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Letter to American Samoa on the definition of State

Guidance for Letter regarding the applicability of certain Affordable Care Act provisions to health insurance issuers in the territories

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: July 16, 2014

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.