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GAO-14-202R 1 (2013-11-22)

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G      A     O       U.S. GOVERNMENT ACCOUNTABILITY OFFICE
441 G St. N.W.
Washington, DC 20548


B-325318



November 22, 2013

The Honorable Max Baucus
Chairman
The Honorable Orrin G. Hatch
Ranking Member
Committee on Finance
United States Senate

The Honorable Dave Camp
Chairman
The Honorable Sander M. Levin
Ranking Member
Committee on Ways and Means
House of Representatives

Subject: Department of Health and Human Services, Centers for Medicare & Medicaid Services:
        Medicare Program; Inpatient Hospital Deductible and Hospital and Extended Care
        Services Coinsurance Amounts for CY 2014

Pursuant to section 801 (a)(2)(A) of title 5, United States Code, this is our report on a major rule
promulgated by the Department of Health and Human Services, Centers for Medicare &
Medicaid Services (CMS) entitled Medicare Program; Inpatient Hospital Deductible and
Hospital and Extended Care Services Coinsurance Amounts for CY 2014 (RIN: 0938-AR59).
We received the rule on October 29, 2013. It was published in the Federal Register as a notice
on October 30, 2013. 78 Fed. Reg. 64,953.

The notice announces the inpatient hospital deductible and the hospital and extended care
services coinsurance amounts for services furnished in calendar year (CY) 2014 under
Medicare's Hospital Insurance Program (Medicare Part A). The Medicare statute specifies the
formulae used to determine these amounts. For CY 2014, the inpatient hospital deductible will
be $1,216. The daily coinsurance amounts for CY 2014 will be: $304 for the 61st through 90th
day of hospitalization in a benefit period; $608 for lifetime reserve days; and $152 for the 21st
through 100th day of extended care services in a skilled nursing facility in a benefit period.

Enclosed is our assessment of CMS's compliance with the procedural steps required by section
801(a)(1)(B)(i) through (iv) of title 5 with respect to the rule. Our review of the procedural steps
taken indicates that CMS complied with the applicable requirements.


GAO-14-202R

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