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HHS/CMS RIN: 0938-AS21 Publication ID: Fall 2016 
Title: Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care (CMS-3295-F)(Rulemaking Resulting From a Section 610 Review) 

These proposed changes would modernize hospital and critical access hospital (CAH) requirements, improve quality of care, and support HHS and CMS priorities. Specifically, we proposed to revise the conditions of participation (CoPs) for hospitals and CAHs to address: Discriminatory behavior by healthcare providers that may create real or perceived barriers to care; Use of the term "Licensed Independent Practioners" (LIPs) that may inadvertently exacerbate workforce shortage concerns; Requirements that do not fully conform to current standards for infection control; Requirements for antibiotic stewardship programs to help reduce inappropriate antibiotic use and antimicrobial resistance; and the use of quality reporting program data by hospital Quality Assessment and Performance Improvement (QAPI) programs.

Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Long-Term Actions 
Major: Yes  Unfunded Mandates: No 
RFA Section 610 Review: Rulemaking Resulting From a Section 610 Review 
CFR Citation: 42 CFR 482    42 CFR 485   
Legal Authority: 42 U.S.C. 1302    42 U.S.C. 1395hh and 1395rr   
Legal Deadline:
Action Source Description Date
Final  Statutory  MMA section 902.  06/16/2019 

Overall Description of Deadline: MMA section 902 requires Medicare final rules publish within 3-years of a proposed or interim final rule . Rule may publish before the 3-year deadline.

Action Date FR Cite
NPRM  06/16/2016  81 FR 39447   
NPRM Comment Period End  08/15/2016 
Final Action  06/00/2019 
Additional Information: Includes Retrospective Review under E.O. 13563.
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: Yes 
Agency Contact:
CAPT Scott Cooper
Senior Technical Advisor
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Clinical Standards and Quality, Mail Stop S3-01-02, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-9465