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GAO-14-572R 1 (2014-05-07)

handle is hein.gao/gaobadqhs0001 and id is 1 raw text is: G A O U.S. GOVERNMENT ACCOUNTABILITY OFFICE 441 G St. N.W. Washington, DC 20548 B-325803 May 7, 2014 The Honorable Ron Wyden Chairman The Honorable Orrin G. Hatch Ranking Member Committee on Finance United States Senate The Honorable Fred Upton Chairman The Honorable Henry A. Waxman Ranking Member Committee on Energy and Commerce House of Representatives Subject: Department of Health and Human Services, Centers for Medicare & Medicaid Services: Medicaid Program; Preliminary Disproportionate Share Hospital Allotments (DSH) for Fiscal Year (FY) 2014 and the Preliminary Institutions for Mental Diseases Disproportionate Share Hospital Limits for FY 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 Medicaid Program; Preliminary Disproportionate Share Hospital Allotments (DSH) for Fiscal Year (FY) 2014 and the Preliminary Institutions for Mental Diseases Disproportionate Share Hospital Limits for FY 2014 (CMS-2389-N). We received the rule on April 22, 2014. It was published in the Federal Register as a notice on February 28, 2014. 79 Fed. Reg. 11,436. The notice announces the preliminary federal share DSH allotments for FY 2014 and the preliminary federal share FY 2014 limits on aggregate DSH payments that states may make to institutions for mental diseases (IMDs) and other mental health facilities. This notice also includes additional information regarding the calculation of the FY 2014 DSH allotments and FY 2014 IMD DSH limits. The Congressional Review Act (CRA) requires a 60-day delay in the effective date of a major rule from the date of publication in the Federal Register or receipt of the rule by Congress, whichever is later. 5 U.S.C. 801(a)(3)(A). This notice was received by the House of Representatives and the Senate on April 22, 2014. 160 Cong. Rec. H3290 (Apr. 29, 2014); 160 Cong. Rec. S2469 (Apr. 29, 2014). It was published in the Federal Register on February 28, 2014. The rule has a stated effective date of March 31, 2014. Therefore, this rule does not have the required 60-day delay in effective date. GAO-14-572R

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