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HHS/CMS RIN: 0938-AI93 Publication ID: Fall 2001 
Title: Coverage of Religious Non-Medical Health Care Institutions (CMS-1909-F) 
Abstract: This rule implements section 4454 of the Balanced Budget Act of 1997 (BBA 1997), which amended section 1861 of the Social Security Act (the Act) and added a new section 1821 to the Act. Section 4454 of BBA 1997 removed all references to Christian Science and Christian sanatoria from the Act and substituted religious nonmedical health care institutions in their place. This change permits any qualified religious, nonmedical, health care institution to apply for payment for furnishing nonmedical services under Medicare. Section 4454 also authorizes payment for such services as an option benefit under State Medicaid plans. The rule sets forth minimum requirements and conditions of participation to qualify as a religious nonmedical health care institution for purposes of receiving payment for services furnished under Medicare and Medicaid. 
Agency: Department of Health and Human Services(HHS)  Priority: Substantive, Nonsignificant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Long-Term Actions 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 403    42 CFR 440.170    42 CFR 488.2    42 CFR 488.6    42 CFR 489.102    42 CFR 412.90    42 CFR 412.98    42 CFR 431.610    42 CFR 440.155    42 CFR 442.12    42 CFR 456.351    42 CFR 456.601    42 CFR 466.1   
Legal Authority: 42 USC 1395i-5    42 USC 1395x(e)    42 USC 1395x(y)    42 USC 1395x(ss)    42 USC 1302   
Legal Deadline:
Action Source Description Date
Final  Statutory  BBA, Section 4454(d).  07/01/1998 
Timetable:
Action Date FR Cite
Interim Final Rule  11/30/1999  64 FR 67028   
Next Action Undetermined      
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: Businesses  Federalism: Undetermined 
Included in the Regulatory Plan: No 
Agency Contact:
Jean Marie Moore
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare Management, 7500 Security Boulevard, C5-05-05,
Baltimore, MD 21244
Phone:410 786-3508