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Code of Federal Regulations (Last Updated: October 10, 2024) |
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Title 45 - Public Welfare |
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Subtitle A - Department of Health and Human Services |
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SubChapter B - Requirements Relating to Health Care Access |
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Part 150 - CMS Enforcement in Group and Individual Insurance Markets |
| Subpart A - General Provisions |
| § 150.101 - Basis and scope. |
| § 150.103 - Definitions. |
| Subpart B - CMS Enforcement Processes for Determining Whether States Are Failing To Substantially Enforce PHS Act Requirement |
| § 150.201 - State enforcement. |
| § 150.203 - Circumstances requiring CMS enforcement. |
| § 150.205 - Sources of information triggering an investigation of State enforcement. |
| § 150.207 - Procedure for determining that a State fails to substantially enforce PHS Act requirements. |
| § 150.209 - Verification of exhaustion of remedies and contact with State officials. |
| § 150.211 - Notice to the State. |
| § 150.213 - Form and content of notice. |
| § 150.215 - Extension for good cause. |
| § 150.217 - Preliminary determination. |
| § 150.219 - Final determination. |
| § 150.221 - Transition to State enforcement. |
| Subpart C - CMS Enforcement With Respect to Issuers and Non-Federal Governmental Plans - Civil Money Penalties |
| § 150.301 - General rule regarding the imposition of civil money penalties. |
| § 150.303 - Basis for initiating an investigation of a potential violation. |
| § 150.305 - Determination of entity liable for civil money penalty. |
| § 150.307 - Notice to responsible entities. |
| § 150.309 - Request for extension. |
| § 150.311 - Responses to allegations of noncompliance. |
| § 150.313 - Market conduct examinations. |
| § 150.315 - Amount of penalty - General. |
| § 150.317 - Factors CMS uses to determine the amount of penalty. |
| § 150.319 - Determining the amount of the penalty - mitigating circumstances. |
| § 150.321 - Determining the amount of penalty - aggravating circumstances. |
| § 150.323 - Determining the amount of penalty - other matters as justice may require. |
| § 150.325 - Settlement authority. |
| § 150.341 - Limitations on penalties. |
| § 150.343 - Notice of proposed penalty. |
| § 150.345 - Appeal of proposed penalty. |
| § 150.347 - Failure to request a hearing. |
| Appendix A to Subpart C of Part 150 - Examples of Violations |
| Subpart D - Administrative Hearings |
| § 150.401 - Definitions. |
| § 150.403 - Scope of ALJ's authority. |
| § 150.405 - Filing of request for hearing. |
| § 150.407 - Form and content of request for hearing. |
| § 150.409 - Amendment of notice of assessment or request for hearing. |
| § 150.411 - Dismissal of request for hearing. |
| § 150.413 - Settlement. |
| § 150.415 - Intervention. |
| § 150.417 - Issues to be heard and decided by ALJ. |
| § 150.419 - Forms of hearing. |
| § 150.421 - Appearance of counsel. |
| § 150.423 - Communications with the ALJ. |
| § 150.425 - Motions. |
| § 150.427 - Form and service of submissions. |
| § 150.429 - Computation of time and extensions of time. |
| § 150.431 - Acknowledgment of request for hearing. |
| § 150.435 - Discovery. |
| § 150.437 - Submission of briefs and proposed hearing exhibits. |
| § 150.439 - Effect of submission of proposed hearing exhibits. |
| § 150.441 - Prehearing conferences. |
| § 150.443 - Standard of proof. |
| § 150.445 - Evidence. |
| § 150.447 - The record. |
| § 150.449 - Cost of transcripts. |
| § 150.451 - Posthearing briefs. |
| § 150.453 - ALJ decision. |
| § 150.455 - Sanctions. |
| § 150.457 - Review by Administrator. |
| § 150.459 - Judicial review. |
| § 150.461 - Failure to pay assessment. |
| § 150.463 - Final order not subject to review. |
| § 150.465 - Collection and use of penalty funds. |