45 CFR 1321.23 – Notification of State plan or State plan amendment approval
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(a) The Commissioner approves a State plan or State plan amendment by notifying the Governor or the Governor’s designee in writing.
(b) When the Commissioner proposes to disapprove a State plan or amendment, the Commissioner notifies the Governor in writing, giving the reasons for the proposed disapproval, and informs the State agency that it has 60 days to request a hearing on the proposed disapproval following the procedures specified in subpart E of this part.