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HHS/OS RIN: 0991-AB51 Publication ID: Spring 2009 
Title: ●Principles for Determining Costs at Hospitals Under Federal Grants, Contracts, and Cooperative Agreements 
Abstract: This notice of proposed rulemaking will publish for a thirty-day comment period revisions to 45 CFR part 74, appendix E: Principles for Determining Costs at Hospitals Under Federal Grants, Contracts, and Cooperative Agreements (hereinafter referred to as the Hospital Cost Principles or HCP.) It is the culmination of a comprehensive review process begun in 2005 and incorporates relevant elements of the Office of Management and Budget circulars for Colleges and Universities (OMB Circular A-21), Non-Profit Institutions (OMB Circular A-122), and State and Local Governments (OMB Circular A-87). These other principles were revised by OMB in the early 1990's, but the Hospital Cost Principles were not. This NPRM is subsequent to the recent final rule that clearly establishes the Department of Health and Human Services as the proponent agency for appendix E of 45 CFR part 74. With that authority is the inherent responsibility to review and revise the document as well as approve and deny requests for waiver to those Hospital Cost Principles. 
Agency: Department of Health and Human Services(HHS)  Priority: Routine and Frequent 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Undetermined  Unfunded Mandates: No 
CFR Citation: 45 CFR 74, appendix E     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: Not Yet Determined   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  12/00/2009    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Local, State 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Willis Heber
Department of Health and Human Services
Office of the Secretary
Washington, DC 20202
Phone:202 401-2753
Email: heber.willis@hhs.gov