{"abstract":"This final rule sets forth a procedural framework for submission and review of initial applications for a Waiver for State Innovation described in section 1332 of the Patient Protection and the Affordable Care Act including processes to ensure opportunities for public input in the development of such applications by States and in the Federal review of the applications.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF THE TREASURY","name":"Treasury Department","id":497,"url":"https://www.federalregister.gov/agencies/treasury-department","json_url":"https://www.federalregister.gov/api/v1/agencies/497","parent_id":null,"slug":"treasury-department"},{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2012/02/27/2012-4395.html","cfr_references":[{"chapter":null,"citation_url":null,"part":33,"title":31},{"chapter":null,"citation_url":null,"part":155,"title":45}],"citation":"77 FR 11700","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective on April 27, 2012.","disposition_notes":null,"docket_ids":["CMS-9987-F"],"dockets":[],"document_number":"2012-4395","effective_on":"2012-04-27","end_page":11721,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2012/02/27/2012-4395.xml","html_url":"https://www.federalregister.gov/documents/2012/02/27/2012-4395/application-review-and-reporting-process-for-waivers-for-state-innovation","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2012-4395?publication_date=2012-02-27","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2012-02-27/2012-4395/mods.xml","not_received_for_publication":null,"page_length":22,"page_views":{"count":1682,"last_updated":"2026-04-26 02:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2012-02-27/pdf/2012-4395.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2012-04395.pdf?1329927737","publication_date":"2012-02-27","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2012/02/27/2012-4395.txt","regulation_id_number_info":{"0938-AQ75":{"issue":"201110","html_url":"https://www.federalregister.gov/regulations/0938-AQ75/affordable-care-act-waiver-for-state-innovation-review-and-approval-process-cms-9987-f-","title":"Affordable Care Act Waiver for State Innovation; Review and Approval Process (CMS-9987-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201110&RIN=0938-AQ75&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"},"1505-AC30":{"issue":"201110","html_url":"https://www.federalregister.gov/regulations/1505-AC30/review-and-approval-process-for-waivers-for-state-innovation","title":"Review and Approval Process for Waivers for State Innovation","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201110&RIN=1505-AC30&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0938-AQ75","1505-AC30"],"regulations_dot_gov_info":{"supporting_documents":[],"comments_count":0,"agency_id":"HHS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=HHS-OS-2022-0008","supporting_documents_count":0,"docket_id":"HHS-OS-2022-0008","document_id":"HHS-OS-2022-0008-0344","regulation_id_number":null,"title":"HHS 2022 Archive","checked_regulationsdotgov_at":"2022-05-28T03:30:05Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":11700,"subtype":null,"title":"Application, Review, and Reporting Process for Waivers for State Innovation","toc_doc":"Application, Review, and Reporting Process for Waivers for State Innovation","toc_subject":null,"topics":["Health care","Health insurance","Reporting and recordkeeping requirements"],"type":"Rule","volume":77}