0938-AS21 201610 The Regulatory Plan and the Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care (CMS-3295-F)

These proposed changes would modernize hospital and critical access hospital (CAH) requirements, improve quality of care, and support HHS and CMS priorities. Specifically, we proposed to revise the conditions of participation (CoPs) for hospitals and CAHs to address: Discriminatory behavior by healthcare providers that may create real or perceived barriers to care; Use of the term "Licensed Independent Practioners" (LIPs) that may inadvertently exacerbate workforce shortage concerns; Requirements that do not fully conform to current standards for infection control; Requirements for antibiotic stewardship programs to help reduce inappropriate antibiotic use and antimicrobial resistance; and the use of quality reporting program data by hospital Quality Assessment and Performance Improvement (QAPI) programs.

]]> Economically Significant Previously Published in The Unified Agenda Long-Term Actions Yes No Rulemaking Resulting From a Section 610 Review 42 CFR 482 42 CFR 485 42 U.S.C. 1302 42 U.S.C. 1395hh and 1395rr Statutory Final 06/16/2019 MMA section 902. MMA section 902 requires Medicare final rules publish within 3-years of a proposed or interim final rule . Rule may publish before the 3-year deadline. No NPRM 06/16/2016 81 FR 39447 NPRM Comment Period End 08/15/2016 Final Action 06/00/2019 Includes Retrospective Review under E.O. 13563. No Businesses None No Yes No Scott Cooper CAPT Senior Technical Advisor 0938 Centers for Medicare & Medicaid Services CMS 410 786-9465 scott.cooper@cms.hhs.gov Center for Clinical Standards and Quality, Mail Stop S3-01-02, 7500 Security Boulevard, Baltimore MD 21244