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HHS/IHS RIN: 0917-AA10 Publication ID: Fall 2016 
Title: Catastrophic Health Emergency Fund (CHEF) 

This final rule would implement section 202(d) of the IHCIA by amending the IHS CHEF and revising the threshold cost for reimbursement of the cost of treatment using purchased/referred care funds formerly known as contract health services to an IHS or Tribally managed facility.  The law also describes an annual increase in the threshold that is based on the increase in the medical care expenditure category of the Consumer Price Index for all consumers for the 12-month period ending with December of the previous year.

Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: Not Yet Determined     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: Pub. L. 94-437, sec 202(d), IHCI Act, as amended by Pub. L. 111-148, sec 10221   
Legal Deadline:  None
Action Date FR Cite
NPRM  01/26/2016  81 FR 4339   
NPRM Comment Period End  03/11/2016 
Final Action  04/00/2017 
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Undetermined 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Carl Harper
Director, Office of Resource Access and Partnerships
Department of Health and Human Services
Indian Health Service
801 Thompson Avenue, TMP Suite 360,
Rockville, MD 20852
Phone:301 443-1016