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HHS/CMS RIN: 0938-AP78 Publication ID: Fall 2010 
Title: Electronic Health Record (EHR) Incentive Program (CMS-0033-F) 
Abstract: This rule would implement provisions of the American Recovery Act of 2009 (Recovery Act) that authorize incentive payments to eligible professionals (EPS) and eligible hospitals participating in the Medicare and Medicaid programs for adopting and becoming meaningful users of certified electronic health records (HER) technology. In accordance with the Recovery Act, the rule will establish maximum annual incentive amounts and include Medicare penalties for failing to meaningfully use EHRs beginning in 2015. 
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: No 
CFR Citation: 42 CFR 412 and 413    42 CFR 422 and 495   
Legal Authority: PL 111-5 (The American Recovery and Reinvestment Act of 2009, Title IV of Division B, Medicare and Medicaid Health Information Technology)   
Legal Deadline:
Action Source Description Date
Other  Statutory  Date can start incentive payments to eligible professionals (Medicare).  01/01/2011 
Other  Statutory  Date can start incentive payments to hospitals (Medicare).  10/01/2010 

Overall Description of Deadline: Establishes policies and procedures required before the incentive program can begin. Additionally, supplemental payments are available in 2011 and 2012. If eligible professionals and hospitals are not meaningful Electronic Health Record users by 2015, there will be a Medicare payment adjustment imposed.

Timetable:
Action Date FR Cite
NPRM  01/13/2010  75 FR 1843   
NPRM Comment Period End  03/15/2010    
Final Action  07/28/2010  75 FR 44413   
Regulatory Flexibility Analysis Required: Yes  Government Levels Affected: State 
Small Entities Affected: Organizations  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: Yes 
Related RINs: Related to 0991-AB58 
Agency Contact:
Elizabeth S. Holland
Technical Advisor
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Clinical Standards and Quality, MS: S2-26-17, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-1309
Email: elizabeth.holland@cms.hhs.gov