C.F.R. » Title 45 » SUBCHAPTER B—REQUIREMENTS RELATING TO HEALTH CARE ACCESS › PART 153—STANDARDS RELATED TO REINSURANCE, RISK CORRIDORS, AND HHS RISK ADJUSTMENT UNDER THE AFFORDABLE CARE ACT › Subpart D—State Standards Related to the Risk Adjustment Program

45 C.F.R. § 153.365

General oversight requirements for State-operated risk adjustment programs

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If a State is operating a risk adjustment program, it must keep an accounting of all receipts and expenditures related to risk adjustment payments and charges and the administration of risk adjustment-related functions and activities for each benefit year.

[78 FR 65094, Oct. 30, 2013]
Notes of Decisions
Cited in 1 case (1 in the last 5 years), 2021–2021 · leading case: Lindsay Rafferty v. Denny's, Inc., 13 F.4th 1166 (11th Cir. 2021).
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Lindsay Rafferty v. Denny's, Inc., 13 F.4th 1166 (11th Cir. 2021). “Compare 45 C.F.R. § 153.365 (“If a State is operating a risk adjustment program, it must keep an accounting of all receipts and expenditures related to risk adjustment payments and charges and the administration of risk adjustment-related functions and activities for each…”
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