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Note:  This document has been delivered to the Office of the Federal Register but has not yet been scheduled for publication.  The official version of this document is the document that is published in the Federal Register.

and report to the Secretary data on the costs assessed to parents and the payments obtained from public and private insurance for early intervention services. These commenters recommended that the Department conduct a study to determine how the regulations concerning the use of

private insurance in §303.520 and the States’ systems of

payments and fees in §303.521 affect family participation

in Part C of the Act.

Discussion: Section 618 of the Act does not require States to report data on their use of insurance or a system of payments, and we do not want to place this added data

collection and paperwork burden on States. The Department

has long required each State that adopts a system of payments (including the use of insurance or family fees to pay for Part C services) to submit its policies and procedures as part of the State's Part C grant

application. This requirement is reflected in

§303.203(b). Data from FY 2009 indicate that approximately

23 States have a system of payments that includes express authority to charge parents for some Part C services. Data from the last few years indicate an increase in the number of States that have adopted a system of payments and an increase in the fees parents are charged for Part C services in those States that have the authority to charge