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HHS/CMS RIN: 0938-AK67 Publication ID: Fall 2007 
Title: PhysiciansÂ’ Referrals to Health Care Entities With Which They Have Financial Relationships (CMS-1810-F) 
Abstract: This final rule is the third phase (Phase III) of a final rulemaking amending our regulations regarding the physician self-referral prohibition in section 1877 of the Social Security Act (the Act). Specifically, this rule finalizes and responds to public comments regarding the Phase II interim final rule with commment period published on March 26, 2004. Phase II set forth the self-referral prohibition and applicable definitions, interpreted various statutory exceptions to the prohibition, and created additional regulatory exceptions for arrangements that do not pose a risk of program or patient abuse (69 FR 16054). In response to public comments in Phase III final rule, we have reduced the regulatory burden on the health care industry through the interpretation of statutory exceptions and by modifying the exceptions that were created using the Secretary's discretionary authority under section 1877(b)(4) of the Act to promulgate exceptions for financial relationships that pose no risk of program or patient abuse. 
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: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 411    42 CFR 424   
Legal Authority: 42 USC 1877   
Legal Deadline:
Action Source Description Date
Final  Statutory  MMA sec. 902  03/26/2008 
Timetable:
Action Date FR Cite
Interim Final Rule  03/26/2004  69 FR 16054   
Interim Final Rule Comment Period End  06/24/2004    
Correction Notice  04/06/2004  69 FR 17933   
Second Correction Notice  09/24/2004  69 FR 57226   
Notice  03/23/2007  72 FR 13710   
Final Action  09/05/2007  72 FR 51012   
Regulatory Flexibility Analysis Required: Yes  Government Levels Affected: None 
Small Entities Affected: Businesses, Organizations  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: Yes 
Agency Contact:
Joanne Sinsheimer
Center for Medicare Management
Department of Health and Human Services
Centers for Medicare & Medicaid Services
C4-25-02, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4620
Email: jsinsheimer@cms.hhs.gov

Lisa O. Wilson
Senior Technical Advisor
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare, MS: C4-25-02, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-8852
Email: lisa.wilson2@cms.hhs.gov