Vol. 78 Wednesday, No. 137 July 17, 2013 - PDF document

Vol. 78 Wednesday, No. 137 July 17, 2013 ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00001Fmt 4717Sfmt 4717E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations 1Medicaid, Children’s Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair 2Patient Protection and Affordable Care Act; Exchange Functions: Standards for Navigators and 3See 77 FR 18310, 18325–26 (Mar. 27, 2012); General Guidance on Federally-facilitated http://www.cms.gov/ and Guidance on the State Partnership Exchange (Jan. http://www.cms.gov/CCIIO/Resources/ DEPARTMENT OF HEALTH AND HUMAN SERVICES 45 CFR Part 155 [CMS–9955–F; CMS–2334–F2] RIN 0938–AR75; 0938–AR04 Patient Protection and Affordable Care Act; Exchange Functions: Standards AGENCY: Centers for Medicare & Medicaid Services (CMS), Department ACTION: Final rule. FORFURTHERINFORMATIONCONTACTSUPPLEMENTARYINFORMATIONrequirements under §155.205(d) and (e), ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00002Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations activities, and §155.205(e) provides that §155.205(d) includes the Navigator §155.210. Section 155.205(d) and (e) program authorized by §155.205(d) and §155.205(d) and (e) for the Federally- §155.215 applies—who have a duty to ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00003Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations which §155.215 applies should apply to §§155.210 and 155.215 that we believe For example, in §155.225(c)(1), we have §§155.215(a)(1)(iii) and §155.225(d)(1) that is similar to the one in §155.215(b)(1)(iii). 155.215(b)(1)(iii). services in a fair, accurate and impartial manner.’’ This rule extends the same requirement to non-Navigator assistance programs in State Partnership Exchanges, and to non-Navigator assistance programs in State Exchanges funded by federal Exchange Establishment grant funds. Navigators and non-Navigator assistance programs must provide culturally and linguistically appropriate services, but we are not requiring certified application counselors to comply with CLAS standards beyond any existing obligations they may have. We do, however, encourage certified application counselors to utilize the CLAS standards as a resource. 45 CFR 155.210(e)(5) and 155.205(d) and (e) require Navigators and non-Navigator assistance programs to provide meaningful access to people with disabilities, and we proposed a similar requirement for certified application counselors. We are modifying that provision to allow certified application counselors to provide information with reasonable accommodations for those with disabilities through referrals to Navigators, non-Navigator assistance personnel, and/or the Exchange call center. Additionally, Navigators and non- Navigator assisters are both required to conduct consumer education and outreach activities under §155.205(e) and §155.210(e)(1). Certified Programs of an Exchange (§155.205) §155.205(d) and (e) which establishes §155.210. Assistance Personnel (§§155.210 & ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00004Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations ‘‘develop and publicly disseminate ... . entities and individuals awarded Navigator grants, designed to prevent, minimize and mitigate any conflicts of interest, financial or otherwise, that may exist for an entity or individuals to be awarded a Navigator grant and to ensure that all entities and individuals carrying out Navigator functions have appropriate integrity.’’ Additionally, 45 CFR 155.210(c)(1)(iv) provides that a Navigator must not have a conflict of interest during its term as Navigator. 45 CFR 155.210(b)(2) directs Exchanges to develop and publicly disseminate a set of training standards, to be met by all entities and individuals carrying out Navigator functions, to ensure Navigator expertise in the needs of underserved and vulnerable populations, eligibility and enrollment rules and procedures, the range of QHP options and insurance affordability programs, and privacy and security requirements applicable to personally identifiable information. This regulation develops and disseminates standards under §155.210(b)(1) and (2) for the Federally- forth in §155.205(c). This consumer standards in §155.205(c), and to accessibility standards for §155.205(d) and (e), as detailed in §155.205(c), requirements under §155.205(d),amend §155.205(d) to require both the Secretary is issuing §155.225, which functions described in §§155.205(d) Programs of an Exchange (§155.205) §155.205(d) by separating it into ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00005Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations Assistance Personnel (§§155.210 & §155.210(c)(1)(iii) to clarify that any final rule amends §155.210(d), which These amendments to §155.210 are assistance personnel to which §155.215 §155.215 applies. Section §155.215 applies must comply with the under §155.210(d), as well as the same to all Navigators under §155.210(e)(2). which §155.215 applies. These Exchanges to which §155.215 applies, §155.215 applies, to ensure