…[ 78 FR 42313 , July 15, 2013, as amended at 81 FR 86466 , Nov. 30, 2016; 89 FR 22877 , Apr. 2, 2024] § 457.810 Premium assistance programs: Required protections against substitution. A State that operates a premium assistance program, as defined at § 457.10 , must provide the pr…