{"data":{"id":"us/42-cfr-457.560","jurisdiction":"us","citation":"42 CFR 457.560","heading":"Cumulative cost-sharing maximum.","body":"(a) A State may not impose premiums, enrollment fees, copayments, coinsurance, deductibles, or similar cost-sharing charges that, in the aggregate, exceed 5 percent of a family's total income for the length of a child's eligibility period in the State.\n(b) The State must inform the enrollee's family in writing and orally if appropriate of their individual cumulative cost-sharing maximum amount at the time of enrollment and reenrollment.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER D—STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs)","PART 457—ALLOTMENTS AND GRANTS TO STATES","Subpart E—State Plan Requirements: Enrollee Financial Responsibilities"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"a528a92257c5bb0b45a75e04a79e51f20f9f01aac0b1f2dc2b1fd27827ae7268","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-457.555","next":"us/42-cfr-457.570"},"notice":"GroundRules: Original legal text. Not legal advice."}