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HHS/CMS RIN: 0938-AT99 Publication ID: Spring 2020 
Title: Reducing Provider and Patient Burden, and Promoting Patients' Electronic Access to Health Information (CMS-9123) 

This rule would place new requirements on Medicare Advantage organizations, Medicaid and CHIP Managed Care plans, Medicaid and CHIP fee-for-service State agencies, Basic Health Program (BHP) Standard Health Plans, and Qualified Health Plans (QHPs) in the Federally-facilitated Exchanges (FFEs) to improve the electronic exchange of health care data, and streamline processes related to prior authorization. The rule would also revise requirements that all Medicare- and Medicaid-participating providers and suppliers must meet for continued participation in the programs by requiring increased patient electronic access to their health care information, and improve the electronic exchange of health information among providers and suppliers.

Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Yes  Unfunded Mandates: No 
EO 13771 Designation: Regulatory 
CFR Citation: 42 CFR 403    42 CFR 416    42 CFR 418    42 CFR 422    ...     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: 42 U.S.C. 263a and 273    42 U.S.C. 1395b-3    42 U.S.C. 1302, 1320a-7, 1320b-8, 1395, 1395i, 1396r,1395eee(f), 1395hh, 1395rr 1396(u)-4(f)   
Legal Deadline:  None
Action Date FR Cite
NPRM  11/00/2020 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Alexandra Mugge
Deputy Chief Health Informatics Officer
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Office of the Administrator, MS: C5-02-00, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4457