CMS-9907) 

This final rule implements certain provisions of the Consolidated Appropriations Act (CAA) of 2021. This rule finalizes the form and manner in which group health plans, health insurance issuers offering group or individual health insurance coverage, and providers of air ambulance services report information regarding air ambulance services; requirements on health insurance issuers offering individual health insurance coverage or short-term limited duration insurance coverage to disclose and report information regarding direct or indirect compensation provided by the issuer to an agent or broker associated with enrolling individuals in such coverage; and provisions related to enforcing requirements in the CAA on issuers, non-federal governmental group health plans, providers, facilities, and air ambulance providers.

Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 45 CFR 144    45 CFR 148    45 CFR 149    45 CFR 150   
Legal Authority: Pub. L. 116-260, Division BB, title I   
Legal Deadline:
Action Source Description Date
Final  Statutory  Sections 104, 106, and 202 of Division BB of the CAA, 2021 requires rulemaking no later than 1 year after enactment, that is by December 27, 2021.  12/27/2021 
Action Date FR Cite
NPRM  09/16/2021  86 FR 51730   
NPRM Comment Period End  10/18/2021 
Final Action  12/00/2021 
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: None 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Related Agencies: Joint: DOL/EBSA, TREAS/IRS, OPM; 
Agency Contact:
Lindsey Murtagh
Director, Market-Wide Regulation Division
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Consumer Information and Insurance Oversight, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:301 492-4106