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HHS/CMS RIN: 0938-AP15 Publication ID: Fall 2008 
Title: Changes to the Hospital Inpatient Prospective Payment Systems and FY 2009 Rates (CMS-1390-N) 
Abstract: This major rule revises the Medicare hospital Inpatient Prospective Payment Systems (IPPS) for operating and capital-related costs to implement changes arising from our continuing experience with these systems. In additon, we are making changes relating to disclosure of physician ownership in hospitals and reporting of financial relationships between hospitals and physicians, payments for graduate medical education on certain emergency situations, and updates to the long term care prospective payment system & certain IPPS excluded hospitals. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: Yes  Unfunded Mandates: State, local, or tribal governments; Private Sector 
CFR Citation: 42 CFR 411 to 413    42 CFR 422    42 CFR 489   
Legal Authority: sec 1886(b) of the Social Security Act   
Legal Deadline:
Action Source Description Date
NPRM  Statutory    04/01/2008 
Final  Statutory    08/01/2008 
Timetable:
Action Date FR Cite
NPRM  04/30/2008  73 FR 23527   
NPRM Comment Period End  06/13/2008    
Final Action  08/19/2008  73 FR 48433   
Notice  10/03/2008  73 FR 57887   
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal 
Small Entities Affected: Businesses  Federalism: Yes 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Tzvi Hefter
Division Director
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Centers for Medicare Management, Mail Stop, C4-07-07, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-0614
Email: tzvi.hefter@cms.hhs.gov