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HHS/CDC RIN: 0920-AA20 Publication ID: Fall 2008 
Title: Medical Examination of Aliens 
Abstract: CDC is amending its regulations that govern medical examinations that aliens must undergo before they may be admitted to the United States. Specifically HHS/CDC is amending the definition of "communicable disease of public health significance" in 42 CFR part 34.2(b), the scope of examination, and the evaluation criteria for tuberculosis in 42 CFR 34.3. Part 34 list the aliens ineligible for entry into the U.S. We are taking this action to afford CDC the maximum flexibility it needs to identify and respond to newly emerging and reemerging diseases. The existing definition is outdated, and immediate changes are urgently needed to improve the U.S. Government's ability to prevent the importation of infectious diseases that are currently causing severe illness and death in regions of the world where large numbers of U.S.-bound immigrants and refugees reside. Annually, approximately 500,000 immigrants and refugees enter the United States to reside permanently. These changes will reduce the health-security threat to the U.S. from emerging diseases without imposing an undue burden on either the aliens or the health care systems in the U.S. resettlement communities. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 34   
Legal Authority: 8 USC 1182    8 USC 1222    42 USC 252   
Legal Deadline:  None
Timetable:
Action Date FR Cite
Interim Final Rule  10/06/2008  73 FR 58047   
Correction Notice  10/20/2008  73 FR 62210   
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Stacy Howard
Health Scientist
Department of Health and Human Services
Centers for Disease Control and Prevention
MS E-03, 1600 Clifton Road NE.,
Atlanta, GA 30329
Phone:404 498-1600
Email: showard@cdc.gov