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HHS/CMS RIN: 0938-AP39 Publication ID: Spring 2009 
Title: Changes to the Hospital Inpatient and Long-Term Care Prospective Payment System for FY 2010 (CMS-1406-P) 
Abstract: This major rule proposes to revise the Medicare hospital inpatient and Long Term Care prospective payment systems (IPPS) for operating and capital-related costs to implement changes arising from our continuing experience with these systems. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 412   
Legal Authority: Sec 1886(d) of the Social Security Act   
Legal Deadline:
Action Source Description Date
NPRM  Statutory    04/01/2009 
Final  Statutory    08/01/2009 
Timetable:
Action Date FR Cite
NPRM  04/00/2009    
Regulatory Flexibility Analysis Required: Yes  Government Levels Affected: Federal 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: Yes 
RIN Data Printed in the FR: Yes 
Related RINs: Related to 0938-AP32, Related to 0938-AP63 
Agency Contact:
Tiffany Swygert
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Div of Acute Care, Hosp and Ambulatory Policy Group, Mailstop C4-25-11, 7500 Security Blvd,
Baltimore, MD 21244
Phone:410 786-4642
Email: tiffany.swygert@cms.hhs.gov