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HHS/CMS RIN: 0938-AR72 Publication ID: Fall 2013 
Title: Fire Safety Requirements for Certain Health Care Facilities (CMS-3277-P) 
Abstract: This proposed rule would amend the fire safety standards for hospitals; critical access hospital long-term care facilities; intermediate care facilities for the intellectually disabled; ambulatory surgery centers hospices, which provide in-patient services; religious non-medical health care institutions; and programs of all-inclusive care for the elderly facilities. Further, this proposed rule would adopt the 2012 edition of the Life Safety Code and eliminate references in our regulations to all earlier editions. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 403; 42 CFR 416; 42 CFR 418; 42 CFR 460; 42 CFR 482; 42 CFR 483; 42 CFR 485 
Legal Authority: 42 USC 1302; 42 USC 1395 
Legal Deadline:  None

Statement of Need: By adopting the 2012 editions of the Life Safety Code (NFPA 101) and the Health Care Facilities Code (NFPA 99) we will bring CMS standards up-to-date with the most recent requirements. Currently, Medicare and Medicaid facilities are following the 2000 NFPA 101 Life Safety Code standards, and CMS regulations do not require compliance with NFPA 99.

Summary of the Legal Basis: The rule would amend certain provisions of the Social Security Act in order to adopt fire safety standards for hospitals, critical access hospitals, long-term care facilities, intermediate care facilities for individuals with intellectual disabilities, ambulatory surgery centers, hospices which provide inpatient services, religious non-medical health care institutions, and programs of all-inclusive care for the elderly facilities.

Alternatives: None. A rule is needed to update requirements for Medicare and Medicaid facilities.

Anticipated Costs and Benefits: We estimate that the effect of this rule will not be economically significant and the cost for facilities to implement this rule will be minimal.

Risks: None. We expect the health care, fire safety, and building safety communities will support this rule.

Timetable:
Action Date FR Cite
NPRM  01/00/2014   
Additional Information: Includes Retrospective Review under E.O. 13563.
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: Yes 
RIN Data Printed in the FR: No 
Agency Contact:
Kristin Shifflett
Health Insurance Specialist Clinical Standard Group
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Clinical Standards and Quality, Mail Stop S3-02-01, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4133
Email: kristin.shifflett@cms.hhs.gov

 
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