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Amendment


45 CFR--PART 158

View Printed Federal Register page 85 FR 29262 in PDF format.

Amendment(s) published May 14, 2020, in 85 FR 29262

Effective Dates: July 13, 2020

21. Section 158.150 is amended by revising paragraph (b)(2)(iv)(A)(5) to read as follows:

§158.150   Activities that improve health care quality.

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(b) *  *  *

(2) *  *  *

(iv) *  *  *

(A) *  *  *

(5)(i) For MLR reporting years before 2021, actual rewards, incentives, bonuses, and reductions in copayments (excluding administration of such programs) that are not already reflected in premiums or claims should be allowed as a quality improvement activity for the group market to the extent permitted by section 2705 of the PHS Act;

(ii) Beginning with the 2021 MLR reporting year, actual rewards, incentives, bonuses, reductions in copayments (excluding administration of such programs) that are not already reflected in premiums or claims, to the extent permitted by section 2705 of the PHS Act;

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