Within a reasonable time generally within 120 days after the expiration of the period provided for the
submission of written data, views, and arguments on the issues on which no hearing is held, or within a reasonable time, generally not to exceed 120
days after the certification of the record of a hearing, the Assistant Secretary shall publish his decision in the FEDERAL REGISTER. His decision
shall state whether or not an affirmative 18(e) determination has been made for the State plan or any separable portion thereof, or whether he intends
to withdraw approval of the plan or any portion thereof pursuant to part 1955 of this chapter. The action of the Assistant Secretary shall be taken
after consideration of all information, including his evaluations of the actual operations of the plan, and information presented in written
submissions and in any hearings held under this subpart.
Any decision under this section shall incorporate a concise statement of its grounds and purpose and
shall respond to any substantial issues which may have been raised in written submissions or at the hearing.
All decisions resulting in an affirmative 18(e) determination shall contain provisions amending the
appropriate subparts of part 1952 of this chapter.
All decisions concerning the Assistant Secretary's determination under section 18(e) of the Act shall
be published in the FEDERAL REGISTER.