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Title 45 → Subtitle A → Subchapter B → Part 150

TITLE 45—Public Welfare

Subtitle A—DEPARTMENT OF HEALTH AND HUMAN SERVICES

SUBCHAPTER B—REQUIREMENTS RELATING TO HEALTH CARE ACCESS

PART 150—CMS ENFORCEMENT IN GROUP AND INDIVIDUAL INSURANCE MARKETS

rule

Subpart A—GENERAL PROVISIONS

§150.101
Basis and scope.
§150.103
Definitions.
rule

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.
rule

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.
rule

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.

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