---
kind: "section"
citation: "42 C.F.R. § 68.14"
title: "42"
number: "68.14"
heading: "Under what circumstances can the service or payment obligation be canceled, waived, or suspended?"
url: "https://uscodex.org/cfr/42/68.14"
---

# §68.14. Under what circumstances can the service or payment obligation be canceled, waived, or suspended?

- (a) Any obligation of a participant for service or payment will be canceled upon the death of the participant.
- (b)
  - (1) The NIH may waive or suspend any service or payment obligation incurred by the participant upon request whenever compliance by the participant:
    - (i) Is impossible;
    - (ii) Would involve extreme hardship to the participant; or
    - (iii) If enforcement of the service or payment obligation would be unconscionable.
  - (2) The NIH may approve a request for a suspension of the service or payment obligations for a period of up to one (1) year.
- (c) Compliance by a participant with a service or payment obligation will be considered impossible if the NIH determines, on the basis of information and documentation as may be required, that the participant suffers from a permanent physical or mental disability resulting in the inability of the participant to perform the service or other activities that would be necessary to comply with the obligation.
- (d) In determining whether to waive or suspend any or all of the service or payment obligations of a participant as imposing an undue hardship and being against good conscience, the NIH, on the basis of such information and documentation as may be required, will consider:
  - (1) The participant's present financial resources and obligations;
  - (2) The participant's estimated future financial resources and obligations; and
  - (3) The extent to which the participant has problems of a personal nature, such as a physical or mental disability or terminal illness in the immediate family, which so intrude on the participant's present and future ability to perform as to raise a presumption that the individual will be unable to perform the obligation incurred.

## Notes

### Authority

Authority: 42 U.S.C. 216, 42 U.S.C. 288-1, 42 U.S.C. 288-2.

### Source

Source: 78 FR 20468, Apr. 5, 2013, unless otherwise noted.