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HHS/CMS RIN: 0938-AE79 Publication ID: Fall 1995 
Title: Payment for Nursing and Allied Health Science Education (BPD-685-F) 
Abstract: This rule will set forth our policy for the payment of the costs of approved nursing and allied health science programs, an action directed by section 6205(b)(2) of OBRA '89. For the most part, the provisions set forth in this rule restate or clarify our current policies governing these costs, which have been previously set forth in the provider reimbursement manual and other documents, but have never been included in the regulations. In addition, we are amending the list of approved programs and clarify payment rules for certified registered nurse anesthetist programs. This rule will also implement section 4004 of OBRA '90 which provides that, effective with cost reporting periods beginning on or after October 1, 1990, under certain conditions, costs incurred by a hospital or educational institution related to the hospital for clinical training are treated as pass-through costs and paid on the basis of reasonable cost even though the hospital does not operate the education programs. 
Agency: Department of Health and Human Services(HHS)  Priority: Substantive, Nonsignificant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
CFR Citation: 42 CFR 413   
Legal Authority: PL 101-239, Sec 6205    PL 101-508, Sec 4004    PL 101-508, Sec 4159    42 USC 1395x note   
Legal Deadline:
Action Source Description Date
NPRM  Statutory    07/01/1990 
Timetable:
Action Date FR Cite
NPRM  09/22/1992  57 FR 43659   
NPRM Comment Period End  11/23/1992  57 FR 43659   
Final Action  12/00/1995    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Included in the Regulatory Plan: No 
Agency Contact:
Tzvi Hefter
Director, Division of Acute Care
Department of Health and Human Services
Centers for Medicare & Medicaid Services
C4-07-07, Center for Medicare Management, 7500 Security Boulevard, C4-07-07,
Baltimore, MD 21244
Phone:410 786-4487