---
kind: "section"
citation: "42 C.F.R. § 457.505"
title: "42"
number: "457.505"
heading: "General State plan requirements."
url: "https://uscodex.org/cfr/42/457.505"
---

# §457.505. General State plan requirements.


The State plan must include a description of—

- (a) The amount of premiums, deductibles, coinsurance, copayments, and other cost sharing imposed;
- (b) The methods, including the public schedule, the State uses to inform enrollees, applicants, providers and the general public of the cost-sharing charges, the cumulative cost-sharing maximum, and any changes to these amounts;
- (c) The disenrollment protections as required under [§ 457.570](/cfr/42/457.570.md);
- (d) **In the case of coverage obtained through premium assistance for group health plans—**
  - (1) The procedures the State uses to ensure that eligible children are not charged copayments, coinsurance, deductibles or similar fees on well-baby and well-child care services described at [§ 457.520](/cfr/42/457.520.md), and that any cost sharing complies with the requirements of this subpart;
  - (2) The procedures to ensure that American Indian and Alaska Native children are not charged premiums, copayments, coinsurance, deductibles, or similar fees in accordance with [§ 457.535](/cfr/42/457.535.md);
  - (3) The procedures to ensure that eligible children are not charged cost sharing in excess of the cumulative cost-sharing maximum specified in [§ 457.560](/cfr/42/457.560.md).
- (e) Procedures that do not primarily rely on a refund given by the State for overpayment on behalf of an eligible child to ensure compliance with this subpart.

## Notes

### Amendments

[66 FR 2681, Jan. 11, 2001, as amended at 66 FR 33824, June 25, 2001]

### Source

Source: 66 FR 2681, Jan. 11, 2001, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302.

### Source

Source: 65 FR 33622, May 24, 2000, unless otherwise noted.

### Amendments

[66 FR 2681, Jan. 11, 2001, as amended at 66 FR 33824, June 25, 2001]