---
kind: "section"
citation: "42 C.F.R. § 457.750"
title: "42"
number: "457.750"
heading: "Annual report."
url: "https://uscodex.org/cfr/42/457.750"
---

# §457.750. Annual report.

- (a) **Report required for each Federal fiscal year.** A State must report to CMS by January 1 following the end of each Federal fiscal year, on the results of the State's assessment of the operation of the State plan.
- (b) **Contents of annual report.** In the annual report required under [paragraph (a)](#a) of this section, a State must—
  - (1) Describe the State's progress in reducing the number of uncovered, low-income children and; in meeting other strategic objectives and performance goals identified in the State plan; and provide information related to a core set of national performance goals and measures as developed by the Secretary;
  - (2) Report on the effectiveness of the State's policies for discouraging the substitution of public coverage for private coverage;
  - (3) Identify successes and barriers in State plan design and implementation, and the approaches the State is considering to overcome these barriers;
  - (4) Describe the State's progress in addressing any specific issues (such as outreach) that the State plan proposed to periodically monitor and assess;
  - (5) Provide an updated budget for a 3-year period that describes those elements required in [§ 457.140](/cfr/42/457.140.md), including any changes in the sources of the non-Federal share of State plan expenditures;
  - (6) Identify the total State expenditures for family coverage and total number of children and adults, respectively, covered by family coverage during the preceding Federal fiscal year;
  - (7) Describe the State's current income standards and methodologies for its Medicaid expansion program, separate child health program, and title XIX Medicaid program, as appropriate.
- (c) **Methodology for estimate of number of uninsured, low-income children.**
  - (1) To report on the progress made in reducing the number of uninsured, low-income children as required in [paragraph (b)](#b) of this section, a State must choose a methodology to establish an initial baseline estimate of the number of low-income children who are uninsured in the State.
    - (i) A State may base the estimate on data from—
      - (A) The March supplement to the Current Population Survey (CPS);
      - (B) A State-specific survey;
      - (C) A statistically adjusted CPS; or
      - (D) **Another appropriate source.**
    - (ii) If the State does not base the estimate on data from the March supplement to the CPS, the State must submit a description of the methodology used to develop the initial baseline estimate and the rationale for its use.
  - (2) The State must provide an annual estimate of changes in the number of uninsured in the State using—
    - (i) The same methodology used in establishing the initial baseline; or
    - (ii) **Another methodology based on new information that enables the State to establish a new baseline.**
  - (3) If a new methodology is used, the State must also provide annual estimates based on either the March supplement to the CPS or the methodology used to develop the initial baseline.

## Notes

### Amendments

[66 FR 2683, Jan. 11, 2001, as amended at 66 FR 33824, June 25, 2001]

### Source

Source: 66 FR 2683, 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 2683, Jan. 11, 2001, as amended at 66 FR 33824, June 25, 2001]