GroundRules
Browse Federal regulations
Read the original sections, or search by topic.
- 45 CFR 150.309 · Request for extension.
- 45 CFR 150.311 · Responses to allegations of noncompliance.
- 45 CFR 150.313 · Market conduct examinations.
- 45 CFR 150.315 · Amount of penalty—General.
- 45 CFR 150.317 · Factors CMS uses to determine the amount of penalty.
- 45 CFR 150.319 · Determining the amount of the penalty—mitigating circumstances.
- 45 CFR 150.321 · Determining the amount of penalty—aggravating circumstances.
- 45 CFR 150.323 · Determining the amount of penalty—other matters as justice may require.
- 45 CFR 150.325 · Settlement authority.
- 45 CFR 150.341 · Limitations on penalties.
- 45 CFR 150.343 · Notice of proposed penalty.
- 45 CFR 150.345 · Appeal of proposed penalty.
- 45 CFR 150.347 · Failure to request a hearing.
- 45 CFR 150.401 · Definitions.
- 45 CFR 150.403 · Scope of ALJ's authority.
- 45 CFR 150.405 · Filing of request for hearing.
- 45 CFR 150.407 · Form and content of request for hearing.
- 45 CFR 150.409 · Amendment of notice of assessment or request for hearing.
- 45 CFR 150.411 · Dismissal of request for hearing.
- 45 CFR 150.413 · Settlement.
- 45 CFR 150.415 · Intervention.
- 45 CFR 150.417 · Issues to be heard and decided by ALJ.
- 45 CFR 150.419 · Forms of hearing.
- 45 CFR 150.421 · Appearance of counsel.
- 45 CFR 150.423 · Communications with the ALJ.
- 45 CFR 150.425 · Motions.
- 45 CFR 150.427 · Form and service of submissions.
- 45 CFR 150.429 · Computation of time and extensions of time.
- 45 CFR 150.431 · Acknowledgment of request for hearing.
- 45 CFR 150.435 · Discovery.
- 45 CFR 150.437 · Submission of briefs and proposed hearing exhibits.
- 45 CFR 150.439 · Effect of submission of proposed hearing exhibits.
- 45 CFR 150.441 · Prehearing conferences.
- 45 CFR 150.443 · Standard of proof.
- 45 CFR 150.445 · Evidence.
- 45 CFR 150.447 · The record.
- 45 CFR 150.449 · Cost of transcripts.
- 45 CFR 150.451 · Posthearing briefs.
- 45 CFR 150.453 · ALJ decision.
- 45 CFR 150.455 · Sanctions.
- 45 CFR 150.457 · Review by Administrator.
- 45 CFR 150.459 · Judicial review.
- 45 CFR 150.461 · Failure to pay assessment.
- 45 CFR 150.463 · Final order not subject to review.
- 45 CFR 150.465 · Collection and use of penalty funds.
- 45 CFR 152.1 · Statutory basis.
- 45 CFR 152.2 · Definitions.
- 45 CFR 152.6 · Program administration.
- 45 CFR 152.7 · PCIP proposal process.
- 45 CFR 152.14 · Eligibility.
- 45 CFR 152.15 · Enrollment and disenrollment process.
- 45 CFR 152.19 · Covered benefits.
- 45 CFR 152.20 · Prohibitions on pre-existing condition exclusions and waiting periods.
- 45 CFR 152.21 · Premiums and cost-sharing.
- 45 CFR 152.22 · Access to services.
- 45 CFR 152.26 · Appeals procedures.
- 45 CFR 152.27 · Fraud, waste, and abuse.
- 45 CFR 152.28 · Preventing insurer dumping.
- 45 CFR 152.32 · Use of funds.
- 45 CFR 152.33 · Initial allocation of funds.
- 45 CFR 152.34 · Reallocation of funds.
- 45 CFR 152.35 · Insufficient funds.
- 45 CFR 152.39 · Maintenance of effort.
- 45 CFR 152.40 · Relation to State laws.
- 45 CFR 152.44 · End of PCIP program coverage.
- 45 CFR 152.45 · Transition to the exchanges.
- 45 CFR 153.10 · Basis and scope.
- 45 CFR 153.20 · Definitions.
- 45 CFR 153.100 · State notice of benefit and payment parameters.
- 45 CFR 153.110 · Standards for the State notice of benefit and payment parameters.
- 45 CFR 153.200 · [Reserved]
- 45 CFR 153.210 · State establishment of a reinsurance program.
- 45 CFR 153.220 · Collection of reinsurance contribution funds.
- 45 CFR 153.230 · Calculation of reinsurance payments made under the national contribution rate.
- 45 CFR 153.232 · Calculation of reinsurance payments made under a State additional contribution rate.
- 45 CFR 153.234 · Eligibility under health insurance market rules.
- 45 CFR 153.235 · Allocation and distribution of reinsurance contributions
- 45 CFR 153.240 · Disbursement of reinsurance payments.
- 45 CFR 153.250 · Coordination with high-risk pools.
- 45 CFR 153.260 · General oversight requirements for State-operated reinsurance programs.
- 45 CFR 153.265 · Restrictions on use of reinsurance funds for administrative expenses.
- 45 CFR 153.270 · HHS audits of State-operated reinsurance programs.
- 45 CFR 153.300 · [Reserved]
- 45 CFR 153.310 · Risk adjustment administration.
- 45 CFR 153.320 · Federally certified risk adjustment methodology.
- 45 CFR 153.330 · State alternate risk adjustment methodology.
- 45 CFR 153.340 · Data collection under risk adjustment.
- 45 CFR 153.350 · Risk adjustment data validation standards.
- 45 CFR 153.360 · Application of risk adjustment to the small group market.
- 45 CFR 153.365 · General oversight requirements for State-operated risk adjustment programs.
- 45 CFR 153.400 · Reinsurance contribution funds.
- 45 CFR 153.405 · Calculation of reinsurance contributions.
- 45 CFR 153.410 · Requests for reinsurance payment.
- 45 CFR 153.420 · Data collection.
- 45 CFR 153.500 · Definitions.
- 45 CFR 153.510 · Risk corridors establishment and payment methodology.
- 45 CFR 153.520 · Attribution and allocation of revenue and expense items.
- 45 CFR 153.530 · Risk corridors data requirements.
- 45 CFR 153.540 · Compliance with risk corridors standards.
- 45 CFR 153.600 · [Reserved]