Notice of Rescission of
Coverage and Disclosure Requirements for Patient Protection under
the Affordable Care Act (CMS-10330)
Reinstatement without change of a previously approved
collection
No
Regular
06/25/2025
Requested
Previously Approved
36 Months From Approved
1,285
0
10
0
411
0
Sections 2712 and 2719A of the Public
Health Service Act (PHS Act), as added by the Affordable Care Act,
contain rescission notice, and patient protection disclosure
requirements that are subject to the Paperwork Reduction Act of
1995. The No Surprises Act, enacted as part of the Consolidated
Appropriations Act, 2021, amended section 2719A of the PHS Act to
sunset when the new emergency services protections under the No
Surprises Act take effect. The provisions of section 2719A of the
PHS Act will no longer apply with respect to plan years beginning
on or after January 1, 2022. The No Surprises Act re-codified the
patient protections related to choice of health care professional
under section 2719A of the PHS Act in newly added section 9822 of
the Internal Revenue Code, section 722 of the Employee Retirement
Income Security Act, and section 2799A-7 of the PHS Act and
extended the applicability of these provisions to grandfathered
health plans for plan years beginning on or after January 1, 2022.
The rescission notice will be used by health plans to provide
advance notice to certain individuals that their coverage may be
rescinded as a result of fraud or intentional misrepresentation of
material fact. The patient protection notification will be used by
health plans to inform certain individuals of their right to choose
a primary care provider or pediatrician and to use
obstetrical/gynecological services without prior authorization. The
related provisions are finalized in the 2015 final regulations
titled “Final Rules under the Affordable Care Act for Grandfathered
Plans, Preexisting Condition Exclusions, Lifetime and Annual
Limits, Rescissions, Dependent Coverage, Appeals, and Patient
Protections” (80 FR 72192, November 18, 2015) and 2021 interim
final regulations titled “Requirements Related to Surprise Billing;
Part I”. The 2015 final regulations also require that, if State law
prohibits balance billing, or a plan or issuer is contractually
responsible for any amounts balanced billed by an out-of-network
emergency services provider, a plan or issuer must provide a
participant, beneficiary or enrollee adequate and prominent notice
of their lack of financial responsibility with respect to amounts
balanced billed in order to prevent inadvertent payment by the
individual. Plans and issuers will not be required to provide this
notice for plan years beginning on or after January 1,
2022.
The estimated burden associated
with the rescissions notice has decreased by approximately 235
hours (from approximately 245 hours to approximately 10 hours), due
to a decrease in the estimated number of rescissions. The estimated
burden associated with the notice of right to designate a primary
care provider has decreased by approximately 569 hours (from
approximately 569 hours to 0 hours), as State and local government
plan sponsors and issuers in the individual markets have already
incurred the one-time burden and cost to prepare and incorporate
this notice in their existing plan documents following the
implementation of the 2021 interim final regulations. Therefore,
the total estimated burden has decreased by approximately 804
hours.
$0
No
No
No
Yes
No
No
No
Jamaa Hill 301 492-4190
No
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
CMS-10330 Supporting Statement 30d.docx
Section 2719A - Patient Protections