{"data":{"id":"us/45-cfr-154.210","jurisdiction":"us","citation":"45 CFR 154.210","heading":"Review of rate increases subject to review by CMS or by a State.","body":"(a) Except as provided in paragraph (b) of this section, CMS will review a rate increase subject to review to determine whether it is unreasonable, as required by this part.\n(b) CMS will adopt a State's determination of whether a rate increase is an unreasonable rate increase, if the State:\n(1) Has an Effective Rate Review Program as described in § 154.301; and\n(2) The State provides to CMS, on a form and in a manner prescribed by the Secretary, its final determination of whether a rate increase is unreasonable, which must include a brief explanation of how its analysis of the relevant factors set forth in § 154.301(a)(3) caused it to arrive at that determination, within five business days following the State's final determination.\n(c) CMS will post and maintain on its Web site a list of the States with market segments that meet the requirements of paragraph (b) of this section.","path":["Title 45—Public Welfare","SUBTITLE A—Department of Health and Human Services","SUBCHAPTER B—REQUIREMENTS RELATING TO HEALTH CARE ACCESS","PART 154—HEALTH INSURANCE ISSUER RATE INCREASES: DISCLOSURE AND REVIEW REQUIREMENTS","Subpart B—Disclosure and Review Provisions"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-45.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:21Z","sha256":"7e36eb69a1ed6edb80ae8d91cc926077d741b765f71f4eab280e014ce02f8b14","source_id":"us-cfr","stale":true,"prev":"us/45-cfr-154.205","next":"us/45-cfr-154.215"},"notice":"GroundRules: Original legal text. Not legal advice."}