Source: https://www.law.cornell.edu/uscode/text/42/18052
Timestamp: 2017-07-27 09:26:21
Document Index: 397882225

Matched Legal Cases: ['§ 18052', '§ 18052', '§ 18052', '§\u202f18052', '§\u202f1332', '§\u202f1401', '§\u202f551', '§\u202f701', '§\u202f1395', '§\u202f1396', '§\u202f1397']

42 U.S. Code § 18052 - Waiver for State innovation | US Law | LII / Legal Information Institute
U.S. Code › Title 42 › Chapter 157 › Subchapter III › Part D › § 18052 42 U.S. Code § 18052 - Waiver for State innovation
§ 18052.
(1) In generalA State may apply to the Secretary for the waiver of all or any requirements described in paragraph (2) with respect to health insurance coverage within that State for plan years beginning on or after January 1, 2017. Such application shall—
a comprehensive description of the State legislation and program to implement a plan meeting the requirements for a waiver under this section; and
a 10-year budget plan for such plan that is budget neutral for the Federal Government; and
provide an assurance that the State has enacted the law described in subsection (b)(2).
(2) RequirementsThe requirements described in this paragraph with respect to health insurance coverage within the State for plan years beginning on or after January 1, 2014, are as follows:
Part A of this subchapter.
Part B of this subchapter.
Section 18071 of this title.
Sections 36B, 4980H, and 5000A of title 26.
With respect to a State waiver under paragraph (1), under which, due to the structure of the State plan, individuals and small employers in the State would not qualify for the premium tax credits, cost-sharing reductions, or small business credits under sections [1] 36B of title 26 or under part I of subtitle E for which they would otherwise be eligible, the Secretary shall provide for an alternative means by which the aggregate amount of such credits or reductions that would have been paid on behalf of participants in the Exchanges established under this title [2] had the State not received such waiver, shall be paid to the State for purposes of implementing the State plan under the waiver. Such amount shall be determined annually by the Secretary, taking into consideration the experience of other States with respect to participation in an Exchange and credits and reductions provided under such provisions to residents of the other States.
(B) RegulationsNot later than 180 days after March 23, 2010, the Secretary shall promulgate regulations relating to waivers under this section that provide—
a process for providing public notice and comment after the application is received by the Secretary, that is sufficient to ensure a meaningful level of public input and that does not impose requirements that are in addition to, or duplicative of, requirements imposed under the Administrative Procedures Act,2 or requirements that are unreasonable or unnecessarily burdensome with respect to State compliance;
a process for the submission to the Secretary of periodic reports by the State concerning the implementation of the program under the waiver; and
a process for the periodic evaluation by the Secretary of the program under the waiver.
(6) DefinitionIn this section, the term “Secretary” means—
the Secretary of Health and Human Services with respect to waivers relating to the provisions described in subparagraph (A) through (C) of paragraph (2); and
the Secretary of the Treasury with respect to waivers relating to the provisions described in paragraph (2)(D).
(1) In generalThe Secretary may grant a request for a waiver under subsection (a)(1) only if the Secretary determines that the State plan—
will provide coverage that is at least as comprehensive as the coverage defined in section 18022(b) of this title and offered through Exchanges established under this title 2 as certified by Office [3] of the Actuary of the Centers for Medicare & Medicaid Services based on sufficient data from the State and from comparable States about their experience with programs created by this Act and the provisions of this Act that would be waived;
will provide coverage and cost sharing protections against excessive out-of-pocket spending that are at least as affordable as the provisions of this title 2 would provide;
will provide coverage to at least a comparable number of its residents as the provisions of this title 2 would provide; and
If the Secretary determines a waiver should not be granted under subsection (a)(1), the Secretary shall notify the State involved, and the appropriate committees of Congress of such determination and the reasons therefore.[4]
(Pub. L. 111–148, title I, § 1332, Mar. 23, 2010, 124 Stat. 203.)
[1]  So in original. Probably should be “section”.[2]  See References in Text note below.[3]  So in original. Probably should be preceded by “the”.[4]  So in original. Probably should be “therefor.”
Part I of subtitle E, referred to in subsec. (a)(3), is part I (§§ 1401–1415) of subtitle E of title I of Pub. L. 111–148, which enacted subchapter IV of this chapter and section 36B of Title 26, Internal Revenue Code, amended section 405 of this title, sections 280C, 6103, and 7213 of Title 26, and section 1324 of Title 31, Money and Finance, and enacted provisions set out as a note under section 36B of Title 26. For complete classification of part I to the Code, see Tables.
The Administrative Procedures Act, referred to in subsec. (a)(4)(B)(iii), probably means the Administrative Procedure Act, act June 11, 1946, ch. 324, 60 Stat. 237, which was classified to sections 1001 to 1011 of former title 5 and which was repealed and reenacted as subchapter II (§ 551 et seq.) of chapter 5, and chapter 7 (§ 701 et seq.), of Title 5, Government Organization and Employees, by Pub. L. 89–554, Sept. 6, 1966, 80 Stat. 378. See Short Title note preceding section 551 of Title 5.
The Social Security Act, referred to in subsec. (a)(5), is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Titles XVIII, XIX, and XXI of the Act are classified generally to subchapters XVIII (§ 1395 et seq.), XIX (§ 1396 et seq.), and XXI (§ 1397aa et seq.), respectively, of chapter 7 of this title. For complete classification of this Act to the Code, see section 1305 of this title and Tables.