Section 457.805 - State plan requirement: Procedures to address substitution under group health plans(a)State plan requirements. The state plan must include a description of reasonable procedures to ensure that health benefits coverage provided under the State plan does not substitute for coverage provided under group health plans as defined at § 457.10 .(b)Limitations. A State may not, under this section, impose a waiting period before enrolling into CHIP an eligible individual who has been disenrolled from group health plan coverage, Medicaid, or another insurance affordability program. States must conduct monitoring activities to prevent substitution of coverage. 78 FR 42313 , July 15, 2013, as amended at 81 FR 86466 , Nov. 30, 2016 81 FR 86466 , 1/20/2017; 89 FR 22877 , 6/3/2024