On July 10, 2013, the Center for Medicare and Medicaid Services (CMS) released a “Frequently Asked Question” response regarding CCIIO assessment fees. The question asked “Can States collect assessment fees in their first year of Exchange operations for use in the second year of operations?” The response explained that States can decide to collect assessment fees in year one or two for operations. But the states must maintain appropriate processes and controls to properly utilize section 1311 grant funds. Moreover, States must meet the public disclosure requirements of section 1311(d)(7). The full text can be read here.