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HHS/CMS

RIN: 0938-AT23

Publication ID: Fall 2017

Title: ●Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction (CMS-3346-P)
Abstract: This proposed rule would reform Medicare regulations that CMS has identified as unnecessary, obsolete, or excessively burdensome on healthcare providers and suppliers. This rule would increase the ability of healthcare professionals to devote resources to improving patient care by eliminating or reducing requirements that impede quality patient care or that divert resources away from providing high quality patient care.
Agency: Department of Health and Human Services(HHS)	Priority: Economically Significant
RIN Status: First time published in the Unified Agenda	Agenda Stage of Rulemaking: Proposed Rule Stage
Major: Yes	Unfunded Mandates: No
EO 13771 Designation: Deregulatory
CFR Citation: 42 CFR 403 42 CFR 405 42 CFR 416 42 CFR 418 ... (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: 42 U.S.C. 263a , 273, 1302, 1320a-7, 1320b-8,1395, 1395eee(f),1395hh, 1395i ,1395rr, 1396r ,1396u-4(f)) 42 U.S.C. 273 42 U.S.C. 1302 42 U.S.C. 1320a-7 42 U.S.C. 1320b-8 42 U.S.C. 1395 42 U.S.C. 1395eee(f) 42 U.S.C. 1395hh 42 U.S.C. 1395i 42 U.S.C. 1395rr 42 U.S.C. 1396r 42 U.S.C. 1396u-4(r)

Legal Deadline: None

Statement of Need:

CMS is committed to transforming the healthcare delivery system, and the Medicare program, by putting an additional focus on patient-centered care and working with providers, physicians, and patients to improve outcomes. We seek to reduce burdens for hospitals, physicians, and patients, improve the quality of care, decrease costs, and ensure that patients and their providers and physicians are making the best healthcare choices possible.

We are therefore proposing changes to the current Conditions of Participation (CoPs) or Conditions for Coverage (CfCs) that would simplify and streamline the current regulations and thereby increase provider flexibility and reduce excessively burdensome regulations, while also allowing providers to focus on providing high-quality healthcare to their patients.

Summary of the Legal Basis:

Sections 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh).

Alternatives:

From within the entire body of CoPs and CfCs, the most viable candidates for reform were those identified by stakeholders, by recent research, or by experts as unusually burdensome if not changed. This subset of the universe of standards is the focus of this proposed rule. For all of the proposed provisions, we considered not making these changes or changing them in other manners.

Anticipated Costs and Benefits:

This rule would create ongoing cost savings to providers and suppliers in many areas and significant additional health benefits. Other changes we have proposed would clarify existing policy and relieve some administrative burdens.

Risks:

Our estimates of the effects of this regulation are subject to significant uncertainty. While we are confident that these reforms will provide flexibilities to facilities that will yield major cost savings, there are uncertainties about the magnitude of these effects.

Timetable:

Action	Date	FR Cite
NPRM	02/00/2018

Regulatory Flexibility Analysis Required: Yes	Government Levels Affected: None
Small Entities Affected: Businesses, Organizations	Federalism: No
Included in the Regulatory Plan: Yes
RIN Data Printed in the FR: Yes
Agency Contact: Alpha-Banu Wilson Health Insurance Specialist Department of Health and Human Services Centers for Medicare & Medicaid Services Center for Clinical Standards and Quality, MS: S3-02-01, 7500 Security Boulevard, Baltimore, MD 21244 Phone:410 786-8687 Email: alphabanu.wilson@cms.hhs.gov