45 CFR Part 150
PART 150—CMS ENFORCEMENT IN GROUP AND INDIVIDUAL INSURANCE MARKETS
- PART 150—CMS ENFORCEMENT IN GROUP AND INDIVIDUAL INSURANCE MARKETS
- Subtitle A—Department of Health and Human Services › Subchapter B—Requirements Relating to Health Care Access
- 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.
- 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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