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    <RIN_INFO>
        <RIN>0938-AG80</RIN>
        <PUBLICATION>
            <PUBLICATION_ID>200104</PUBLICATION_ID>
            <PUBLICATION_TITLE>Unified Agenda of Federal Regulatory and Deregulatory Actions</PUBLICATION_TITLE>
        </PUBLICATION>
        <AGENCY>
            <CODE>0938</CODE>
            <NAME>Centers for Medicare &amp; Medicaid Services</NAME>
            <ACRONYM>CMS</ACRONYM>
        </AGENCY>
        <PARENT_AGENCY>
            <CODE>0900</CODE>
            <NAME>Department of Health and Human Services</NAME>
            <ACRONYM>HHS</ACRONYM>
        </PARENT_AGENCY>
        <RULE_TITLE>Physicians&apos; Referrals to Health Care Entities With Which They Have Financial Relationships-Expanded to Designated Health Services (HCFA-1809-FC)</RULE_TITLE>
        <ABSTRACT><![CDATA[This final rule with 90-day comment period (Phase I of this rulemaking) incorporates into regulations the provisions in paragraphs (a), (b), and (h) of section 1877 of the Social Security Act (the Act).  Under section 1877, if a physician or a member of a physician's immediate family has a financial relationship with a health care entity, the physician may not make referrals to that entity for the furnishing of designated health services (DHS) under the Medicare program, unless an exception applies.

In addition, section 1877 of the Act provides that an entity may not present or cause to be presented a Medicare claim or bill to any individual, third party payer, or other entity for DHS furnished under a prohibited referral, nor may we make payment for a designated health service furnished under a prohibited referral.]]></ABSTRACT>
        <PRIORITY_CATEGORY>Other Significant</PRIORITY_CATEGORY>
        <RIN_STATUS>Previously Published in The Unified Agenda</RIN_STATUS>
        <RULE_STAGE>Completed Actions</RULE_STAGE>
        <MAJOR>No</MAJOR>
        <UNFUNDED_MANDATE_LIST>
            <UNFUNDED_MANDATE>No</UNFUNDED_MANDATE>
        </UNFUNDED_MANDATE_LIST>
        <CFR_LIST>
            <CFR>42 CFR 411.1</CFR>
            <CFR>42 CFR 411.350 to 411.361</CFR>
            <CFR>42 CFR 424.22</CFR>
            <CFR>42 CFR 435.1002</CFR>
            <CFR>42 CFR 435.1012</CFR>
            <CFR>42 CFR 455.100 to 455.103</CFR>
            <CFR>42 CFR 455.108</CFR>
            <CFR>42 CFR 455.109</CFR>
        </CFR_LIST>
        <LEGAL_AUTHORITY_LIST>
            <LEGAL_AUTHORITY>42 USC 1302</LEGAL_AUTHORITY>
            <LEGAL_AUTHORITY>42 USC 1395hh</LEGAL_AUTHORITY>
            <LEGAL_AUTHORITY>42 USC 1395nn</LEGAL_AUTHORITY>
        </LEGAL_AUTHORITY_LIST>
        <LEGAL_DLINE_LIST/>
        <RPLAN_ENTRY>No</RPLAN_ENTRY>
        <TIMETABLE_LIST>
            <TIMETABLE>
                <TTBL_ACTION>NPRM</TTBL_ACTION>
                <TTBL_DATE>01/09/1998</TTBL_DATE>
                <FR_CITATION>63 FR 1659</FR_CITATION>
            </TIMETABLE>
            <TIMETABLE>
                <TTBL_ACTION>NPRM Comment Period End</TTBL_ACTION>
                <TTBL_DATE>05/11/1998</TTBL_DATE>
            </TIMETABLE>
            <TIMETABLE>
                <TTBL_ACTION>Final Rule</TTBL_ACTION>
                <TTBL_DATE>01/04/2001</TTBL_DATE>
                <FR_CITATION>66 FR 856</FR_CITATION>
            </TIMETABLE>
            <TIMETABLE>
                <TTBL_ACTION>60-Day Delay of Effective Date To 04/06/2001</TTBL_ACTION>
                <TTBL_DATE>02/02/2001</TTBL_DATE>
                <FR_CITATION>66 FR 8771</FR_CITATION>
            </TIMETABLE>
            <TIMETABLE>
                <TTBL_ACTION>60-Day Extension of Comment Period</TTBL_ACTION>
                <TTBL_DATE>04/04/2001</TTBL_DATE>
                <FR_CITATION>66 FR 17813</FR_CITATION>
            </TIMETABLE>
        </TIMETABLE_LIST>
        <RFA_REQUIRED>Yes</RFA_REQUIRED>
        <SMALL_ENTITY_LIST>
            <SMALL_ENTITY>Businesses</SMALL_ENTITY>
        </SMALL_ENTITY_LIST>
        <GOVT_LEVEL_LIST>
            <GOVT_LEVEL>State</GOVT_LEVEL>
        </GOVT_LEVEL_LIST>
        <FEDERALISM>No</FEDERALISM>
        <PRINT_PAPER>NA</PRINT_PAPER>
        <INTERNATIONAL_INTEREST>Not Collected</INTERNATIONAL_INTEREST>
        <AGENCY_CONTACT_LIST>
            <CONTACT>
                <FIRST_NAME>Joanne</FIRST_NAME>
                <LAST_NAME>Sinsheimer</LAST_NAME>
                <TITLE>Technical Advisor</TITLE>
                <AGENCY>
                    <CODE>0938</CODE>
                    <NAME>Centers for Medicare &amp; Medicaid Services</NAME>
                    <ACRONYM>CMS</ACRONYM>
                </AGENCY>
                <PHONE>410 786-4620</PHONE>
                <MAILING_ADDRESS>
                    <STREET_ADDRESS>Center for Medicare Management, Chronic Care Policy Group, C4-25-02, 7500 Security Boulevard,</STREET_ADDRESS>
                    <CITY>Baltimore</CITY>
                    <STATE>MD</STATE>
                    <ZIP>21244</ZIP>
                </MAILING_ADDRESS>
            </CONTACT>
        </AGENCY_CONTACT_LIST>
        <PROCUREMENT>Not Procurement Related</PROCUREMENT>
        <REINVENT_GOVT>No</REINVENT_GOVT>
    </RIN_INFO>
</REGINFO_RIN_DATA>