meaningful §155.215 for their Navigators, or for pursuant to §155.210(b), or when (§155.225) In finalizing §155.225, we establish as provided in §155.225(a). An §155.225 to certify the organization’s §155.225(d)(5), the final rule clarifies ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00006Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations Finally, §155.225(g) prohibits §§155.205(d) and 155.210, and newly proposed §§155.215 and 155.225, Programs of an Exchange (§155.205) Proposed amendments to §155.205(d) outreach functions under §155.205(d) provisions in §155.120(c) when requirements of §155.120(c) from §155.105(f), which lists the regulatory §155.205(d) and (e), and the certified counselors comply with §155.120(c). rule publishing §155.120(c) clarified The preamble to final §155.210 also §155.120(c). (See 77 FR at 18332.) personnel authorized under §155.205(d) subject to §155.120(c) in all Exchanges if the amendments to §155.105(f) are ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00007Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations authorized by §155.225, and are personnel authorized under §155.205(d) Amendments to §155.205(d) proposed amendments to §155.205(d), described at §155.205(d). In §155.215, we establish §155.205(d) be strengthened and that ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00008Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations personnel under §155.205(d) receive §155.215(b) cover a broad range of addressed §155.205(d)(2), which §155.205(d)(2) to reflect the similar rule at §155.210(e)(4). This amendment authorized under §155.205(d), we also amendments to §155.205 of the from §155.210(e)(4). Assistance Personnel (§§155.210 & (§155.210) Be a Navigator (§155.210(c)(1)(iii)) §155.210(c)(1)(iii) to clarify that, requirement at §155.210(c)(2) that at §155.210(c)(1)(iii) whether a particular (§155.210(d)) ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00009Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations proposed §155.215(a)(2)(i), which to §155.215, like Navigators, are loss issuers described at §155.210(d). ‘‘... an insurance company, insurance provision at §155.215(a)(2)(i). We ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00010Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations The amendments to §155.210(d) are §155.205(d) and (e) and 155.210 in a Establishment Grant (§155.215). Navigators (§155.215(a)(1)) and for Non- Under §155.205(d) and (e) (§155.215(a)(2)) §155.215(a)(1) were intended to apply §155.210(d) directs that a Navigator listed at §155.210(d) would be barred first proposed in §155.215(a)(1)(i) that a conduct set forth in §155.210(d), and ineligible under §155.210(d) do not At §155.215(a)(1)(ii), we proposed to with the prohibitions in §155.210(d), At §155.215(a)(1)(iii), we proposed to impartial, as required by §155.210(e)(2). §155.215(a)(1)(iv) that certain conflicts 155.215(a)(1)(iv) that certain conflicts information and services in a fair, accurate and impartial manner’’ under §155.210(e)(2). We were also mindful in §155.210(b)(1). The requirement that ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00011Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations through disclosure (see §155.210(d)). §155.210(d)(4). We specified that At §155.215(a)(2), we proposed to comments for §155.215(a)(2) and the comments for §155.215(a)(1) together. requirements under §155.205(c), and §155.215(a)(1)(iv) and (a)(2)(v) personnel to which §155.215 applies. finalize in §155.215(a)(2)(i), that the set forth at §155.210(d) also apply to §§155.215(a)(1)(iii) and ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00012Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations under §155.205(d) and (e) in Federally- services provided under §155.205(d) assistance personnel to which §155.215 §155.215(a)(2)(i) to add the requirement personnel to which §155.215 applies. counselors, §155.225(d)(4) imposes a assistance personnel to which §155.215 §155.215(a)(2)(i), with the amendment §155.215 applies, including a health Functions Under §§155.205(d) and (e) and 155.210 (§155.215(b)) Standards (§155.215(b)(1)) §155.205(d) that would require any At §155.215(b)(1), we proposed that §155.215(b)(2) the broad topic areas §155.215 applies would receive training personnel to which §155.215 applies personnel to which §155.215 applies assistance personnel to which §155.215 ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00013Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations assistance personnel to which §155.215 assistance personnel to which §155.215 §155.215 applies should not be required personnel to which §155.215 applies to which §155.215 applies should be §155.215(b)(1)(v) without change. personnel to which §155.215 applies assistance personnel to which §155.215 to which §155.215 applies, as part of to which §155.215 applies under §155.215(e) and will take appropriate arise. In addition, §155.260 provides for which §155.215 applies complete and functions under §§155.205(d) and (e) or assistance personnel to which §155.215 ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00014Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations functions authorized by §155.205(d) (§155.215(b)(2)) In §155.215(b)(2), we proposed a set assistance personnel to which §155.215 standards is set forth in §155.215(b)(2). personnel to which §155.215 applies. standards in §155.215(b)(2) without §155.215 applies. Some commenters personnel to which §155.215 applies personnel to which §155.215 applies §155.215 applies are knowledgeable personnel to which §155.215 applies ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00015Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations (CLAS Standards) (§155.215(c)) At §155.215(c), we proposed (§155.210(e)(5)). Additionally, all non- at §155.205(c). §§155.210(e)(5) and 155.205(c) (as Navigators by §155.205(d) and (e)). At §155.215(c), we proposed that personnel to which §155.215 applies which §155.215 applies. At §155.215(c)(4), we proposed to §155.215 applies provide limited- §155.205(c)(2), which allows for the use assistance programs to which §155.215 suggested that §155.215(c) should be §§155.205(c), (d), (e), 155.210(e)(5), and that it is necessary to divide §155.215(c) ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00016Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations programs to which §155.215 applies assistance programs to which §155.215 §155.215(c)(3) to require translated §155.215(c)(3) to read ‘‘when necessary §155.215(c)(4) to require, ‘‘notice to Persons With Disabilities (§155.215(d)) Existing regulation §155.210(e)(5) Similarly, §155.205(c), which applies to pursuant to §155.205(d) and (e), grants, we proposed in §155.215(d)(2) addition, we proposed at §155.215(d)(3) assistance personnel to which §155.215 §155.215(d)(1) that Navigators and non- §155.215 applies should ensure that We proposed at §155.215(d)(4) that We proposed in §155.215(d)(5) that which §155.215 applies should have proposed at §155.215(d)(6) that personnel to which §155.215 applies be ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00017Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations 155.210(e)(5) and §155.205(c), (d) and personnel to which §155.215 applies to §155.215(d)(2) to state ‘‘when necessary assistance personnel to which §155.215 §155.215(d)(4) accordingly. to which §155.215 applies should have e. Monitoring (§155.215(e)) We proposed in §155.215(e) that standards described in §155.215 and §§155.205(d) and (e) and 155.210. To §155.215(a)(1)(i) through (ii) and ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00018Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations programs to which §155.215 applies. We are finalizing new §155.215 with minor changes. First, §155.215(a)(1)(iv) Second, §155.215(a)(2)(i) is being applies to comply with §155.210(e)(2), impartial manner. Third, §155.215(c)(3) to which §155.215 applies to provide in §155.215(d)(2). Section 155.215(c)(4) language. Lastly, §155.215(d)(4) is being (§155.225) Certification (Proposed §155.225(a) and (b)—Renumbered as §155.225(a), (b), §155.205(d) and (e) to provide proposed §155.225(a) and (b). Instead of §155.225. Certified application §155.225(b)(2), the final regulation will ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00019Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations the requirements of §155.225. §155.225(b)(1) and to ensure that their of certification in §155.225(d) in coverage. In §155.225(d)(2) ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00020Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations Nothing in §155.225 prevents or activities under §155.205(d) and (e). No §155.225(d)(2) is disclosed to potential We are also finalizing §155.225(g) §155.225(a) requiring the Exchange to §155.225. Some commenters were §155.225. tribes in accordance with §155.130(f). ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00021Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations in §155.215 applicable to Navigators functions under §155.205(d) and (e) in §155.215 to certified application in §155.215 to certified application §155.120 into the standards applicable §155.120(c) from §155.105(f), which functions authorized under §155.205(d) authorized under §155.205(d) and (e), with §155.120(c). Therefore, Navigators, authorized under §155.205(d) and (e), provisions of §155.120(c) in any §155.120(c) clarified that the 18320.) The preamble to final §155.210 §155.120(c). (See 77 FR 18332.) amended §155.225(c)(1) (renumbered addition, §155.225(d)(4) (renumbered modified §155.225(d)(2) (renumbered §155.225(a)(3) (renumbered as ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00022Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations §155.400(a) and §155.310(d). proposed §155.225(b)(6) requiring §155.225(e) (renumbered from requirements of §155.225, and that the §155.225(e)(2). Further, certified standards in §155.225(b)(2) ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00023Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations §155.215(b)(1). have amended §155.225(d)(1) in §155.225. States, if they wish, may the requirements of §155.225. ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00024Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations §155.215(a)(1)(iv)(B) and §155.215(a)(2)(v)(B) for disclosure of under §155.225(d)(2) (renumbered from proposed §155.225(b)(4) (renumbered as §155.225(d)(3)) that certified §155.260. We also received a suggestion and security standards at §155.225(d)(3) §155.225(b)(4)). Certified application In §155.225(b)(5), we renumbered it as §155.225(d)(4) in the proposed §155.225(b)(7) (renumbered as §155.225(b)(6) in this final rule) proposed §155.225(b)(7), renumbered in the final rule as §155.225(d)(5), to §§155.205(d) and (e) and/or 155.210, or ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00025Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations §155.225(e) (Renumbered From §155.225(c) in the Proposed Rule) §155.225(c), which provided for the in §155.225(e), provides that the Exchange under §155.225(b)(1)(i); each requirements of §155.225; and each with the requirements of §155.225, proposed §156.1010 in 78 FR 37032 §155.225(a)(2) requires certified Authorization (§155.225(f) supportive of proposed §155.225(d)(2), §155.225(d)(3), they must receive 4. Fees §155.225(g) (Renumbered From ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00026Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations proposed in §155.225 of the proposed the option in §155.225(b)(2)(ii), to We have amended §155.225(d)(1) ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00027Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations requirements in §155.225 were requirements of §155.225 as well as §155.215(a). These disclosures include personnel to which §155.215 applies; a §155.215(b). Sections III.C through E personnel to which §155.215 applies to which §155.215 applies are estimated which §155.215 applies are estimated to to which §155.215 applies is estimated personnel to which §155.215 applies project leads to which §155.215 applies; project leads to which §155.215 applies. ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00028Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations 12The mitigation plan is required on an individual basis only if the individual is not working for an entity serving as non-Navigator personnel will be subject to §155.215, personnel subject to §155.215; therefore Conflicts of Interest (§155.215(a)) In accordance with §155.215(a)(1)(i) §155.205(d) and (e) will be required to accordance with §155.215(a)(1)(ii) and In accordance with §155.215(a)(1)(iii) In accordance with §155.215(a)(1)(iv) prohibitions on conduct in §155.210(d), Certification Standards (§155.215(b)) In accordance with §155.215(b)(1)(ii), In accordance with §155.215(b)(1), ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00029Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations accordance with §155.215(b)(1)(iv), ECORDKEEPINGAND($)** Conflict of Interest Attestation §155.215(a)(1)(i) & (a)(2)(ii).......................................................................0938—New 0 Conflict of Interest Mitigation Plan §155.215(a)(1)(ii) & (a)(2)(iii) Navigator Senior Executive.........................0938—New 5 48 240 0 Non-Navigator Assistance Project Lead................................................ §155.215(a)(1)(iii) & (a)(2)(iv)....................................0938—New 1 20 20 0 sumers §155.215(a)(1)(iv) & (a)(2)(v).......................0938—New .16 29 Training Registration §155.215(b)(1)(ii)........................0938—New Certification and Recertification §155.215(b)(1)...........0938—New Total................................................................................................ **The hourly cost of $29.20 in certain rows is an average of the professional wages estimated for Navigator personnel, project leads, senior Counselors (§155.225) with §155.225(b)(2), each Exchange counselor program under §155.225 by ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00030Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations under §155.225(b). HHS will establish a single proposed §155.225 were properly Exchange (§155.225) with §155.225(b)(1); the time and effort §155.225(d)(1); the time and effort identified in §155.225(b)(1)(i); and the §155.225(e). Additionally, in the event §155.225(b)(2)(ii), there would be the under §155.225(f)(1) and authorizing specified in §155.225(f)(2). §155.225(b)(1), each Exchange may In accordance with §155.225(b)(2), specified in §155.225. We estimate it §155.225(f). For the purpose of the cost In accordance with §155.225(b)(1)(i), §155.225(b)(2)(ii), the State Exchange ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00031Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations In accordance with §155.225(d)(1), In accordance with §155.225(e), when Application Counselors (§155.225) under the provisions of §155.225. For accordance with §155.225(b)(1), accordance with §155.225(b)(1)(i); the with §155.225(b)(1)(ii); the time and with §155.225(e); and the time and §155.225(f). Because we are unable to In accordance with §155.225(b)(1)(i), In accordance with §155.225(b)(1)(ii) ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00032Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations 20According to the U.S. Bureau of Labor Statistics, an eligibility interviewer (occupation no. 43–4061) is estimated to have a wage of $26.65, §155.225(b)(1)(ii),creating an agreement §155.225(d); establishing procedures to accordance with §155.225(e)(3); and enrollees under §155.225(f), for a total In accordance with §155.225(b)(1), standards set forth in §155.225 by the In accordance with §155.225(e)(1), §155.225(b)(1)(ii) or (b)(2)(ii), as §155.225; provide authorization to with §155.225(f); and take appropriate accordance with §155.225(e). In accordance with §155.225, accordance with §155.225(b)(1)(ii) or with §155.225(b)(2)(ii) if the state in accordance with §155.225(d)(2); and accordance with §155.225(d)(6) or In accordance with §155.225(d)(1), ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00033Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations 22These estimated Exchange burdens assume 19 Exchanges, including 18 State Exchanges and one FFE, developing their own processes to designate individuals as provided under §155.225(b)). HHS In accordance with §155.225(d)(2), addition, under §155.225(f)(1) and (2), provisions under §155.225(e)(2) and (3), ECORDKEEPINGANDRegulation section(s) Respondents §155.225(b)(1) (Ex-19 19 20 380 1,339.66 (per respondent) 25,453 §155.225(b)(1) (designa-19 19 .016 .30 .79 (per respondent).........15 §155.225(b)(1) (organiza-1 ........................1 ........................79.08 (for one respondent) .......................... §155.225(b)(1) or (b)(2)(ii) 8,700 8,700 .25 2,175 7.09 (per certification)......61,683 §155.225(b)(1) or (b)(2)(i) 19 ........................1 .16 22.04 62.01 (per respondent).....1,178 §155.225(b)(1)(ii), (d)(6), 1 ........................10 ........................593.78 (per respondent)............................. §155.225(b)(1)(i) or 1 .........................266 ........................21.04 (per agreement)............................... §155.225(b)(2)(ii) (Ex-18 18 20 360 1,284.34 (per respondent) 23,118 §155.225(d)(1) (training by 19 19 15 285 588.55 (per respondent)...11,182 §155.225(d)(1) (training 8,700 8,700 .016 139 .43.....................................3,741 ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00034Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations ECORDKEEPINGANDRegulation section(s) Respondents §155.225(d)(2) and (f) 8,700 8,700 .25 2,175 7.09 (per respondent).......61,683 §155.225(d)(6) (agree-1 .........................266 ........................21.04 (per respondent)............................... §155.225(e) (withdrawal 1 ........................3 .016 ........................178.57 (per respondent)............................. §155.225(e)(1) (organiza-1 ........................3 ........................237.24 (per respondent)............................. §155.225(e)(2) and (3) (in-1 ........................3 ........................79.95 (per respondent)............................... Total...........................XXXX XXXX ..........................5,536.34 ...........................................188,041 .41 ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00035Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00036Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations §155.205Consumer assistance tools and program described in §155.210. Any §155.210Navigator program standards. (c) *** (1) *** (d) *** §155.215Standards applicable to assistance functions under §§155.205(d) under §155.105(f) and to non-Navigator ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00037Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations conduct in §155.210(d), which the functions under §155.205(d) and (e). §155.205(d) and (e) must— §155.210(d) and the duties of a Navigator set forth at §155.210(e)(2). assistance functions under §155.205(d) conduct in §155.210(d), which the functions under §§155.205(d) and (e) its authority under §155.105(f), and to functions under §§155.205(d) and (e) §§155.205(d) and (e) or 155.210; assistance functions under §§155.205(d) under §§155.205(d) and (e) and 155.210 described at §156.140(b) of this applicable under §155.260 for handling its authority under §155.105(f) and to under §§155.205(d) and (e) or 155.210 ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00038Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations §§155.205(c)(2) and 155.210(e)(5), any §155.105(f), and to non-Navigator under §§155.205(d) and (e) or 155.210, and in accordance with §155.205(c), its authority under §155.105(f) will §§155.205(d) and (e) and 155.210. §155.225Certified application counselors. consistent with §155.260, and ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00039Fmt 4701Sfmt 4700E:\FR\FM\17JYR2.SGM17JYR2 /Vol. 78, No. 137/Wednesday, July 17, 2013/Rules and Regulations authorized under §§155.205(d) and (e) center authorized under §155.205(a), 155.205(a), –––BILLING CODE 4120–01–P ᔀVerDate Mar14:24 Jul 16, 2013Jkt 229001PO 00000Frm 00040Fmt 4701Sfmt 9990E:\FR\FM\17JYR2.SGM17JYR2