42 CFR § 457.560 - Cumulative cost-sharing maximum.
---
identifier: "/us/cfr/t42/s457.560"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 457.560 - Cumulative cost-sharing maximum."
title_number: 42
title_name: "Public Health"
section_number: "457.560"
section_name: "Cumulative cost-sharing maximum."
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"
---
# 457.560 Cumulative cost-sharing maximum.
(a) A State may not impose premiums, enrollment fees, copayments, coinsurance, deductibles, or similar cost-sharing charges that, in the aggregate, exceed 5 percent of a family's total income for the length of a child's eligibility period in the State.
(b) The State must inform the enrollee's family in writing and orally if appropriate of their individual cumulative cost-sharing maximum amount at the time of enrollment and reenrollment.
[66 FR 2681, Jan. 11, 2001, as amended at 66 FR 33824, June 25, 2001]