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HHS/CMS RIN: 0938-AH55 Publication ID: Spring 1999 
Title: Changes to the Hospital Inpatient Prospective Payment System and Fiscal Year 1998 Rates (HCFA-1878-F) 
Abstract: This final rule responds to public comments received on those portions of a final rule with comment period published in the Federal Register on August 29, 1997, that revised the Medicare hospital inpatient prospective payment systems for operating costs and capital-related costs to implement necessary changes resulting from the Balanced Budget Act (BBA) of 1997, Public Law 105-33. This rule also addresses public comments on other BBA changes relating to cost limits for hospitals and hospital unites excluded from the prospective payment systems, as well as direct graduate medical education payments, that were included in the August 29, 1997 document. Generally, these BBA changes were applicable to hospital discharges occurring on or after October 1, 1997. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 412    42 CFR 413    42 CFR 489   
Legal Authority: 42 USC 1395ww   
Legal Deadline:
Action Source Description Date
NPRM  Statutory    05/01/1997 
Final  Statutory    09/01/1997 
Action Date FR Cite
NPRM  06/02/1997  62 FR 29902   
NPRM Comment Period End  08/01/1997    
Final Rule With Comment Period  08/29/1997  62 FR 45968   
Comment Period End  10/28/1997    
Final Action  05/12/1998  63 FR 26318   
Final Rule  05/12/1998  63 FR 26318   
Additional Information: HCFA-1878-F HCFA published a final rule with comment period on 8/29/97.
Regulatory Flexibility Analysis Required: Yes  Government Levels Affected: Federal, State 
Small Entities Affected: Businesses, Organizations 
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