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OMB Control No: 0938-1034	ICR Reference No: 200709-0938-007
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Disclosures to Patients by Certain Hospitals and Critical Access Hospitals and Supporting Regulations in 42 CFR 489.20
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/22/2008
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/25/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2011	36 Months From Approved
Responses	49,735,635	0	0
Time Burden (Hours)	839,599	0	0
Cost Burden (Dollars)	0	0	0

Abstract: Section 5006(a)(1) of the Deficit Reduction Act of 2005 (DRA), enacted on February 8, 2006, requires the Secretary to develop a "strategic and implementing plan" to address certain issues relating to physician investment in "specialty hospitals, " and to submit this plan to the Congress. CMS indicated in the required report, submitted in August, 2006, indicated that a well-crafted disclosure requirement, which, at a minimum, would require hospitals to disclose to patients whether they are physician-owned and, if so, the names of the physician-owners, is consistent with the agency's general approach that hospitals should be transparent as to their pricing and their quality outcomes. A well-educated consumer is essential to improving the quality and efficiency of the healthcare system. Accordingly, CMS has proposed a change to its regulations governing provider agreement requirements, to require physician-owned hospitals to disclose their ownership status to all patients at the beginning of their inpatient stay or outpatient visit, and to make a list of physician owners available upon request. Since the report also found that a less than half of specialty hospitals have emergency departments, compared to over 90% of general hospitals, CMS also proposed to address the issues related to safety of patients in emergencies. Following the same principle of increased transparency of hospital operations to patients, CMS has proposed a change to its regulations governing provider agreements to require all hospitals and critical access hospitals that do not have a physician on the premises at all times to disclose this to patients upon admission/registration, and to indicate how the hospital/CAH will meet the medical needs of any patient who develops an emergency medical condition at a time when a physician is not present in the facility.

Authorizing Statute(s): PL: Pub.L. 109 - 171 5006(a)(1) Name of Law: Deficit Reduction Act

Citations for New Statutory Requirements: PL: Pub.L. 109 - 171 5006(a)(1) Name of Law: Deficit Reduction Act

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AO70	Final or interim final rulemaking	72 FR 47130	08/22/2007

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 21024	04/27/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 46085	08/16/2007
Did the Agency receive public comments on this ICR? Yes

ICR Summary of Burden

	Total Approved	Change Due to New Statute
Annual Number of Responses	49,735,635	49,735,635
Annual Time Burden (Hours)	839,599	839,599
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Section 5006(a)(1) of the Deficit Reduction Act of 2005 (DRA), enacted on February 8, 2006, requires the Secretary to develop a strategic and implementing plan to address certain issues relating to physician investment in specialty hospitals, and to submit this plan to the Congress. CMS indicated in the required report, submitted in August, 2006, indicated that a well-crafted disclosure requirement, which, at a minimum, would require hospitals to disclose to patients whether they are physician-owned and, if so, the names of the physician-owners, is consistent with the agency's general approach that hospitals should be transparent as to their pricing and their quality outcomes. A well-educated consumer is essential to improving the quality and efficiency of the healthcare system. Accordingly, CMS has proposed a change to its regulations governing provider agreement requirements, to require physician-owned hospitals to disclose their ownership status to all patients at the beginning of their inpatient stay or outpatient visit, and to make a list of physician owners available upon request. Since the report also found that a less than half of specialty hospitals have emergency departments, compared to over 90% of general hospitals, CMS also proposed to address the issues related to safety of patients in emergencies. Following the same principle of increased transparency of hospital operations to patients, CMS has proposed a change to its regulations governing provider agreements to require all hospitals and critical access hospitals that do not have a physician on the premises at all times to disclose this to patients upon admission/registration, and to indicate how the hospital/CAH will meet the medical needs of any patient who develops an emergency medical condition at a time when a physician is not present in the facility.

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: William Parham 4107864669

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