42 CFR § 457.535 - Cost-sharing protection to ensure enrollment of American Indians and Alaska Natives.
---
identifier: "/us/cfr/t42/s457.535"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 457.535 - Cost-sharing protection to ensure enrollment of American Indians and Alaska Natives."
title_number: 42
title_name: "Public Health"
section_number: "457.535"
section_name: "Cost-sharing protection to ensure enrollment of American Indians and Alaska Natives."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "D"
subchapter_name: "STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs)"
part_number: "457"
part_name: "ALLOTMENTS AND GRANTS TO STATES"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302."
regulatory_source: "65 FR 33622, May 24, 2000, unless otherwise noted."
cfr_part: "457"
---
# 457.535 Cost-sharing protection to ensure enrollment of American Indians and Alaska Natives.
States may not impose premiums, deductibles, coinsurance, copayments or any other cost-sharing charges on children who are American Indians or Alaska Natives, as defined in § 457.10.